Hi Janet - I know where you're coming from. I was on HRT for 18 years because of dreadful menopause symptoms, but had to stop 18 months ago because of BC. All the symptoms came back with a vengeance. I don't know where you live, but I consult a medical herbalist in Melbourne who did her PhD in herbs/menopause etc. She's been brilliant. She mixes up tonics - we've tried a number of different ingredients - some have really lessened the hot flushes and some brought them straight back. So I can say that the right mix really helps me a lot. I still get a few each day/night, but not as many as I did, and not the dreadful soaking ones that happened when I first went off HRT. I also take herbs such as Kava and St John's Wort which she prescribes, and they help keep me calm. Stress/anxiety is a killer for hot flushes - and Julie is right about alcohol and spicy food. You can add sugar and caffeine to that list too - I drink organic freetrade decaf coffee beans, and they're ok. Decaf tea is better too - if you can stand it. My partner also bought me cheap but really effective Asian-style fans at the $2 shop. I keep one in my handbag, and use it when I need to. Hot flushes are far worse for me in humid areas, as I found out in Sydney recently. My herbalist does Skype appointments for people out of Melbourne, so if you're interested in contacting her, let me know. Re the sex. We ALL struggle with that, which is why we formed this group. Have a look through the posts - Yes vaginal moisturiser and oil-based lubricant have helped a lot of us re painful sex - including me. We haven't hit gold on the libido issue - you can take some herbal preparations that help with that, but they just made my hot flushes worse. My partner is very understanding, but our sex life is certainly not what it was. I think we've both accepted it will never be the same, but I do try to take good care of his enjoyment during sex, even if I have no interest myself. He appreciates that gesture, and that stops me feeling too bad. It's all bloody difficult to negotiate, and as Julie says, you just have to try to find a different kind of intimacy. Good luck with it all, and keep in touch with us. Pam xx