About 15 years ago I started the menopausal symptoms. I had night sweats, anxiety, hot flashes, mood swings, and low sex drive due to dryness. After trying many things, for many years; including the creams, I finally opted to pay for the Hormone Replacement Pellets. Insurance does not cover these, but definitely should!!!! What a great decision, and I can't believe I waited so long to start them. With regular monitoring, I have not had any adverse symptoms, and only complete satisfaction. These are not only a life saver, but definitely a life changer!!!!