I tried FDA approved pharmaceuticals which were very expensive and not effective. For years I just suffered along. I didn't realize I had an option until a friend recommended a doctor who is a pelvic floor expert. After my diagnosis from this doctor, I received a Rx for a compounded hormone replacement gel which has changed my quality of life and that of my husband. The compound is well priced, easy to use and has removed the problem. It's an issue not easily talked about, so this solution is VERY important.