I am 61. Was on hrt patches. Came off them gradually. Still having hot sweats and flushes 4 years later. At least one every hour. Why ?

Coming off HRT stresses the body greatly and can affect the adrenal (nervous) system so menopause-like symptoms after all this time may be an indication of adrenal stress rather than hormonal. 

In this situation it is very important to do supportive work for the adrenals such as a high strength multivit with extra magnesium, (aim to work up to at least 400-600mg per day) liquorice tea can be helpful as well.

I would also suggest acupuncture, it can be very effective for adrenal stress. Studies have shown that daily relaxation can reduce symptoms quickly so make 30 min relaxation a day a priority.

Check your diet too, avoid caffeine and high salt and sugar foods as these can all trigger the adrenals contributing to symptoms.

Low iron and low thyroid can also cause similar symptoms so it is a good idea to ask your doctor to test for these if they haven't done so already.

Eileen Durward