You may also find that alternative approaches can help with some of your menopausal symptoms, depending on your situation and needs.

Cognitive behavioral therapy (CBT) is recommended in some cases, and other mind-body techniques (mind-body medicine, mindfulness-based stress reduction, hypnosis) or acupuncture may also help.

Lifestyle interventions including cooling techniques and avoiding triggers such as alcohol and spicy foods or drinks can help to manage hot flushes. Exercise has also been shown to help manage menopausal symptoms. If your healthcare provider suggests these approaches, they may recommend them together with hormone therapy or hormone-free treatments.

Phytotherapies are treatments derived from plants like hops, red clover and soy. One of these types of phytotherapy, called soy isoflavones or phytoestrogens, may reduce hot flushes but the studies to test this have had varying results. Soy isoflavones have no effect on hot flushes in women with breast cancer, and their safety in women with breast cancer has not been adequately studied.

Some people use food products, extracts, and dietary supplements such as black cohosh for menopausal symptoms. Some of these have a long history of use in women’s health but it's important to remember that their quality can vary and there can be a lack of evidence to show they work. So, it's always a good idea to check with your healthcare provider before trying something new.