I am 43 with severe endometriosis. Waited to write a review until a few cycles have passed. Now just completed my third cycle but noticed improvement on my first cycle with Endovan, and each cycle keeps getting better! Less bleeding, less days of bleeding, little to no cramping, just a titch of cramping in between because I took 2 Endovan capsules a day. When this occurred, I would simply cut back to one capsule a day or take a day or two off! I stand by this product and am thankful for the option of Endovan instead of going on some artificial hormone!! I tell every female and physician I know about Endovan since most will not hear it from their doctors. I wish I had known about this in my 20s and 30s.