Menopause
Wellness

There are over-the-counter options, such as vaginal moisturizers and lubricants. However, for most women, vaginal estrogen is safe and highly effective. We typically consider it first-line therapy unless there’s a specific reason not to

Non-hormonal options may be appropriate if you have a medical contraindication to MHT, or if you simply prefer to avoid hormones. We’ll make this decision together, based on your personal values, goals, and medical history.

Non-hormonal medications like SSRIs, gabapentin, or fezolinetant can reduce hot flashes and other symptoms. There are also off-label options that we may consider based on your needs.

Not necessarily. We’ll reassess your treatment plan each year. If you’re doing well and there are no contraindications, there’s no age limit for continuing menopause hormone therapy (MHT) or other treatments—if it aligns with your goals and preferences.