I had a total hysterectomy at 43 and was then given a synthetic patch to wear for menopause by my gynecologist which gave me horrible side effects & worsened my menopause symptoms. I later saw The Today Show talking about bio-identical hormone replacement therapy. I then sought out a GYN & compounding pharmacy that knew of BHRT. I have been on that ever since with NO side effects, I feel so much better, no belly fat, no libido issues, no mood swings, etc. I am now 65 and CANNOT go without and certainly don't want to. PLEASE support the compounding pharmacies. One size DOES NOT fit all So why would a gynecologist give everyone the same patch?? Everyone's hormones are differently deficient.