53 years old. Started having symptoms of vaginal atrophy (now called genitourinary syndrome or menopause) apprx 5 months ago. I still get period tho irregular. The symptom that is/was the worst for me feeling like I have a severe UTI all the time (frequency, urge and burning). It has deeply and negatively effected my life. Tried long term vaginal moisturizers which eased maybe 20% of other symptoms but not urinary issues. This product is a game changer. For me, as soon as I applied it, I felt relief from the urinary problems and it only got better as I used it each day. ** I definitely dont think this is a one size fits all dosage and agree with others that, depending where you are in peri/menopause, you may need less. I found less than a pea size pump 3x per day works for me. Sometimes, depending on where I am in my cycle, I only need a pea size it 2x per day** But I will say that if I miss a day, I DEFINITELY notice my UTI symptoms come back. Last, UTI cultures are all negative. Highly recommend this for peri/early menopause. Well worth the money