When I was about 53 years old, the menopausal hot flashes, fatigue, and brain fog were taking a toll on my mood and stamina to be a good wife, mother, and teacher. I expressed this to my daughter's therapist (psychiatrist), at the time, and she suggested I take medicine for depression and psychosis. My husband thankfully threw a fit and said to visit Dr. Ann Auburn, our naturopathic physician. I did. She tested me and prescribed a troche (for the estrogens) and a capsule (progesterone). They worked for me beautifully to restore me to my previous healthy and happy self! I have used them for many, many years. I am now 68 years old, and am still using them, even after a recent hysterectomy about a year ago. I also have a very fulfilling sex life thanks to them.