Hi Alison, I too was going to be one of those people who got through the menopause naturally without any drugs. How wrong I was. I was peri for two years when I realised that no amount of soya, homeopathy, hypnotherapy and natural creams were going to cut it.
The worse the for me was the sleep disruption, the vaginal dryness, loss of libido, anxiety that I had every ailment going, and generally feeling like a knackered old lady (at 49 I'm certainly not that). I have hardly ever been ill, and only take meds if necessary, so I was reluctant to try HRT, but I got to the point where I wanted the old me back, just wanted to feel normal again.
Well, I've been on HRT for a month now, and have to say I feel great. I feel like I did when I was 10 years younger. Got my energy back, sleeping well, and ready to tackle anything.
I really am a HRT supporter now, and for me, the benefits far outweigh the risks.
Good luck