I had to have a total hysterectomy when I was 32. I was on a FDA pill form that did NOTHING to stop my hot flashes and night sweats from surgical menopause. I was not going to take a pill made out of horse urine either. My doctor advised me to try natural compound hormonal replacement. It has been life-changing for me. I will never go back to that horse urine pill again. If you are a woman reading this and suffer from the side effects of surgical total hysterectomy, you will understand why you will go to what works for your body. I know what works for my body, please DON'T take away from me what works. I do not want to go back into the hell of the side effects again. I've been on the compounded hormonal replacement for 23 years. Now that should show it works!