I am 72 yrs old and had radical prostectomy in 2018, after surgery, I had psa start going up so I was signed up for radiation treatment, I had lupron shot before radiation and had only 3 months on lupron. I have had hot flashes and night sweats often since then. I have tried escitalopram, no help, and was suggested to try Black Cohosh, no help, I have requested Paxil from my psychiatrist, I will let you know when I try it if it helps.