Lately, I have been having terrible hot flushes followed by intense sweating, and it has been affecting the quality of my sleep. The Hertoghe doctors only work with transdermal estrogen and natural progesterone (Utrogestan). Transdermal estrogen is described as safer than oral estrogen, but I cannot figure out if that only applies to synthetic estrogen or to all oral estrogen, including natural estrogen in pills such as Femoston and Angeliq...? The latter is incredibly expensive (almost 400€ for three months' supply), and it would be tempting to assume that means it's better than other drugs, but it is only supposed to be used if you have not had a period for at least a year. I recently went four months without a period and assumed I had had my last period, but it recently came back. I will turn 50 in December.
Any advice on how to get through this stage of life would be much appreciated, and I'd also welcome advice on natural methods (supplements, acupuncture...). For those of you who have used HRT successfully, what worked best for you and how much did you need? And for how long?