When in balance with other hormones within the body, most specifically progesterone, estrogen plays a crucial role in female health. During menopause, every woman will experience the consequences of fluctuating hormonal levels. In fact, the imbalance of the estrogen levels causes menopause itself and the noticeable physical and emotional changes, including hot flashes, irregular menstrual periods, vaginal dryness, stress incontinence and mood swings. In formulating his EstroFem product Dr. Randolph includes phytoestrogen herbs (such as Black Cohosh and Dong Quai) because they contain estrogenic components produced by plants. Dr. Randolph's EstroFem may be used as a supplement to, or substitution for, the ovaries' endogenous estrogen production. When taken consistently through peri-menopause and menopause, Dr. Randolph's EstroFem can result in a decrease in or complete disappearance of estrogen deficiency symptoms. Note: Dr. Randolph's EstroFem should always be used in conjunction with Dr. Randolph's Natural Progesterone Cream in order to maintain optimal hormonal balance and avoid creating a condition of estrogen dominance. If you are on estrogen supplementation of any kind, bioidentical or synthetic, you should always use bioidentical progesterone every day. When not balanced by adequate progesterone, excess estrogen levels can stimulate proliferation (or cell growth). Unchecked cell growth can be a precursor for breast and uterine cancers. Ingredients: Vitamin B6, Folic Acid, Vitamin B12, Mexican Wild Yam Root, Borage Oil, Soy Isoflavones, Don Quai Root Licorice Root, Panax ginseng Root, Motherwort Herb, Red Clover Blossom, Black Cohosh Root Extract Usage: Take Two capsules in the morning and two capsules in the evening or as directed by your health care provider.