I seem to be really, really tired most of the time (not even a strong cuppa wakes me up!) and I'm suspecting it's the surgical menopause. (I can't have HRT as my tumours were strongly oestrogen receptive). My gynaecologist gave me a review paper to read from the Royal College of Gynaecologists/Obstetricians which seems in effect to be saying there is little evidence to support any other treatments (herbal etc.) except perhaps doing cardio-vascular exercise, maybe yoga, and taking SSRIs (Prozac etc.) for flushes. At the moment though it's the fatigue that's really getting to me. Has anyone found any ways of handling this without (as I currently am) spending their life on the sofa ?