Now - let me tell you my tale. I had to take ERT from age 50 to 60 for severe hot flashes. Then I had to go off that. The hot flashes came back for about 8 years. Then I was fine for a few years. After I was diagnosed with RA and began taking Methotrexate, I began to have mild hot flashes. Now at age 74 I am having them much more severely. I went to the gynocologist today and she said that I can't take ERT, but Estroven or Remifemin might help me. Have any of you had this problem and what did you do about it?