I'm sorry. I know by the time things get bad enough for me to see a doctor, be it menopause or a sinus infection, I want fast relief. Give the CBT an honest try, and if things don't improve, you could press harder for the hrt. I may be mistaken, but I don't think the hormone amounts in hrt even come close to pregnancy or the pill. Further, if you use a transdermal (patch or gel) I think you can get by with an even lower dose since it doesn't have to be digested. I don't believe hrt is absolutely off the table, but I would try her other suggestions first if she feels it's risky.