Hormonal creams have never been studied, may promote breast cancer and have been shown to be completely without merit. Save your money and buy good food. Vitamin E has helped somewhat but not enough. I've read about black cohash. It is going to be hard for me to give you a short answer but let me try.
Hot flashes are like labor pains.
When we get rid of labor pains we slow down the birth. I know the hot flashes are uncomfortable. They are pushing you to take more time alone. They are urging you to pay more attention to yourself. Please don't get rid of them.