I did my research while in perimenopause and knew I was going to select BHRT if I had symptoms during menopause. The conventional HRT has proven to be dangerous (horse urine, really?). Sure enough, as soon as I stopped taking estrogen through my birth control, I experienced hot flashes, loss of hair...etc. So my doctor prescribed a small dose of BHRT and we had to tweak it several times until my symptoms disappeared. I decided not to go with pellets due to the inconvenience of having to go regularly and have someone implant something in me, or the cream (messy) so I chose troches compounded for me and it's the best decision I took. I sleep well, no hot flashes or night sweats, no hair loss and I feel great! One size fits all medicine is outdated - compounding pharmacies are a must.