What are some side effects I might experience?

If you are not yet fully menopausal, you may experience changes in menstrual bleeding after starting hormones. Please be certain to note any symptoms in the follow-up survey so your CleopatraRX consulting physician understands if there is a need to adjust your prescription. If you have not had periods for many years, and start having menstrual bleeding after starting PearlPAK, consult your CleopatraRX consulting physician