Whether it be patch, cream, whatever, regardless of source (natural" is not exempt) hormones of any sort should be approached with caution for people who have bipolar.

That's all. It's simply something to be aware of.

I thinks that's great it's working for you zijax! Alas, I won't be trying it-- my sex drive is already more than sufficient, lol. )

(EM, I went with the ParaGard because it involved no hormones whatsoever. I just didn't want to risk it. There are a few that do involve hormones (such as Mirena). They say it is a small amount. Probably like so many things it can go either way depending on the individual.)