Good luck to all you lovely ladies who are going HRT free - to be honest, I envy you and wish it were a sensible option for me but as I'm severely hormone depleted, it's not a great idea having had ovaries removed at only 46 (I'm 48 now).
Having said that, I have met a few ladies in my position who have managed it, and until she recently restarted HRT at low dose in her early 60's, let's not forget that Kirsty Wark managed to do so with no ovaries after only a couple or so years on HRT (she did say in the documentary that her sleep has been awful though, and she now has a tad of osteopenia - but apart from that, she looks marvellous)!
For those going without HRT, by far the biggest healers are going to be time and stress reduction. And great nutrition. I would urge you all to watch what's happening 'down below' though as VA can be an awful challenge as MaryJane relays in this month's menopause matters magazine. Local HRT is exactly that - local. And it can help so much to alleviate these symptoms of course, with minimal or no systemic uptake. As I understand it, systemic uptake only happens until tissues are restored in most women (probably due to skin permeability before treatment commences). Its probably worth getting on something now before things get to that stage to keep everything healthy and to help keep UTI's at bay.
Many hugs, and good luck! xxxxxx