hiya i had a toal hysterectomy including removal of my ovaries which has sent me into early menopause, im 45, im due back to full work in 2 weeks and feel terrible fully healed after surgery but the sleepless nights sometimes i get up 5 or 6 times and the hot flushes im totally exhausted before the day even starts and wondering how im going to get through a full day at work ive just been given livial by my gp (cant take hrt high risk due to family medical history) any help would be greatly appreciated at my wits end