Long story short my girl has been put on hrt about 2 years ago. She takes a birth control pill for estrogen and cream for her test. They tested her blood work once put her on and never check again. Is that normal for woman to be put on and not check see if levels went to normal? She is young only 34. Her levels where off and I agree with her needing it just don't understand why they don't check levels like men after they put you on?