I am a Registered Nurse & realized I was beginning to experience early menopause in my late 40's. I made an appointment with my GYN & expressed my symptoms & concerns about oral menopause medication. At this time he informed me of a local non-systemic treatment using a compounded prescription medication. I had my doubts, but after following my prescription exactly...WOW...what a difference it has made in my life, especially in my Marriage!!! Best solution to my medical issue was this personally compounded medication.