I had to have a complete hysterectomy at 48 years old. The hormone cream replacement is compounded to exactly what my body needs, which is much safer than an over the counter pill that is generated for the general population not for each individual. My insurance doe not cover the cost of my hormone replacement but to get the exact amount that my body needs is worth paying for it out of my personal pocket. If I am no longer able to get the bioidentical hormones, I'm worried about the side effects it will have on my body causing me to have to take additional prescriptions that are not made specifically to what my body needs.