What are the treatment options for menopause?

Hormone replacement therapy can ease hot flushes, night sweats and other symptoms linked with changing hormone levels. Vaginal oestrogen is applied locally for vaginal dryness, irritation or discomfort during sex. Non-hormonal treatment may suit people who cannot take hormones or prefer another approach. Testosterone therapy is sometimes considered when low sexual desire continues despite addressing other causes; it needs specialist assessment.

Start by listing the symptoms that affect sleep, comfort, mood, sex or daily activities. A clinician can review your periods, medicines, migraine history, blood-clot risk, breast health and any bleeding after menopause before discussing options. Lifestyle measures such as breathable clothing, regular movement, sleep routines and reducing personal triggers may support medical treatment. Learn more about Menopause and compare Hormone Replacement Therapy, Non-Hormonal Menopause Treatment, Vaginal Oestrogen Therapy or Testosterone Therapy for Women.

Arrange a clinical review for new symptoms that persist, interfere with daily life or need prescription treatment. Seek prompt assessment for bleeding after menopause, heavy or unexpected bleeding, chest pain, sudden breathlessness, or one-sided leg swelling. Do not assume these symptoms are part of menopause; they may need a different evaluation.

Which symptom should we treat first, and what benefits and side effects should I expect? Is hormone treatment suitable with my medical history? Would local vaginal treatment be enough for my symptoms? How will we review the treatment and investigate any bleeding?