I started having irregular periods three years ago, and I started getting hot flushes last year. I now have not had a period for 12 months and the hot flushes come and go, but they are severe when I get them. My whole body aches and I find it hard to walk sometimes because of pain in my feet and ankles. I struggle and moan out loud if I have to get up from sitting as it's painful. I have put on a stone in weight and hardly eat as I am conscious of this. My questions are: What can I do to feel better? What can I take to combat of all this? I did take HRT about a year ago but it totally changed my personality and I'd rather not go through that again. I am only in my forties but I feel like an old woman.

For some women, the hormonal changes that occur during the menopause can be really severe and in some cases HRT would be necessary.

However, you may find taking a natural approach can help. As you have a combination of symptoms I would recommend that you see someone such as a Nutritional Therapist.

They can find out why your symptoms are manifesting and formulate a safe and effective treatment plan for you. To find a local practitioner please see www.BANT.org.uk

Your symptoms could also be caused by factors such as low iron, low thyroid and low vitamin D. If your doctor hasn't already tested for there I would advise that you ask them just to rule these out.

In the meantime you may find Menopause Support helpful as this is traditionally used to help gently raise and balance oestrogen and may help ease your symptoms however, it does take a few weeks to kick in.

Eileen Durward