When I reached menopause, my energy plummeted and there were times I could not function very well. Oral hormones solved that problem but caused nausea and headaches. Those problems went away when I started using a compound but the benefits remained. With the compound, my physician could easily modify the three hormones I am taking to suit my particular needs. I am 75 and would be extremely unhappy to have to give up my hormone compound now. My bones have stayed strong and my energy is good.