Used primarily in the treatment of postmenopausal osteoporosis, it helps increase bone density and reduce the risk of fractures. It works as a selective estrogen receptor modulator (SERM), targeting estrogen receptors in bone tissue to promote bone strength without affecting other tissues like the breast or uterus. Additionally, it is sometimes combined with conjugated estrogens to manage moderate-to-severe vasomotor symptoms associated with menopause while protecting against endometrial hyperplasia. Its ability to balance bone health and hormonal effects makes it a valuable option in managing postmenopausal conditions.