Hot flashes can be caused by other things. If you have PMS you can use the cream for a week or two before your period.
http://www.power-surge.com
Somewhere on this site is a list of menopause symptoms, this should give you a better idea. It is really rare to go into menopause in your 20's, but it does happen. the problem I have had is that nothing shows up in the blood work. I have 34 of 38 syptoms they list there, my periods are weird, which they have never been ever in my life, everything else is normal, so for me I know it is perimenopause, as they call it now.
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