Hello, I have gone through your query and understood the concern. Hormone replacement is suggested for those who attain menopause under the age of 50 years. This helps to overcome the difficulties during the transition phase. As you have not seen any advantage, you can opt out. Instead, you can take vitamins and minerals, increase the amount of fresh fruit and vegetables in your diet. Soya products provide isoflavones which help to overcome the hot flushes. Changes should also be made in your lifestyle. Breathing exercises done thrice a day, making the surroundings comfortable, wearing loose-fitting cotton garments and avoiding stress by meditation are always helpful. Hope this information is useful. Take care.