Count me in as one on bioidentical HRT. I'd been having terrible symptoms that were just bringing me down ... fatigue, forgetfulness, no drive, no SEX drive ... they were all difficult for me to deal with. My nutritionist recommended bio HRT, a friend recommended bio HRT and to read "The Sexy Years" (and there's another book I read by a Dr. Loo, something like, "What Your Doctor Doesn't Tell You About Menopause"). My doctor recommended bio HRT as well.
The cool thing is that the pill is compounded specifically according to your hormone levels. I believe the Premarin (the one made from horse urine) is sort of a one-size fits all. It took a couple months to get the dosage right, but for me wasn't a big deal.
I'm 38 and had a hysterectomy 4 years ago for cervical cancer. I swear I had more problems dealing with symptoms years after the surgery, than for the cancer itself! But I'm feeling pretty darned good now!
I think HRT is a difficult decision and you have to choose what works best for you, and what you are comfortable with. I have a friend who runs a Premarian foal rescue farm (because they have to keep the mares pregnant, the drug manufacturers have a bunch of foals that just get destroyed) so that's an issue for me. Plus my daughter rides horses and I don't think I could take the Premarin for that reason. But again, it's personal and everyone's different.