Menopausal 5 yrs unbearable symptoms please help what can i do? awful hot flashes can't sleep or have sex, hard to work or concentrate

HORMONE THERAPY !!!: I sense that you probably don't want to take ht, sadly, 5 yrs later still suffering, i think you're going to have to see your local menopause practitioner and just have an evaluation. Most only have sx for 5 yrs, some for 10 yrs, and very few for >10 yrs, so, waiting won't work, it hasn't yet. Remember def of insanity, do the same and expect different outcome.

Estrogen: Estrogen will help you feel much better. My suggestion is that you try a medication absorbed from your skin (a spray such as Evamist or a patch) but any form your provider gives you will improve your symotoms.