What's the best thing for menopause symptoms, that you can buy over the counter?

There are so many things on the shelf loaded with vitamins and herbs. What really works? Does anyone have any experience with these. I'm over 40 and had a total hysterectomy at 37. I'm on the patch, but my GYN doesn't want to raise it. I still get hot flashes, and I'd like to go natural. I also take a progesterone pill at night.