I had a hysterectomy when I was 36 years old. Post surgery, I was always tired, moody, and had decreased libido. I started on traditional hormone replacement and experienced headaches, nausea, and other unwanted side effects. My gyn at the time started me on compounded HRT, the dosing based on hormone levels in my bloodwork. Compounded HRT allowed me to get exactly what I needed and nothing else. My dose has been reduced as I aged, reflection what would naturally happen to me without a hysterectomy. I am now 67 years old, with a wonderful quality of life. I am active (run half-marathons), remain happily married, and accomplished career goals after my surgery that I know would have been almost impossible without the support of this medication.