Whilst it is terrible that the supply of pharmaceuticals for women's health is seen as optional by governments in a way that other medicines are not, a lot of additional unnecessary suffering is occurring because women have been needlessly scared off taking oral estradiol.
In most cases this can be safely used, and represents a more convenient and reliable option. It is also easier to get a therapeutic dose prescribed as oral estradiol was widely used with established dose ranges in the pre - WHI era.
Products that became popular post-WHI such as patches and gel typically offer much lower dose equivalents.