I know plenty of women who take or have taken the Premarin type hormones and like(d) them.
My own mother and grandmother took them into their 80's with no problems. That said, some women do have problems. I believe they are stronger and probably better suited to younger menopausal or post hysterectomy women who need replacement before menopause. However, there are more lower doses available now than 10 years ago. I don't recall if you mentioned your dose. Also, the amount in your blood isn't as easily measurable as with the patch dose, so docs tend to go by symptom relief regarding dosage.
Patches are more gentle and usually lower doses for those of us in menopause who don't need so much in the way of hormones. We don't need our hormones to be what they were at 35! Lots of young hysterectomy women have to take 2 patches to get enough hormones for them if they choose this route.
Some younger women take a low dose birth control type pill until they reach menopause age.
Some women do prefer the premarin type hormones for symptom relief and they have been around for a long time. Don't be afraid! You could just get on something now, and then after you have a chance to evaluate the effects, try to get your doctor to switch you to something you would rather try. A 3 month trial of Prempak C likely won't hurt you and may prove very helpful. I think doctors are so wary of prescribing hormones and wonder if you make it difficult for them by being too picky, they may not be very forthcoming to work with you on it. Only you know what is best for you though. Good luck!
Just noticed a member Chattygal was on prempak C for 15 years and has recently switched to gel in 60's...maybe she will pop in to give her thoughts, or you could PM her?
Andius