My heart goes out to you for sure. I started at 32 had surgery at 34 and continued to have hot flashes daily for years (I'm 55 now). The doctor finally put me on medication and after about 2 weeks everything fell into place. My husband said I was a "new woman". Poor man. I was only able to stay on them for 2 years because of the risks but for 2 years I felt great. I've tried soy, black cohosh and numerous other things but nothing worked as well as the prescribed meds.