I m 57,I hadn t been on premphase in over a year and hadn t had a menstrual cycle in over a year,called dr office for more premphase still having hot flashes, I m into my 6th day taking premphase,lower back pain, lower abdominal pain, should I have asked for a different hormone med,had pap 4 weeks ago, at that time I didn t think I needed any hormone pills for my hot flashes.,I forgot to let dr known i hadn t had a cycle in over a year or more, missed last years pap 2014