Some women cannot be prescribed HRT (E.g. history of breast cancer) and some women may wish to choose complementary or alternative therapies to manage their symptoms.
CBT for menopause symptoms has been shown to be effective for many women.
Some women find certain herbal remedies and alternative therapies such as acupuncture useful. Phytoestrogens are found in certain foods and supplements. They have a chemical structure similar to oestrogen and can give a small boosting effect. Women who have had breast cancer are advised not to take phytoestrogen supplements but it is fine to have foods containing them.
Whilst antidepressants should not be used as the first line treatment of low mood associated with menopause, for women who cannot take HRT, certain types of antidepressants can be prescribed which may help reduce hot flushes and sweats as well as improve mood and sleep.