I was on HRT for 9 years (age 51-60); off for 7 years during which flashes continued and had very poor quality sleep from night sweats. Looking for a break, I just nervously restarted at very low dose (0.5 mg estrace, 100 mg Promethium every second day) and had great relief. But my doc has started me on Effexor 75 mg to wean me off the HRT. I am dubious about the Effexor, and noticed more flashes since starting it. I am supposed to start reducing the HRT soon. I am otherwise in excellent health with all tests normal. But what a mess! Will I ever get relief?