** Thanks for contacting with your health concern 1. As you already underwent surgical procedure TAH [total abdominal hysterectomy] which means you have attained surgical menopause irrespective of your age and because of lack of estrogen in the body you are getting symptoms of menopause [insomnia, hot flushes, perspiration], time and again. 2. Since the said product black cohosh is only suggested and not prescribed by your Oncologist, kindly consult with a Gynecologist since all uses for black cohosh are not approved by FDA. 3. Since Education is an important aspect of the postmenopausal patient thus: . Self-breast examination every month and report if any lump, discharge or skin change . Yearly P.V. & Pap smear examination . Report immediately if P.V. bleeding or discharge. 4.Take Evanova capsule (CHARAK) twice daily for hot flushes. 5. Intermittent course of Calcium tablets and Alendronate to prevent osteoporosis 6. For insomnia: Tablet Mentat (Himalaya) or Tablet Brahmi Vati (Baidyanath): 2 tablets twice daily 7. XXXXXXX Kalp Forte is an excellent medicine with proven action on the hormonal axis,uterine musculature and ovarian function.