Across 306 first-hand reports, people mentioned a side effect 15 times (about 5 per 100 reports). The most common: acne, vivid dreams, rage. User reports show what people notice — they can't tell you whether DHEA is safe for you.
“DHEA, minimum 50 mg was a huge game changer for my wife. More energy, libido, dopamine/happy mood, concentration- everything.”
“DHEA might help also. I sleep very deep and have vivid dreams on it. I take 25mg an hour before bed.”
“I have had surprising benefits from low dose dhea. Hair loss slowed, migraines improved. But does make me bloated.”
Conclusion: Vaginal estrogen, vaginal DHEA, oral ospemifene, and vaginal moisturizers may improve some GSM symptoms in the short term. Few long-term data exist on efficacy, comparative effectiveness, tolerability, and safety of GSM treatments.