I began using bioidentical hormone therapy soon AFTER going through menopause. If I had known of a practitioner before, then I definitely would have started sooner. Before starting on this form of therapy, I was waking up 6-8 times a night with hot flashes. My sleep pattern was similar to when I had newborn babies waking up all night! Needles to say, I was exhausted, unmotivated, and crabby pretty often during the day. The hot flashes have gone away and this is helping with keeping my bone density from decreasing. I feel strong and healthy. I only wish that it was not so expensive. And I wish it was easier to find prescribers!