While I haven't found that any menopause supplement has worked with all my symptoms, this one does a pretty good job with with reducing the number of night sweats I was having. As for hot flashes, it seems to have reduced the number of them, along with the frequency, and the duration, when I have one, is short. It's made all my menopausal symptoms more manageable, but the sweats and hot flashes were the most improved. It can get costly to keep taking this supplement day after day week and month after month, but if you want relief of the above symptoms as well as others, such as weight gain, headaches, and other female/personal issues, this is a supplement that you should give a look at and try. I found that it didn't work right away. I didn't notice improvements until I was in my second month of taking this product, but it was well worth the wait. I also like the fact that the ingredients are natural and don't have any estrogen or other hormones in it. Doesn't require a doctor's prescription either, and I found it available is most any drug store.