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I am 47 with hot flashes and terrible sleep. What are my treatment options?

ClaudediscoveryCollected Aug 25, 2026, 12:03 UTC

Verbatim response from Claude

Menopause Symptom Treatment Options

These symptoms sound like perimenopause/menopause. Here are your main options:

Medical Treatments (Most Effective)

Hormone Therapy (HRT/MHT)

  • Estradiol patches like Vivelle-Dot or Climara are well-studied and effective
  • Oral options like Bijuva or Estrace combined with progesterone
  • Talk to your OB-GYN or a menopause specialist — this is often the gold standard

Non-Hormonal Prescription Options

  • Veozah (fezolinetant) — FDA-approved specifically for hot flashes
  • Brisdelle (low-dose paroxetine) — also FDA-approved for hot flashes

Telehealth Services Worth Considering

  • Midi Health — specializes in menopause care
  • Alloy or Evernow — online menopause hormone prescribing
  • These are great if your regular doctor dismisses your symptoms

OTC/Lifestyle Support

  • Remifemin (black cohosh supplement) — some evidence for hot flashes
  • Magnesium Glycinate (like Thorne brand) — may help sleep
  • Chillow or Eight Sleep mattress — cooling sleep technology

My Top Recommendation

See a menopause specialist or try Midi Health online — hormone therapy is highly effective and safe for most women your age.

Always consult a doctor before starting any treatment.

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