How do you treat menopausal symptoms?

Not only by hormones. There are multiple options for treating menopausal symptoms, but it's important to realize that not all of the options include using hormones. Sometimes hormonal treatment is the best option, but sometimes mood medications, herbal remedies, or behavioral techniques are the best answer.
Menopause. The best answer is that you should make an appointment to see a Gynecologist. She/he will gather your medical history, examine you, and order appropriate labs. Appropriate therapy will be recommended after that. Wish you well.