When my primary care physician prescribed traditional menopause medication, I was physically ill from it. Cramping, bleeding, and irrational behavior. I continued having menopause issues. When I went to a doctor who specialized in hormone treatment, he prescribed bioidentical treatment. My life improved immeasurably. I no longer have ANY menopause symptoms or repercussions. (Unless I forget to use my cream). I don't know what I would do if I didn't have my bioidenticals.