Hi
Short answer is, it is variable and the type of side effect or the severity is hard to predict. Joint pain is experienced by many and I have none at all. Flushes and menopausal symptoms also, I haven’t had any of those either. Vaginal dryness, yes but mine may also be compounded by age and the severity and impact experienced by others is from mild to severe. There are treatments and ways to alleviate this, with varying success and many don’t get it at all. Bone thinning can occur - if you don’t already know, wise to get a bone density test before you start, then you can accurately monitor any impact. Again, age can make a difference. But bottom line, give it a shot. I’m still on it 7 years in, don’t know if I’ll make 10 but we are working on it year by year. If it’s too difficult you can stop, but you’ll have done as much as you can to get any benefit. Best wishes.