There's no hard and fast rules with the menopause, it affects everyone differently - it can be early or late, it can be mild or hell on earth. I was relatively late and it has been uncomfortable rather than hellish. Sadly I have heard of some women for whom the flushes never go away. Avoiding alcohol, chocolate and spicy food helps some - I can't say I've tried as that would just be miserable! There's plenty of info online, I recommend A Vogel's website, they are very good and go above and beyond recommending their own products.