I am 48 years old and I had an endometrial ablation 18 months age for heavy bleeding and endometrial fibroids. I have had no monthly bleeding since the sugery. Lately, I have been having extreme irritability, fatigue, memory problems, night sweats, but I have not experienced any hot flashes. I recently had a physical, and all my labs came back normal . I have hashimotos thyroiditis and my TSH was 3.05 , I usually run around 2.5. I have very well controlled hypertension. My question is with no cyclical bleeding for over a year, am I considered to be post menopausal ? I still have monthly breast tenderness and irritability (some month's worst than others), but if I am not post menopausal according to the definition, then how will I know when the time comes. I am considering some natural treatments because the night sweats and te irritability are affecting my quality of life. Thanks.