Mixed bag here.
i started to get hot flushes and erratic periods at 44, which worsened a lot the following year. After 18 months of disturbed sleep (and a stressful job) I went to my female GP who told me “HRT is every woman’s right!” And put me on Femoston (I think? Few years ago now). It fixed me for a while, dealt with the flushes, sleeping, energy etc.
Then at the back end of 2019 I read about a meta study which suggested cancer risk starts to go up after 2 years on HRT. Now before anyone rushes to reassure, I KNOW the risk is very very low and I shouldn’t really be worried. I’ve watched the Davina doc and read a lot of articles but all I can say is everyone has to make their own decision, and I made mine to come off. As soon as I did, the flushes came back, my energy dropped, and I had other symptoms as well such as loss of libido, brain fog, some joint pain etc. But, I had had periods on the HRT and when I stopped, they stopped too, which was one positive thing and they never returned. I was 47 when I came off so 48 at menopause a year later.
I’m now 50 and haven’t gone back.
However - I did get vaginal atrophy without HRT, and went to a (different but equally good female Gp) who gave me oestriadol internal cream, and it improved quickly and is stable with cream 2x week.
Other symptoms have gradually lessened; although I still get flushes etc I’m used to them and they’re not so bad. I genuinely feel as though I’m coming through the other side and it’s improving. Over the years I also rejigged work responsibilities to be less stressed.
I am generally a fit person, a runner, I do yoga and have added in weights twice a week. I try to walk a lot and be outside every day. For several years I did triathlons. I did notice post stopping HRT I became more injury prone (loss of collagen, doesn’t help tendons), but it made me focus more on core strength and preventative exercises. I became a vegetarian around menopause and find i can drink much less as my body kicks my ass when I have too many glasses of wine, so that has fallen away a lot too. I find now I am sleeping really well and generally feel pretty healthy. Libido hasn’t returned, which I miss, but otherwise I feel I’ve properly made a transition to a different stage of life.
Good luck OP!