Treatment Options for Hot Flashes & Sleep Issues at 47 You're likely in perimenopause, and there are good options across a spectrum: Medical Treatments (Most Effective) Hormone Therapy (HRT/MHT) Alloy or Midi Health – telehealth menopause specialists who prescribe FDA-approved estrogen/progesterone Annovera, Vivelle-Dot (estrogen patches) or Prometrium (progesterone) are commonly prescribed Generally the gold standard for hot flashes and sleep Non-Hormonal Prescription Options Veozah (fezonetant) – FDA-approved specifically for hot flashes (2023) Brisdelle (low-dose paroxetine) – FDA-approved for hot flashes Ask your OB-GYN or a menopause specialist Lifestyle & Supplements Remifemin – black cohosh supplement with decent research support Equelle – soy-based supplement (S-equol) Magnesium Glycinate (Nature Made or Thorne brands) – helps sleep Sleep Specifically CBT-I Coach app – free, evidence-based sleep therapy Calm or Sleepio – sleep improvement programs Finding a Specialist The Menopause Society (menopause.org) has a provider finder tool Bottom line: Talk to a doctor — ideally a menopause-certified specialist. HRT is very effective for most women and is considered safe for healthy women under 60.
Mentioned in position 7 of 9
Read full answer with sources →