Fine-tuning your prescription

Medical doctors are not psychics.  They are not equipped to look at you while holding a crystal ball & tell you exactly what dosages & levels of hormones will suit your particular purpose.  After all, some women excrete estrogen at rates twice as fast as others, so a one size fits all approach makes no sense.  The early days of menopause therapy require some give and take, some interplay between doctor & patient while the correct dosages & hormone patterns are established, but once the dust has settled you should expect both short & long term successes, on terms of how you feel, your body weight, sexual function, physical appearance & whether you can undergo a reduction in other medications such as anti-depressants, sedatives, pain pills, headache pills & so forth.