Based on blood tests for annual physicals, my GP determined I was pre-menopausal, approximately six years ago. She prescribed a compounded cream to help balance my hormones. I applied the cream during pre-menopause and she adjusted the compound after menopause. Balanced hormones helped me in many ways, including better sleep, mood swings, night sweats, etc. It made my life a LOT better. My doctor was able to adjust my prescription according to where I was in the process. I don't like the thought of my doctor not being able to customize what I specifically need. I don't think a standardized approach to hormone therapy would be at all effective.