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.