I am very grateful cBHT has been available. I have used it for 20+ years for pre menopausal, menopausal and post menopausal symptoms. I have tried OTC products with poor results. It has helped me in many ways: balance the effects of my hormones, minimized painful symptoms, assisted in improving the quality of my pelvic tissues, to enabling a comfortable sexual experience. I found increased mental focus and clarity with fewer emotional ups and downs. In general, my quality of live life mentally, emotionally and physically have all been improved more than the OTC products I have tried. Bioidentical HT has more directly zeroed in on the issues.