I went thru the pause at 36 it lasted 10 years on and off but I never had really bad symptoms just hot flashes and the panic attacks get a 5 mg dose of valium break it in half to the lowest does you can do and take it it helps tremendously. My mothers advise JUST LAY THERE AND ENJOY IT I hope she was talking about hot flashes. The only good thing to come out of it I am never as cold as I used to be I would shiver when it was 80 degrees but now I don't