To those of you ladies who suffer like me from hemorroids this cream works wonders! I have always had them even when not pregnant. Recently they were so big you would think someone's fingers were coming out of me they stuck out that far. My ob prescribed this cream for me. He did warn me it's pricey without insurance or some insurances don't cover it or cover most of it. Luckily my copay was only $10. I applied very little to the outside (didn't insert like directions say) the next day they were gone and haven't come back.