I had to stop the hormones a few years ago, and have had all the symptoms ever since. Mood swings, HOT flashes, etc. I tried several different over the counter products, without much help. A couple months ago I went to a new doctor and mentioned it. She gave me a prescription for a low dose of Effexor, an SSRI. She said that studies have shown that seratonin mimics estrogen and that it would help. IT DOES! I felt much better the very next day!! I still get occassional 'warm' flashes, but nothing worth tearing my top off for. Sleeping better, mood more stable too. I urge everyone to think about trying it. I am so much happier. (and so is my husband!)