A friend recently went to her Gyn because she's having perimenopausal symptoms that are starting to cause her problems. When she asked her dr's opinion about HRT the doctor said well what do you think? The doctors are now all running a little scared and some won't even give opinions about hormone replacement. But two things that keep coming up over and over are soy and anti-depressant/anxiety meds. I have found that switching to soy milk and other sources of soy did reduce some of my symptoms. In addition, anti-anxiety meds seem to have eliminated the night sweats and hot flashes, not to mention the benefit to the mood swings. I suppose it could all be coincidence, but I don't think so!