Before I started cBHT, I could not have sex at all. My muscle tone had diminished and I had no energy. Everything has changed since I started my hormone therapy. I can now have sex that is not excruciating and my body and mind are healthier and happier! I would NOT want to use synthetic hormones, especially Premarin, as it is so abusive to female horses and their offspring. I am a cancer survivor and ONLY want to use bioidentical hormones! They have changed my life for the better!