For too long, menopause has been something women are expected to just “push through.”
Hot flashes? Deal with it. Poor sleep? It happens. Mood changes? More than ever!
But here’s the truth: You don’t have to suffer through this! There are real, evidence-based ways to feel better!
Let’s break them down into three main categories:
Hormonal medications
Non-hormonal medications
Non-pharmacologic (lifestyle + supportive) approaches
Between these three categories, there is a way for YOU to feel more like you!
1. Hormone Therapy (HRT): Replacing What’s Changing
Hormone therapy (also called menopausal hormone therapy) works by replacing estrogen (and sometimes progesterone) that your body is no longer making consistently.
What it helps with:
Hot flashes & night sweats
Sleep disruption
Vaginal dryness and discomfort
Mood changes (in some people)
Bone health by preventing bone loss
Types of HRT:
Estrogen only (for those without a uterus)
Estrogen + progesterone (to protect the uterus)
Forms include pills, patches, gels, sprays, and vaginal preparations
What to know:
HRT is safe and effective for many people, especially if started before age 60 or within 10 years of menopause
It’s not one-size-fits-all! The dose, type, and route matter
Some people should avoid HRT (like certain cancer histories or blood clot risks)
* This is a conversation to have with your provider!
2. Non-Hormonal Medications: Support Without Estrogen
For those who can’t (or prefer not to) use hormones, there are effective non-hormonal options.
These include:
SSRIs/SNRIs (antidepressants)
Help reduce hot flashes and improve mood
Examples include low-dose paroxetine, venlafaxine
Gabapentin
Often used for nerve pain, but helpful for night sweats and sleep
Clonidine
A blood pressure medication that can reduce hot flashes (less commonly used)
Newer options