Menopause (sage) has no significant impact on hormones levels; it works more on the sweating reaction and this is why it is also safe for men. However, this means that the product mainly calms the symptoms without necessarily treating the hormonal imbalance causing hot flashes. Usually, women will need to take Menopause until the hormones naturally adjust. For some women this can take a few months, but for others it takes a few years. Worst case scenario, the hot flashes do not go away unless something is done to support the hormonal levels. Taking Rhodiola Complex from A.Vogel is a very effective way of establishing proper hormonal levels in the post-menopausal stage (when you no longer have your periods). Taking this product along with Menopause will help achieve proper balance a lot faster. Eventually, taking Rhodiola Complex alone for a while will be sufficient to maintain hormonal levels and prevent symptoms. Every few months afterward, you can try stopping the Rhodiola Complex and see if you still need it.