I don’t have the hot flashes, but my mom did many years after menopause. She suffered greatly and still does from bladder, vaginal, etc. issues. Unbelievable how bad it was. I did a lot of research and started local vaginal Estradiol cream. It does not go into your system like HRT does. It’s not considered HRT according to what I have read and heard, especially female urologists and gynecologists. I thought I was okay, but just felt healthier after I started it. It supposedly helps protect the integrity of that area. I don’t know how or if it impacts fibroids.

Thyroid and adrenal imbalances can also cause odd symptoms. And, have you checked your blood sugar levels when you have the hot flashes or sweating? You can check it with a home meter. I have type 1 diabetes and if my blood sugar gets too low, I will get anxious, sweat profusely and get very warm. It’s common with hypoglycemia. Some people who don’t take insulin also get low blood sugar sometimes. Wouldn’t hurt to rule it out. Hope you find some answers.