Hi weathergirl
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
You are classed as post-menopausal when you have been without a natural period for 12 months - and before starting any HRT. Once you start HRT then it is impossible to say - although if your periods were only occasional then you may well have been near the end!
I am one of those who started HRT before menopause - at just under 54 and have been on it for 10 years - and for me it is the best thing I did (although I have no idea what would have happened had I not done so!), in terms of eliminating symptoms and enabling me to enjoy life generally. I stayed with a monthly cycle for about 4 years, came off it for 3 months then tried continuous combined for 6 months before settling on my current regime which is a long cycle regime (OK'ed by my GP) - taking utrogestan vaginally every 6-8 weeks.
I did try herbal remedies for a while before starting HRT (Black Cohosh, phyto-oestrogen diet) but they didn't work. The only thing that stopped flushes and sweats was HRT!
Keeping weight within normal BMI range, and cutting caffeine, alcohol and spicy foods are all supposed to help minimise the discomfort of hot flushes - but won't actually stop them.
What symptoms do you want help with?
Hurdity x