I hit menopause really early, mid-30s (inherited quirk), but wasn’t prepared at all for how harsh it could be. Though a lot of crucial plumbing was removed in my teens due to a quirky medical fluke, I had always been as regular as a Swiss watch. Even the suddenly horrendous periods didn’t clue me in. Being chronically oblivious, it took getting reeling dizzy from a hot flash, smack dab in in the middle of dinner in a ritzy restaurant, to finally smack a proverbial brick upside my proverbial head.
Even then, my first thought was, “Omigod, cancer of the…thermostat?”
Your doc is your best resource, but a lot depends on your age. I went with hormone replacement for a few years since it hit so early. It was a balancing decision with the drug side effects, osteoporosis risk (also a huge genetic factor for me), etc. Hormone replacement worked very well, short term, that completely eliminated the hot flash misery as well as letting me find alteratives for the osteoporosis risk.
I went off it after a few years and tried other options. My doc is terrific–a real, certified MD–but one who also encourages non-prescription drug palliatives when appropriate. He’s very conservative about drug-bombing problems, IOW. I’ve always eaten a fair amount of soy products anyway but OTC ‘women’s’ products, e.g. Remifemin, barely made an appreciable difference.
He finally hit on an unusual (I think) solution that worked: the lowest possible dosage of an anti-depressant. I’ve never been depressive, never needed–or wanted–a ‘mind-drug’, and was pretty leery about even trying one for other reasons. But it worked for the hot flashes. Since the dosage is so low I’ve never notice the least emotional/mental difference, but the hot flashes stopped within a few days. Blessed relief.
My suggestion, davmilasav? Consult your doc. A lot probably depends on your age, medical situation, etc. but broken sleep, feeling lousy, etc. can be helped. It’s just a matter of finding what works for you.
Good luck to you (and all the other sweltering sufferers)
Veb