GypsyRoseLee - your description of missing a nights sleep was exactly how I felt when meno symptoms kicked in. I could barely function for months and was truly awful. I now sleep with hrt but am 57 and worried as doctor murmuring about coming off!!!!
That was exactly the description of my insomnia, except mine was multiplied by 3 nights of totally no sleep. HRT was my saviour as well, and I also now have my backups of the occasional dose of doxylamine or Endep (amitriptyline AD) to help out with those odd nights when sleep just won't come.
I have a morbid fear of what will happen when/if I have to come off HRT too. I'm 56, and my doctor is pretty lenient about HRT, but I'm not sure that I want to stay on it for the rest of my life anyway. Continuous progesterone is an issue for me, so even just the thought of periods for the next 10-20 odd years is troubling.
I have recently tried to cut a small amount of my patch to see if I could at least get down to a low dose, and it didn't go well, so I think that for the time being I will have to stay on a medium HRT. Maybe I'll try again when I'm closer to 60. Maybe by then my body will have adapted to menopause a little better.