Definitely need to outway the pros and cons. I was not sleeping good due to the hot flashes and was so emotional. Together I felt barely functional. I have no idea how long I'll have hot flashes ( I'm 45), but for me, I had to think about the here and now. I have to survive now or else the future doesn't matter. I did not want to take antidepressants but for me I had to look at like my AI meds, something I have to do to survive even though I don't want to take them. Some people do have to take antidepressants forever, so whom am I too think I'm not one of them. And if I get a recurrence I'll be a little more quipped to handle it. Just my thoughts. Good luck with your decision! We all have to do what's right for us. I hope you have peace about whatever decision you make.