During perimenopause, I was having my period twice a month. My doctor put me on progesterone pills which only made me sick and depressed, but did nothing for my problem. As the pills were the lowest dose available in that form, she then tried an IUD which according to her was the lowest dose available. This also did not work and I felt miserable. I began seeing another doctor. After extensive hormone testing, she also recommended progesterone. I did not want to go this route due to prior experience. She told me that we would be using compounded bio identical progesterone, not synthetic. I still had reservations, but using the compounded progesterone turned my life around. To got rid of my period and my depression and we could make small tweaks when dosage needed to be changed. I don't know what my life would be like if I couldn't have access to compounded bio identical hormones.