I had a vaginal fissure and used hormonal therapy and a compounded traumeel skin ointment to treat the tissue so that it could heal non-surgically. That was successful. I currently use a compounded hormonal cream to maintain the tissue post menopause. This cream when I tried to buy it name brand was over $300 through my insurance. Doing it this way has been effective and much cheaper. I have the compounding pharmacist and my doctor to answer questions about my treatment. If I did not have insurance (as a self employed person, I was on the ACA until my husband got insurance), non-compounded treatment would have been out of reach financially.