I had a total hysterectomy in my early 40s. I used a hormone patch for estrogen but had numerous unexplained issues. #1 was vaginal burning. After years of no resolution I found a doctor that prescribed compound hormone replacement for estrogen and testosterone. I have not had any issues since started cBHT. If I run out or stop using my testosterone the vaginal burning plus other issues come back. I NEED my compound and it would be nice if insurance covered it as well.