This was recommended by a friend. I was previously on an estrogen vaginal cream from my doctor. Didn't help. But this, WOW! after just 3 days, so much improvement! This has been life-changing as it brought intimacy back into my marriage and has changed the way we interact with each other. Libido is back (after just 3 days), was able to have pain-free sex, my skin is softer and less dry. My sleep was better last night. Before purchasing, I read some reviews that were negative, so glad I decided to try it myself. definitely worth trying if you suffer from menopausal symptoms