In my non Doctor opinion.
If your having hot flashes your hormones are in the tank and you need to talk to a doctor about Hormone Replacement. We did a lot of R&D on this and feel that the way to go is to measure your hormones and replace only those that are low. And you need to use only real human hormones. Not Horse type hormones like Prempro etc.
Are you feeling depressed? Moody? Anxiety a problem? Having difficulty thinking clearly? Does sex seem much less "Nessesary"? Are you having problems with lubrication? Your in surgical menopause. And while I'm just in the regular menopause its no fun...
Talk to your Doctor about Bio Identical Hormones and if she is not up to speed search out a doctor who is. You might be able to find one through a Compounding Pharmacy that makes them. *Note there are mainstream prescription drugs like Climara V Dot etc that are real estrogen also. If you have sex drive issues consider Testosterone (In female levels) I've been using a compounded mix of Estrogen, Progesterone, Testosterone and DHEA and feel 1000 times better.
Hang in there! Be sure to scream loudly and often if the treatment is not working. The doctors need feedback to adjust the dose and help you to feel right again.




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