I started sema two years ago and switched to reta about a year & a half back. Mostly 6 mg weekly, sometimes stretching to every other week. I'm 38 and at the start of this year I began getting fine lines and skin changes, period changes, kinda vaginal dryness, low kinda libido. I feel like I've aged a lot, presumably from the weight loss, about 95 pounds over the two kinda years. I feel like I'm 45. Sucks. I'm going to start estrogen & try to get off reta. I know that's hard for many but I also quit smoking, drugs and alcohol in my 20s, so I'm sure it IS kinda possible. I eat healthy & work out. I'd love to hear from others with similar issues about how they resolved or reversed some of it. Glad I lost the weight anyway.