If you are not having hot flashes that does not mean you’re not in perimenopause. I don’t have them. Pay attention to the other symptoms too. Also don’t let the old study on hrt stop you. That study was found to be completely unreliable and the testing group average age was 60. They tested women up to 79 years old. Of course they found the results they did! Get the facts get midihealth #midlifeneedsmidi #midihealthpartner