I had BSO several years into immediate menopause. Fortunately, I had already started cBHT a month prior, which facilitated the effect. cBHT continues to alleviate several symptoms that impact my every day life such as hot flashes, incontinence, dryness, sleeping and anxiety along with overall moodiness. With regular bloodwork analysis and compounding specific to my needs, I only see this as a benefit rather than taking a 'same size fits all' approach with regular preventative health measures such as mammograms and physicals are followed.