Hello dear I understand your concern You can use syngeneic procare cream and it has progesterone content. But your symptoms could be due to estrogen deficiency. You can go for estradiol patch: it has been more effective than cream and lower the side effect. It decrease the hot flashes and vaginal dryness Along with that you can also use estrocare cram So consult the gynecologist and take proper prescribed patch and cream. Avoid stress, take healthy diet, do regular exercise and drink plenty of water. Hope this may help you Best regards Dr. Sagar