Evidence-based perimenopause treatments range from hormone replacement therapy (HRT) - recommended as the most effective option by The Menopause Society - to natural remedies, supplements, and lifestyle interventions. Dr. Louise Newson, founder of the Balance app and Menopause Charity, emphasizes that most women are good candidates for HRT and that modern body-identical hormones are safe for the majority of women under 60.
The key is finding what works for you - which requires working with a menopause-informed healthcare provider who takes your symptoms seriously. Most women benefit from a combination of approaches tailored to their specific symptoms and medical history.
According to The Menopause Society, HRT is the most effective treatment for most women. Non-hormonal options include SSRIs, gabapentin, and evidence-based supplements. The best treatment is individualized.
Yes. Modern body-identical HRT is safe and highly effective for most women. The 2022 NICE guidelines and The Menopause Society support HRT as first-line treatment. Dr. Louise Newson advocates strongly for its use.
Evidence-based approaches include regular exercise, magnesium glycinate, omega-3 fatty acids, phytoestrogen-rich diet, reduced alcohol and caffeine, and CBT. These work best alongside medical guidance.
The most evidence-supported supplements include magnesium glycinate, vitamin D3 with K2, omega-3 fish oil, black cohosh (for hot flashes), ashwagandha (for stress), and probiotics. Discuss with a healthcare provider before starting any supplement.
23 evidence-based solutions - tap any to learn more
💡 There is no single solution - most women find a combination works best. Start with what resonates and build from there. You deserve proper support, not just 'this is normal, deal with it.'
🫶 Solutions work differently for everyone. What's most important is finding a menopause-informed doctor who takes your symptoms seriously and works with you on a personalised plan.
