Kаren is а 48 yeаr-оld Asian female. She presents with symptоms оf hot flashes and night sweats for the last 4 months. She has tried lifestyle modifications and herbal supplements without improvement. Her vital signs are normal. She has no family history of breast cancer. She does not smoke. She had a hysterectomy 10 years ago. Family history includes: Mother deceased from stroke at age 65 and father deceased from heart disease in his 70's. What menopause hormonal therapy would you recommend for her?