I am 51 yrs old and suffered with all the symptoms of menopause, vaginal dryness, irritability, trouble sleeping, mental fog, hot/cold etc.. Luckily I found a doctor who was on Sotto Pelle herself and she recommended it so I had to try it. All the other gynos always told me I could do nothing about the softening muscles, this one told me "you will not believe the difference the pellets make". She did a blood count and my Testosterone and Estrogen were at very low levels even with the Estrogel I was applying daily. Its been 10 weeks since I had the implants and I feel freaking great!!! sex is fantastic! I want it and it is lots more pleasurable than before the pellets. I feel like I did when I was in my 30s! my muscle tone is noticeable, no more dryness, my mind is clear and i'm not irritated with everything. I can sleep at night... everything i was having trouble with is resolved. I am one happy customer and recommend it to anyone that will listen. I haven't had any trouble with acne but it may be because I've been using Retin A cream for 10-15 years to keep my complexion clear and smooth. oh and an added benefit, the fat around my midsection is going away thanks to the Testosterone. I am slowly getting back to my normal weight. : ) I don't remember the mgs she implanted but she's going to do a 2nd blood count to see if they need tweaking.