When my menopause experience worsened, I did try to take estrogen pills but that type of therapy has always had side effects for me. When my doctor started offering bioidentical hormone therapy, I started using a cream instead. That has worked so much better for the chemistry in my body. As my hormones ebb and flow, it is easy to modify the amount of cream used to better regulate the amount. I wasn't easily able to do that with pills. Everybody's body chemistry is different and it's been nice to have therapy regulated to my individual needs at doses that can easily be controlled. This is the future of medicine.