yes, if there is an increased risk...but lots of conflicting info
The alternative is to use a pill that is derived from Horse urine. I think that has some risks too.
That is why I said start at rock bottom and work up. She does not want to just take some random one size fits all dosage, because too much can be just as harmful as too little. Having a doc willing to work with her is extremely important.
Most docs really don't know how to handle hormone replacement, so they do whatever the latest drug reps tell them to do, throwing drugs at the patient to get them out the door.