interesting jem. when my late sis came off hrt, very gradually and on her doctors recommendation when she was 53, she started getting all the menopause symptoms. she'd been on hrt for years, having had a hysterectomy in her late 30s.
so whilst i can understand why some ladies just go straight for the hrt when it all kicks in, my understanding has been that it just delays the inevitable and that at some point, if you're going to get them, symptoms will appear.
for myself, i'm glad i managed to get through it 'au naturel' but would never, ever criticise anyone for taking anything that helped them cope.