I haven’t seen the word dowager used in a long time. I remember it being used when referring to Helen Hayes in the movie Anastasia with Ingrid Bergman and Yul Brynner.
A recent study published in Menopause revealed that hormonal therapy in menopausal women can reduce the risk of the hyperhyphosis.
The results were convincing. I think less and less women should have reservations ( when appropriately discussed) the benefits of NHRT