Most menopausal symptoms are caused by the sudden drop in estrogen levels. Replacing estrogen will usually ease these symptoms. Typically:

• Hot flushes and night sweats will stop within a few weeks
• Vaginal symptoms will usually improve within 1-3 months
• Skin and hair quality improves over several months
• Anxiety, irritability, concentration difficulties and other similar symptoms often improve

Controlling flushes and vaginal symptoms has a positive effect on a woman’s sense of well-being which can help to resolve psychological problems.
 and risks of HRT