The hot flashes, night sweats, and mood swings were horrible. I had no idea how much the LACK of hormones would affect me when I became menopausal. Thanks to my doctor, and the prescriptions of compounded medications, I have been relieved of the harshest of those. I now have NO night sweats, mild and infrequent hot flashes, and as for the mood swings, I feel very well! I am so appreciative of something that is available that is closer to my natural body chemicals to help me with this.