After having a hysterectomy and oophorectomy due to multiple issues, I was thrust into immediate menopause. I could not sleep and had such severe hot flashes I had difficulty working at my current job. My libido was also negatively impacted by my surgery to the point I was not able to be intimate with my husband. After doing a saliva test to see which hormones I needed, I began using my prescribed cBHT cream. It was life-changing! I am able to live normally! If I was not able to use my hormone cream, I can't imagine how I would function. I prefer this as opposed to oral medication because the cream is able to be adjusted slightly when needed to best fit my needs. I also use smaller quantities of hormones when using the cream which is safer.