I have a medical need for bio-identical hormones which the pharmaceutical industry does not provide a solution. I have vulva Dema and vestibulitis which is extremely painful both when wearing clothing and during sexual intercourse. I have tried conventional hormone replacement (i.e. birth control medications) but these medications severely affect my emotional health sending me into suicidal depression. My medical provider has explored other options, but bioidentical hormones are the only option that has worked.