A woman on the Pill will continue menstruating until she decides not to take it. You need to know that women of all ages do sometimes experience hot flashes. Regarding your depression and anxiety, sometimes pills do not do the job. I recommend a book called The Anxiety and Phobia Workbook. It works wonders for my patients with anxiety.
Some people advocate the contrary.
Personally, I don't unless a woman is adamant about it. Feel free to type your answer to screen. 3-4 over the last 2 months. Sometimes fluid retention may be due to the estrogen. I became quite ill on oral Prometrium.