When I became peri menopausal, my hormones were all over the board. After years of birth control, my body wasn't sure how to handle any imbalance. When I finally found a doctor who knew what she was doing to balance them, I found progesterone cream along with testosterone (of which I had none) troches. I was literally on the verge of losing most of my relationships (including my spouse and relationship with my children) due to erratic tempers that I could not control. Happy one minute, angry at the world the next. I was doing well to sleep 4-5 hours each night and the combination of it all was killing me slowly. I have to be able to continue this therapy in order for my body to function properly!