I thought I'd swing by and give an update.
For a bit of background, I had a very sudden menopause at 47 when my brother died a year ago.  Didn't twig what it was for several months as I have a mirena coil.  Was crippled with anxiety and could hardly leave the house.  Also had nightmares, sweats, eczema,  all sorts.
Patches helped but they kept falling off and when I went HRT cold turkey it was horrendous.
I ended up paying to see a gynaecologist privately.  I was getting worried about my job.  It gave me peace of mind that there was nothing else going on.  She discussed all the options with me.  I was keen to try the gel as suggested on here but she made the point that I clearly needed a specific dose and she felt there was too much margin for a varying does.  So I've started pill popping!  Just over two months later and I'm a new woman.  Well I'm the old woman back again.  I've a new job and I'm losing the 6 stone I put on.  Before we realised about my meno, my GP had been giving me ever higher doses of anti depressants and I'm now on a third of the dose I was 9 weeks ago.
I do understand the desire to have a "natural" menopause but it simply wasn't an option for me.  I don't see it as a cop out but me taking back my life, my marriage, my job, and my sanity.