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

ClaudediscoveryCollected Jul 1, 2026, 13:55 UTC

Verbatim response from Claude

Treatment Options for Hot Flashes & Sleep Issues at 47

You're likely in perimenopause, and there are good options across a spectrum:

Medical/Hormonal Options

  • Hormone Replacement Therapy (HRT) - Most effective treatment. Talk to your doctor about brands like Vivelle-Dot (patch) or Estrace (oral). Modern low-dose versions are considered safe for most women.
  • Alloy or Midi Health - Telehealth platforms specializing in menopause care, great for convenient HRT prescriptions

Non-Hormonal Prescription Options

  • Veozah (fezolinetant) - New FDA-approved non-hormonal specifically for hot flashes
  • Effexor or Lexapro - Low-dose antidepressants that help some women

Supplements (OTC)

  • Remifemin - Black cohosh supplement with decent research behind it
  • Equelle - S-equol supplement targeted at menopause symptoms
  • Natrol Melatonin - For sleep support

Sleep-Specific Help

  • Eight Sleep mattress cover - Temperature regulation can reduce night sweats dramatically
  • BedJet - Cooling system for your bed

My Top Recommendation

See a menopause specialist (find one at menopause.org) and seriously consider HRT — it's the gold standard.

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