This is a timely query. I’ve been viewing a lecture by Dr. Diana Scharzbein on this very topic. I recommend her menopause booklet and lecture, Menopause Power. You may find it here:
Learn how to treat menopause safely with bioidentical hormones and here:
Schwarzbein Principle - Home - Endocrinology - Controlled Carbohydrate Plan - Vitamin Supplements - Menopause Testing
I have not started on therapy, but what she recommends is bio-identical hormones delivered in a bio-equivalent manner. What does this mean? In a way which mimics how the body formerly produced and delivered the missing hormones. She recommends you restore only the missing hormones. The delivery method is not oral. She suggest you bypass the liver by using transdermal estradiol patches or using vaginal suppositories or gels. You cycle the hormones with daily use of estradiol and then 11-14 days only of progesterone.
You will need to work with your doctor, getting appropriate blood level and saliva tests, and using other diagnostic tools regularly, and also use a compounding pharmacy.
She cautions against using continuous combined therapy, and she also does not recommend using topical gels or creams as she states they can accumulate in the fatty tissues.
One final note – she contends that menopause is not a phase that comes to an end. But rather menopause is the permanent loss of the sex hormone system. Her goal isn’t to just treat the symptoms, but to balance
all hormonal systems and prevent the other degenerative diseases of aging.
HTH