Hot flushes

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I’ve had most if the possible side effects from HT, which started 18 months ago) - fatigue, weight gain, muscle loss, ED and hot flushes.  I’m coping well but the worst thing for me is the hot flushes. I can get them 5 or 6 times every night and, of course, I wake up.  There is a pattern.  I wake up and then a couple of minutes later I get the hot flushes.  I’ve never been a great sleeper so I have difficulty getting back to sleep. It’s really effecting my quality of life now.

I’ve tried Morning Primrose and Sage (suggested by my Urology Nurse) but there’s no improvement.  Any suggestions.