I had EIA as a kid but seemed to grow out of it. No issues during my late teens, twenties and most of my thirties. Then out of the blue it returned on a ride one day. I think that like many, it was probably triggered by pollen. Anyway, I found that while albuterol was somewhat effective, it's short duration of action would cause me to wake up in the middle of the night feeling short of breath (never nice). I tried a steroid only controller which seemed a little better, but as noted above, Advair has completely cleared up my asthma to the point that I don't think about it any more. I do accept that my propensity to develop EIA likely increases and decreases with various triggers, but I'm more than happy to take it prophylactically and not worry about whether I might end up out of breath on a given day.