Ladies, I am 48 years old, I have not gone on HRT because anything hormonal has never agreed with me and I have tried the lot! - however I too struggle to sleep properly due to flushes and now according to my new dentist I have practically worn out my back teeth with grinding. I always waken up exhausted even if I have gone to bed at around 9.30pm the night before. In the past GP's have mentioned Iron, Thyroid ( where they put me on such a high initial dosage that my BP went through the roof ). Twice I have been at A&E due to chest,jaw and arm pain and now I am afraid I have health anxiety - mainly about my heart stopping and because I often wake gasping for breath when I am trying to drop off to sleep. Is this anxiety driven probably!. Once when I was monitored in hospital, the heart monitor woke me because it was bleeping and stating sleep apnea - only for the nurse to say the kit was likely faulty!. I should have challenged this but I already felt foolish being there as after an ECG my heart was fine. I totally sympathise with long NHS waiting times as I have been told 40 weeks to see the consultant about my teeth grinding, which could be linked to sleep apnea. Sorry for the ramble, I just feel us ladies are left out on a limb by the NHS and the many complex symptoms of menopause are never fully understood and linked.