I'm starting to get some of the dreaded symptoms that I hoped would never come--insomnia, fatigue, occasional night sweats, lack of concentration, memory disturbances, very rare hot flashes, loss of libido. I'm only 42, I still have regular periods, and i'm fairly certain i'm still ovulating. I'm in good health otherwise. I don't think i'd want hrt, even later, because of the risks. Who's had good luck with alternative therapy, and how so? I'm aware of the standard advice...Progesterone creams, soy supplements, black cohosh, evening primrose, etc. Does anyone have advice about the most effective routes?