I a 71 yr old woman who has ankylosing spondylosis and other comorbidities. Menopause made my symptoms tenfold. I have had 3 treatments of pellets. It has literally changed my life. No, sweats, better sleep, less pain , More energy. Most important to me is my vaginal area is finally comfortable and working as it used to when I was a young woman. I went from being completely unable to have and enjoy intimacy to being just like I used to be. My love life with my wonderful husband is restored and better than ever. I am a woman again! Don't hesitate to try the pellets your world will change for the better. I will never be without them again. I lost over 10 years of intimacy and love, don't make that mistake. My life is 100 percent better.