I started to taking this product last June 2013 it is now December. I take 2 pills in am and 2 in afternoon. At this point I have about 70% less bleeding through the month than I did prior to starting. Not sure if it will improve any more than it has but I am happy enough with the results I have gotten. My periods are much more manageable as well, they last 4 days start to finish and I am right on time every 28 days. I would say I have been this regular with normal bleeding patterns and the cramps are what I would consider normal since being on the Endovan. Be patient it will take some time and consistency if your female issues are bad. Don’t expect immediate results. Overall GREAT PRODUCT!