How Do I Get Rid of These Menopausal Symptoms?

Question

Can someone please help me, I am 42 years of age, has no female organs but experiencing severe hot flashes and menopausal symptoms. I had severe sleeping problems all my life and it is getting worse too. I am at my wits end and don’t know what to do. I am even afraid that I lose my husband. Menopausal symptoms prevent me from having intimate contacts with him and I’m afraid of him leaving me because I could no longer provide his biological needs. I have been on this situation since I was 25 and now I am already 42, and everything is getting worse and worse. I am on Premarin 0.625, but still with hot flashes and menopause symptoms. I have tried soy tablets and was about to go for black cohosh. Can someone help me find a solution and ways on how I could keep my husband and get rid of these menopause problems? I am getting tired of all these and thought of giving up my husband who is younger than I am.