Menopause treatment options
Educational guides to hormonal and nonhormonal treatments, sourced from FDA and The Menopause Society. Treatment decisions belong with a clinician — Dot does not prescribe.
- Menopausal hormone therapy (MHT / HRT): benefits, risks and who it's for
MHT and HRT explained: estrogen and progestogen therapy, what it treats, the timing of benefits and risks, and questions to ask a clinician. Sourced from FDA and The Menopause Society.
- Systemic vs local hormone therapy for menopause
How systemic hormone therapy (pills, patches, gels, sprays, rings) differs from low-dose local vaginal estrogen in what it treats and how it's used.
- Oral vs transdermal estrogen: what's the difference?
Estrogen pills vs patches, gels and sprays: how they're absorbed, what observational data suggests about blood clot risk, and how to decide with a clinician.
- Vaginal estrogen for dryness and GSM
Low-dose vaginal estrogen for vaginal dryness, pain with sex and urinary symptoms of menopause (GSM): forms, how it works, and other options.
- Nonhormonal treatment for hot flashes and menopause symptoms
Evidence-based nonhormonal options for hot flashes: fezolinetant, certain antidepressants, gabapentin, CBT, clinical hypnosis — and what isn't recommended.