I started having severe perimenopausal symptoms in my 40's - mood swings and night sweats. BHRT has allowed me to feel normal. I don't get hot flashes, I sleep much better, and my moods are very even. I tried going off of it about 5 years ago and it was disastrous for me. I have learned to read my body, know if I am low on estrogen or progesterone, and can titrate my usage as needed. This is life-changing stuff. I cannot imagine what my quality of life would be like without them.