I went thru a natural menopause at40 some 20 odd years ago.I found it hard at the time - I had just had my daughter and there was very little information at the time available on menopause and what made it especiallyhard was the women I knew who must have been also going thru it would not discuss it as there was a culture of enduring it in silence.
Yes the symptoms were horrible hot flushes , lack of sleep all causing addled brain but made worse by feeling I was the only one - mercifully that is no longer the case as women talk about it openly .You do get used to it once you realise you are normal and you know what to expect.It does get easier and abates over time.Whilst a variety of treatments were coming on the market 20 years ago to alleviate side effects - I tried 3 - HRT , Remifen and Soy Milk - and all did help they all had oestrogenic qualities and I have read HRT in particular is linked to Lobular breast cancer which is the type I was diagnosed with.
On a small joyous matter after my last round of HRT and drinking soy milk daily I ovulated one more time at 47 resulting in twin boys.And yep a few months after their birth Menopause resumed and gradually abated until last year when I started Letrozole hot flushes returned but again is abating and bearable.
I think the bigger issue in Menopause for me now is Osteoporosis .Make sure you do some weight bearing exercise and get a bit of vitamin D either thru sunshine or a tablet as bone density declines with menopause.This need is doubly important for those on Aromatase Inhibitors which thins bones.