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These symptoms are mostly caused by dwindling amounts of estrogen and progesterone in your body — hormones normally made by your ovaries. Common symptoms include: Hot flashes. Night sweats. Mood changes. Vaginal dryness. For many people, menopause symptoms are mild and go away on their own.. Menopausal hormone therapy (MHT), formerly known as hormone replacement therapy (HRT), helps manage menopausal symptoms when they interfere with your life. Menopausal symptoms are caused by lowering levels of oestrogen hormones. MHT is the medical replacement of female hormones oestrogen and progesterone, and sometimes testosterone.