I have been on bioidentical hormones for 20 years. I am 67 years old. I’ve written on this site before and maybe my story can give you more clarity. I am not on any medicine because I went on a to El for a month and got severely sick. I was using the bioidentical creams. My first doctor was Dr. Erika Schwartz out of New York. She is a top specialist on this topic. I just started on the pellet Testosterone estradiol, and a pill form of compounded bioidentical progesterone. So far I feel great I have to say I have much more energy and feel generally better. I am really curious to see my next scan in February and if the pellet therapy will have made a difference, I’m still considered osteoporosis. I am willing to take the chance with the bio identical before I do synthetic drugs again. If you do see a hormone specialist, make sure they have a lot of experience with bio identical hormones. They have been around for years many of the regular OB/GYN’s are now using them. When I first started with this whole bioidentical journey, I was considered way out there. Your hormone blood levels must be monitored. Hope this helps a bit.