The combipatch my PCP prescribed did not ameliorate all of my menopausal symptoms. A couple of months after switching to bioidentical HRT, all of my symptoms were gone. My health is overall greatly improved. I exercise regularly, sleep well and enjoy an optimistic mood the majority of the time. One size fits all does not work for HRT. I trust my local pharmacist to compound my bioidentical HRT over a factory assembly line any day. Please do not take this life enhancing treatment option away!