Two years after menopause I was feeling awful. I had trouble sleeping, thoughts of doom, tired, and my nerves were on edge. I was in good shape, 5 ft. 4 inches and 120 pounds, worked out regularly, but I felt a sense of doom and gloom and was fuzzy due to lack of sleep. I started with the pellets for four years and then switched to the troches as it was easier to make adjustments month to month. I've been using HRT since 2011 and feel reluctant to stop as it has helped with sleep and mood.