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Perimenopause treatment: HRT and other options Hormonal and non-hormonal options, and how to get the most from your doctor.
There is more help available for perimenopause than many people realize, including hormone therapy (HRT), non-hormonal medicines and talking therapies.
This guide explains the options in general terms and how to prepare for a useful appointment. Only a clinician who knows your history can advise what is right for you.
Articles in this guide Non-hormonal treatments for perimenopause: your options Non-hormonal treatments for perimenopause symptoms include FDA-approved hot flash medicines, off-label options, CBT, hypnosis and vaginal moisturizers. Do supplements help perimenopause? What the research says Do supplements help perimenopause symptoms? What research says about black cohosh, soy, magnesium, melatonin, ashwagandha and more, and how to choose safely. HRT for perimenopause in 2026: a calm look at the evidence Types, benefits and risks without the scare headlines. What hormone therapy does in perimenopause, what US experts and the FDA currently say, and what to expect when you start. How to talk to your doctor about perimenopause (script + checklist) A short appointment goes further with a plan. A checklist for before you go, a word-for-word script, the questions to ask, and what to do if you're brushed off. Other guides Perimenopause basics: what it is, stages and how long it lasts · Brain fog, mood and anxiety in perimenopause · Perimenopause sleep problems and night sweats · Hot flashes, aches and body changes in perimenopause · Irregular periods and cycle changes in perimenopause · Perimenopause treatment: HRT and other options · Perimenopause lifestyle and self-advocacy · Symptom dictionary · Toolkit
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