What did women do for menopausal symptoms (i.e. hot flashes, etc.) prior to hormonal replacement therapy?

gaby25 asked: I am curious about what women may have done (prior to say thirty to forty years ago) because I have such incredible relief from extreme perimenopausal/menopausal symptoms (namely extreme hot flashes and mood changes) with the use of plant based hormones estrogen and progesterone.

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