Menopause was hell for me. I once was a very entergenic happy person. Menopause occurred in my early 50s and I became tired , moody, miserable, lacking sleep,enthusiasm. It didn’t t help a marriage. I could have cared less about sex. I started therapy after trying all the ridiculous meds the doctor offfered. The anti depresents, sleep meds, you name it. I went to a bioidentical doctor about 20 years ago. She got me started. I eliminated every single med from the doctor. I kept a diary that expressed my mood, sleep, etc. week by week I got sooo much better. I have my life back. I am happy enthusiastic. I love my life, my husband loves my personality that has returned. My blood work is perfect. Life is good. Taking my hormones would be devastating. Why would anyone do that?.