For me, the symptoms of menopause were very disruptive. I tried for over a year to deal with it naturally but nothing helped.

Think about what it is you want to accomplish with bio-idential HRT. And like Sally said....start low and go slow. You may want to just get to a point where you have symptom relief and stop there. Some like to restore hormones to a higher levels.

I started with the Vivelle Dot .025 dose. After two weeks, had to up to .0375. I finally ended up at .075. I don't change the patch as often as they say. Seems I can get more out of it and save some money.

Apply progesterone at night before bedtime.

I don't think I am at a high risk for cancer but I do get an annual ob/gyn exam.
I was dealing with heart palpitations, racing heart, anxiety....all cleared up with the estrogen. Apparently, you have estrogen receptors in the heart too.