I dutifully tried other methods for my HRT prescription.
Patches + pills, having to remember two things each day made it harder to stay consistent and the patches always came off. I "spotted" quite often and my hormone levels were not consistent.
With the bioidentical troches, it is easy for me to remember each night, and everything has been consistent and level. I have had no spotting since starting on these. My doctor can more easily refine my dosage as well.
This form of HRT therapy has made all the difference for me.