Verbatim response from Claude
Managing Hot Flashes & Sleep Issues at 47
These are classic perimenopause symptoms — here are your main options:
Medical Treatments (Most Effective)
Hormone Therapy (HRT/MHT)
- Estradiol patches like Vivelle-Dot or Climara + progesterone (Prometrium)
- Most effective option for hot flashes — talk to your OB/GYN or a menopause specialist
- The Menopause Society (menopause.org) can help find a certified provider
Non-Hormonal Prescription Options
- Veozah (fezolinetant) — new FDA-approved non-hormonal specifically for hot flashes
- Effexor (venlafaxine) or Brisdelle (paroxetine) — antidepressants that help hot flashes
Telehealth Options (Convenient)
- Midi Health — menopause specialist platform
- Alloy or Evernow — focused specifically on menopause care
Supplements (Modest Evidence)
- Remifemin (black cohosh)
- Equelle (S-equol/soy isoflavones)
- Magnesium Glycinate for sleep (Nature Made or Pure Encapsulations)
Sleep Specifically
- Unisom SleepTabs short-term
- CBT-I therapy (app: Sleepio)
My top recommendation: Start with a menopause-focused provider through Midi Health for personalized treatment. 🌟