At age 37, surgery removed my only working hormone. I had hot flashes and low libido. I tried Premarin but I started bleeding heavily. My gynecologist wanted to do a hysterectomy. I was also having thyroid problems and my endocrinologist, Dr. Nafach, suggested compounded hormone therapy. I have been using it for years. I am 65 now and healthy with no issues. I look and feel more youthful, vibrant and libido is good.