Hot Flashes Causes Not Menopause

I don't want to be medicated.. and the doctor wants me to wait as well.

Wondering if people have any good advise as to coping on a day to day basis.

My main complaints are:
Hot Flashes
Not tired
Itchy skin
SUPER MOODY

Also, did any of you notice headaches increasing? Cause I have been having them alot lately.. but was chaulking them up to my mood and feeling stressed.
Yes, I have started early but not abnormal as per my doctor. Based on my life its about normal.
My oldest child is 16, my youngest is 12, until a year ago for the most part I smoked since I was 16. I also had a tubal ligation during the c-section birth of my youngest child.
As per my doctor all of the above takes a big part as well as my fluctuating hormone levels.