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

ClaudediscoveryCollected Jun 11, 2026, 20:07 UTC

Verbatim response from Claude

Managing Hot Flashes & Sleep Issues at 47

You're likely in perimenopause, and there are several good options:

Medical Treatments (Most Effective)

Hormone Therapy (HRT/MHT)

  • Vivelle-Dot or Climara (estrogen patches) – well-studied, highly effective
  • Bijuva – combined estrogen/progesterone oral pill
  • Talk to your OB/GYN or a menopause specialist (find one at menopause.org)

Non-Hormonal Prescriptions

  • Veozah (fezolinetant) – newer FDA-approved drug specifically for hot flashes
  • Brisdelle (paroxetine) – low-dose antidepressant approved for hot flashes

Telehealth Options

  • Midi Health – specializes in perimenopause/menopause care
  • Alloy Women's Health – online menopause prescriptions
  • Evernow – similar menopause-focused platform

Sleep Support

  • Magnesium Glycinate (brands: Thorne or Pure Encapsulations) – helps sleep quality
  • Oura Ring – tracks sleep to identify patterns

Lifestyle

  • Cognitive Behavioral Therapy for Insomnia (CBT-I) via app Sleepio
  • Cooling mattress pads like Eight Sleep

⚕️ Please consult a doctor – especially to determine if HRT is appropriate for you personally.

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