I’ve had hot flashes that have woken me from a sound sleep for ten years. Yes, you read that correctly. I hadn’t had a good night’s sleep in a decade. I had seen Perimenopausal and Menopausal Specialists. I had tried herbal supplements with varied and sporadic success. I had doctors telling me that I must be depressed! I was not depressed. I was tired! Sleep deprived. HRT has worked for me. I’m finally sleeping again and a number of other hormone related symptoms have been alleviated too. Listen. There’s a reason they use sleep deprivation as a torture device. Until you have experienced it, you cannot imagine the agony. HRT was a lifeline for me.