When I reached menopause, my hot flashes were unbearable. I would have anywhere from 6-10 hot flashes an hour. I worked in an office, and had to buy a portable A/C to use near me to keep me comfortable. It was so embarrassing when I would sweat profusely when seeing my patients or clients. I tried using natural products for approximately 1.5 years. I finally gave in and wanted something that was as natural as I could find. My gynecologist recommended HRT, and started me on compounded estrogen. It has greatly improved my daily life. I no longer have hot flashes or wake up drenched in sweat. I have no more issues with sweating when meeting with patients or clients. It has helped me SO much. I couldn't imagine having to go back to not having access to these hormones anymore. I pay out of pocket for this medication, and am happy to do that, since my insurance doesn't pay for it.