As a result, one may develop a rapid, reversible, yet often intense, menopause-like state. This could cause a woman to have a significant reduction in libido, hot flashes, vaginal dryness/thinning, osteoporosis, anaemia, and even emotional changes like depression. However, the method has raised serious ethical, social, and medical concerns, including a lack of informed consent, high costs, and side effects such as osteoporosis, cardiovascular disease, depression, and metabolic disorders.