I'm sorry if my post doesn't meet your expectations. I did some research on Lydia Pinkham and I'm definately not going to use it. If you are TTC (trying to conceive) and get pregnant, you can have a miscarriage because of the Black Cohosh like Githionel said. Thats horrible! So please do not try this stuff! Instead I would try Fertilaid. Its a fertility supplement. They have one for men and one for women.
Yet one more thing, my herbalist said "No, never take those! They have emmenagogues" (An emmenagogeu is a herbal that can bring on your period and cause a m/c). Stay well.