What is the best medication for perimenopause?
What is the best medication for perimenopause?
Systemic estrogen therapy — which comes in pill, skin patch, spray, gel or cream form — remains the most effective treatment option for relieving perimenopausal and menopausal hot flashes and night sweats.
How can I balance my hormones during perimenopause?
As you enter perimenopause, there are a few things you can do to stay healthy and relieve symptoms:

- Quit smoking if you smoke cigarettes.
- Exercise regularly.
- Eat more protein, omega-3 fatty acids, fiber, and calcium.
- Limit saturated fats, highly refined carbs, and sugar.
- Limit caffeine and alcohol.
Does perimenopause require medication?
Perimenopause does not need to be treated unless symptoms are bothersome. Treatments may include: Hormone therapy using estrogen or estrogen and progestins to level out hormone levels. Antidepressants to stabilize moods.
What medications do doctors prescribe for menopause?
Treatments may include:
- Hormone therapy. Estrogen therapy is the most effective treatment option for relieving menopausal hot flashes.
- Vaginal estrogen.
- Low-dose antidepressants.
- Gabapentin (Gralise, Horizant, Neurontin).
- Clonidine (Catapres, Kapvay).
- Medications to prevent or treat osteoporosis.
How do I know if I’m perimenopausal?

If you have a persistent change of seven days or more in the length of your menstrual cycle, you may be in early perimenopause. If you have a space of 60 days or more between periods, you’re likely in late perimenopause. Hot flashes and sleep problems. Hot flashes are common during perimenopause.
How can you tell if you are perimenopausal?
How Is Perimenopause Diagnosed? Often your doctor can make the diagnosis of perimenopause based on your symptoms. A blood test to check hormone levels may also help, but your hormone levels are changing during perimenopause. It may be more helpful to have several blood tests done at different times for comparison.
Do antidepressants help perimenopause?
Antidepressants should be considered as an alternative to hormone therapy for perimenopausal depression and hot flashes, especially when hormone therapy is contraindicated, or as an augmentation strategy for women who are only partially responsive to hormone therapy.
What age is normal for perimenopause?
Early Stage. Perimenopause can begin in some women in their 30s, but most often it starts in women ages 40 to 44. It is marked by changes in menstrual flow and in the length of the cycle. There may be sudden surges in estrogen.
How do I know Im perimenopausal?