Spider, I really hope that you find relief on HRT. It's awful when you can't get a good night's sleep. I am up at least twice during the night going to the toilet and I really envy my kids who can sleep for Australia and beyond! Sweating is the most exhausting, so lets hope you will be rid of that, at least. I was talking to someone who said that no matter how long they slept for, never woke up feeling refreshed. Turned out they had sleep apnoea and when they got that sorted, felt so much better. Anyway that's obviously not your problem so I don't know why I mentioned it (getting battier by the minute) but if you still have problems with your vagina/bladder then most ladies on here swear by vagifem. I only wish I could tolerate it. Keep your spirits up, Spider, you are not alone.