I began menopause and the hot flashes at 37..I was on chemo at the time..The "power surges are still here...but not as bad...[I am in my 50's]...The herbals helped me a lot..I couldn't take the hormones due to history of blood clots...and I think I am the better for it...The st.johns wort will help with the depression..and black kohash will help the other symptoms...But go to a health food store or an Herbalist for the best info...