Hi MF-
I started menopause early. (I was peri-menopausal at age 38). When I hit 40 I began having hot flashes to the tune of 30-40 a day. I was determined to fight it without pills. I felt like I was in a war and it started to wear me down. I hit my bottom at age 44 and called my gyn. and said I NEED pills!!!! I can't do this anymore! I started on HRT and noticed a change in a few short days.
It is all very individual whether you decide to start on HRT. My quality of life had gotten so bad it has been worth the risks. I have never had any side effects from them. I am now 52 and this past winter we dropped the dose down to almost nothing and I hope to be off of them by the end of this coming winter.
I did not get fibro till this year. If anything talk it over with your Dr. and see about starting - maybe you will notice a difference and if you don't, you can always stop them.
Good luck! GamJill