I would compare my before and after experience of using intra-vaginal hormonal cream to this: imagine a car running out of engine oil, with the end result that the engine eventually stops due to lack of lubrication. Then imagine a car with adequate lubrication and how it runs for many years because there is a sufficiency. My body is like that: being intimate with my husband prior to bioidentical therapy was painful and I did not look forward to the act due to the pain. I also had some bleeding due to the dryness despite using Uberlube/other personal lubricants. Bioidentical therapy has created a sustainable moisture to my vagina that has made sexual intercourse pleasant, pain-free and no bleeding. It has been a life-saver!