I am totally with @Kmakm and everyone else about the hormone therapy. This is such a long term haul. It can cause severe depression, not only the drug itself but the mere thought of a decade of perservering with it and feeling like someone else is driving your body. It's all good to say dress in layers for hot flushes.
We are not 4 and can work that out for ourselves. That just doesn't cut it when they are that crippling you are litterally scared of wearing the wrong clothes to work and ready to kill anyone that moves your desk fan.
The impact on peoples lives can be far worse than what any of the rest of the treatments can dish out.
We are left to our own devices to work out what helps and what doesn't. People trying every supplement, antidepressents, sleeping tablets and all sorts of pain killers without truly knowing whether or not they should or shouldn't be taking some of these things. Here take this pill to compensate for that pill but don't take that one because we don't know.
I would like to see a lot more study done on phytoestrogens. What if they don't interfere with these drugs and it's as simple as taking an off the shelf normal menopause supplement to help? Maybe they will, maybe they won't at least we would be able to try. I am sure that would help the very high drop out rate.