I think we should expect reasonable quality of life, because what is life worth, if it is spent in discomfort, in a low mood, too anxious to remember that life is magical, unable to appreciate the things that cost no money etc...
I was getting sweats and flushes and low mood/excess anxiety, for 4.5yrs, not realising it was perimeno, as I was only 42 and put these symptoms down to medication I was weaning off at the time.
I only realised last year, got the blood test and started the hrt testing merry go round.
The million woman study has a lot to answer for, even GP's believed it.
I had a seemingly pointless struggle at my surgery before getting on my current hrt and wasted a year on one that had no effect on me, as I was scared off, due to one doctor being 'snappy' with me about hrt.
All that needless suffering and multiplied knock on effects.
Annie Evans put the risks into real perspective.