I'm not quite 45 yet, but will be in a few years, and after hearing all the horror stories about perimenopause from my friends, I decided to give this supplement a try to maybe help ease me into it. However, based on the ingredients in it, such as ashwaganda, this supplement would be useful for more than just menopause ailments, including bloating, anxiety, energy, and better sleep, which most of us could use. I'm not a huge fan of the size/texture of the pills, which are pretty large and the bottle says to take 2 a day, but I can get past that since it can be hard to find supplements in other forms sometimes. I didn't notice any real taste or smell, which is appreciated. It is hard to tell how effective they are, but I do feel a little better overall on a daily basis. This seems to be a good quality supplement if you want to address menopause symptoms and other general wellness issues. I think the price is a bit steep so I'm not sure I would buy another of this one, but I may change my mind depending on how I feel after I finish this bottle.