I did take Black Cohosh for about a year, and it did lessen the hot flashes for me. As for the mood swings, I can't honestly say if that helped or not, as I was moody before menopause! lol I'm now period-free, reaching the one year mark and my hot flashes have diminished somewhat. I would definitely try Black cohosh before trying HRT. I've also heard that Oil of Primrose helps with peri symptoms. It might be worth reading up on this. And Mary Annie....I'm glad I'm not the only one who's middle is expanding!
Good luck!
Jana