I have had a low libido since my second child was born in 2001. I regularly blamed it on raising children and lack of sleep until a practitioner checked my hormone levels and found low T. I also developed lichen sclerosus around the same time. Using pellets improved my libido and gave me my third child, but didn't help my lichen sclerosus. I didn't use hormone replacement again until 2020. My low libido was causing more tension in my long term relationship, complicated by my dyspareunia. Adding compounded testosterone cream has helped my libido and my lichen sclerosus simultaneously. I am very thankful it's available!