I am using it now. You can't use it along with the pill, but use it like the pill. Native Americans used to use phyto(plant)estrogens for birth control, pms, menopause, etc. The nice thing about the cream is you can self-diagnose hormonal imbalances. Use the prescribed ammt. and if it takes less than 30 sec. to absorb, you need another dose. I have had Dr. friends ask me to explain to their patients how to use this, and they have been very happy with the results. I had bad pms in my 30's; pms for 2 weeks, and a 7 day period. After 1 full year of the cream, I had no pms, and a 3 day period. I'm going back on it bcuz the pms has come back. Best wishes, Cathie