Are there any alternatives to hrt




















This can ultimately increase your number of hot flashes. Some nutrients are crucial for symptom management. Only purchase from buyers you trust. Also talk to a healthcare provider before adding any supplement to your routine. B vitamins regulate energy and help your body produce new cells. These vitamins, especially folic acid, may help reduce the length and severity of hot flashes. Just 1 milligram mg of folic acid per day can be effective. Vitamin E helps your body neutralize oxidative stress.

Vitamin E in a dose of up to mg per day may improve hot flashes by up to 40 percent. Vitamin D maintains your bone structure, helps you absorb calcium, and may improve hormone regulation and vaginal dryness. Take 10 to 20 micrograms of vitamin D per day to lower your osteoporosis risk and improve your mood.

Omega-3 fatty acids may help lubricate your body, helping with vaginal dryness. When taken in addition to SSRIs, omega-3 supplements may also improve depression.

Some herbal supplements claim to help manage perimenopause and menopause symptoms. Research on use is often shaky at best. You should always talk to a healthcare provider before adding a supplement to your routine. Dosing guidelines vary widely. Some products may also interact with over-the-counter and prescription medication. Black cohosh is a flowering plant that may work to balance hormones.

Taking one mg dose per day may help decrease hot flashes. Older research suggests that taking mg per day may be effective. Dong quai is an herb used in traditional Chinese medicine. Dong quai may act like estrogen in your body, balancing your hormones during menopause. Chaste tree is a shrub that produces berries used in herbal preparations. Chaste tree berry may have hormone-balancing effects. Researchers are still unsure how it can impact menopause symptoms, though.

Prepared from the maca plant , this herb may help balance hormone levels and improve sexual function. Red clover contains isoflavones. These can act like estrogen in your body.

Some research suggests that taking 82 mg per day may help relieve hot flashes. Some research suggests that taking a daily tablet of fresh sage can help minimize hot flashes and improve other menopause symptoms. Milk thistle contains isoflavones. They may also help balance your hormones. How much water should I be drinking? View How much water should I be drinking? Is coffee good or bad for me? View Is coffee good or bad for me? Could beer actually make your barbeque healthier?

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Vaginal lubricant Try vaginal lubricant or moisturiser if you have vaginal dryness. Tibolone Tibolone is a prescription medicine that's similar to combined HRT oestrogen and progestogen. It's taken as a tablet once a day. Tibolone is also known as Livial. Uses of tibolone Tibolone can help relieve: hot flushes low mood reduced sex drive But tibolone may not work as well as combined HRT.

Side effects of tibolone Side effects of tibolone can include: tummy abdominal pain pelvic pain breast tenderness itching vaginal discharge Risks of tibolone Risks of tibolone are similar to the risks of HRT. Talk to your GP about the risks and benefits of tibolone if you're considering taking it. Antidepressants Some antidepressants can help with hot flushes and night sweats.

But they can also cause unpleasant side effects such as agitation and dizziness. There are 2 types of antidepressants that can help with hot flushes caused by the menopause: selective serotonin reuptake inhibitors SSRIs serotonin-noradrenaline reuptake inhibitors SNRIs But they are not licensed for this use.

Talk to your GP if they do not. Clonidine Clonidine is a non-hormonal prescription medicine. It can help reduce hot flushes and night sweats in some menopausal women. It's taken as tablets 2 or 3 times a day. There is some evidence that isoflavones or black cohosh may improve some symptoms of the menopause. However, multiple preparations of these products are available and their safety is still uncertain. Different preparations can vary and these products can also interfere with other medicines.

St John's wort St John's wort can improve symptoms in some women. It does not seem to make any difference to low mood or anxiety symptoms though. There is still uncertainty about the most appropriate dose of St John's wort and also how long the effect of taking it lasts for. There is a variation in the nature and potency of different preparations of this product. In addition, it can interfere with other medicines, including tamoxifen. Selective serotonin reuptake inhibitors SSRIs are a class of antidepressant medicine.

They include paroxetine , fluoxetine , escitalopram and citalopram. Several years ago it was noticed as a side-effect that menopausal women who took these medicines for depression had fewer hot flushes.

Since then, a few studies have shown that several SSRIs stop or reduce hot flushes in some but not all menopausal women, even those who are not depressed. A similar antidepressant medicine called venlafaxine , a serotonin and noradrenaline norepinephrine reuptake inhibitor SNRI antidepressant, has also been shown to have this effect.

A trial of one to two weeks is usually enough to find out whether it is going to work. If symptoms improve, a longer course may then be prescribed. However, the beneficial effect is often short-acting so does not last for long. The main drawback with these medicines is that they may cause side-effects in some women - for example:.

This means they haven't undergone clinical trials for this use, but many experts believe they're likely to be effective and your doctor will discuss the possible benefits and risks with you. Note : you should not take paroxetine or fluoxetine if you are also taking tamoxifen , as these medicines can interfere with each other.

Gabapentin is a medicine that is usually used to control epileptic seizures and nerve pain. However, research has shown that it can ease menopausal flushing symptoms in some women.



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