@bythewell - People who are going through menopause should still go and see a doctor though, even if they think they have it all under control. It's a perfect time to have a checkup and there are other consequences to menopause that aren't as well known as hot flashes.
Osteoporosis can become an issue, for example, as can other kinds of disease. And there's always the possibility that it isn't menopause at all, but symptoms of something.
Most doctors will be happy for you to use a herbal treatment for hot flashes, because that is the biggest complaint and dosing it with hormones is probably overkill considering the possible side effects. But it's still a conversation you need to have with a medical professional, not least so they know what you're taking in case something does go wrong.