I'm really pleased with this product. I've used it for one year, during the onset of menopause. I'm amazed that I've passed through this life transition with almost no symptoms whatsoever. Prior to using NatraGest, I slept poorly, awoke often drenched in sweat, had hot flashes every afternoon/evening, experienced anxiety, confusion and depressed mood. As soon as I began using NatraGest, these annoying symptoms were almost totally gone. It's easy to use and I love the fact that it has no fragrance and no "accessory" ingredients. simple. Effective.