It has given me back so much - no more burning, no dryness, no more bladder issues like pressure to go but unable to yet always feeling like I needed to, no painful (if not impossible) sex - that's a big one. Yes, I have my uterus and do not take progesterone. No need to do so since the vaginal estrogen works locally, not systemically. It restores the vaginal area as it was before menopause. I hope this helps.