The phrase “menopause treatment” is something of a misnomer. Menopause is a natural process our bodies go through and is not something we try to stop, heal, or “make go away.” These changes, initiated naturally by age (or unnaturally by surgery, radiation, or trauma) and resulting from declining levels of reproductive hormones like estrogen, can take some getting used to, and may even interfere with daily activities and quality of life. Here are some therapies and lifestyle changes that can help bring relief and prevent future complications.* 

Hormone Therapy

Hormone therapy, consisting of short-term, low-dose estrogen prescribed as a pill, patch, or cream, is considered by many to be the most effective option for relieving menopause-related hot flashes. It can also help:

• Regulate mood swings, 
• Prevent osteoporosis, and
• Relieve vaginal dryness.

If you still have your uterus, you’ll need progestin, too, because estrogen by itself promotes growth of the uterine lining, heightening the risk of developing endometrial cancer. 

Hormone therapy isn’t for everyone. Depending on your age, health history, and other factors, menopausal hormone therapy (MHT) can increase your risk for:

• Blot clots, 
• Heart disease,
• Breast cancer, and 
• Stroke.

Medications

Medications are also available to help various menopausal symptoms, and they come in several forms. Over-the-counter products such as lubricants for vaginal dryness, and pain relievers for muscle aches and pains, are easily available and usually inexpensive.

While there are no drugs specifically approved to “treat” menopause, certain medications intended to treat other conditions have also been shown to relieve some menopausal symptoms, and doctors may prescribe them for this off-label use. 

• Antidepressants in low doses, particularly those related to selective serotonin reuptake inhibitors (SSRIs), may help decrease hot flashes, even in people who are not experiencing depression or anxiety, though they can help alleviate those conditions, as well.
• Gabapentin (brand names Neurontin, Horizant, and Gralise), which is approved to treat seizures, can also help reduce hot flashes and night sweats.
• Clonidine (brand names Catapres and Kapvay), administered with a pill or patch to treat high blood pressure, may also offer some relief from hot flashes.

In addition to hormone therapy or medication to reduce hot flashes, your healthcare provider might also suggest medication and/or vitamin D supplements to help strengthen your bones. 

Lifestyle Changes

There are many steps you can take in your daily lifestyle habits to improve and support your overall health and well-being during your menopausal journey and keep your symptoms from worsening. Some tips include:

• Getting regular exercise, preferably something you enjoy doing
• Practicing deep breathing exercises, yoga, meditation, or other relaxation techniques
• Eating a clean, healthy diet with lots of fresh fruits and vegetables, and whole grains
• Quitting smoking and avoiding secondhand smoke
• Limiting your alcohol and caffeine intake 
• Seeking counseling for anxiety, mood changes, and relationship concerns
• Cultivating good sleep habits and getting plenty of rest
• Doing Kegels and other pelvic floor-strengthening exercises 
• Staying active and engaged in all areas of your life: social, sexual, intellectual, spiritual, and creative.

Ultimately, your symptom relief strategy will depend on your individual needs and preferences. It’s a good idea to review your regimen annually with your healthcare provider, as your needs, along with available options, can change over time.

*Mayo Clinic Staff. (2022). Menopause: Diagnosis and Treatment. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401

*Brazier, Y. (2023, October 23). Menopause Signs and Symptoms, and Treatments if you are Experiencing Them. Medical News Today. https://www.medicalnewstoday.com/articles/155651