As a Paramedic trust me. Go the legally prescribed way and only with bio identical hormones. Anything else is playing with a loaded gun. Premarin and Ethinyl Estrogen= Danger and there is a reason it and synthetics are no longer used. The risks of DVT, CVA and cardiac issue's are through the roof. Herbals-NO. Aromatase-NO. Supplements-NO. Medical monitoring, lab work and bio identical hormones-YES,YES,YES! Trust me on this one. 🙂