Get medical help if arrange medical assessment if menopause symptoms are significantly affecting you, you develop palpitations, or bleeding becomes unexpectedly heavier during perimenopause.
Self-care guide
Menopausal hot flashes
Episodes of sudden heat, flushing, sweating, or chills associated with the menopausal transition and postmenopause.
Step 1 · First-line care
What to do first
Lifestyle adjustments such as lighter clothing, a cooler sleep environment, and identifying personal triggers may improve comfort but are not disease-modifying treatments. For troublesome vasomotor symptoms, hormone therapy is the most effective treatment for many eligible patients, and evidence-based nonhormonal options include selected SSRIs/SNRIs, gabapentin, fezolinetant, oxybutynin, cognitive behavioral therapy, and clinical hypnosis. Current Menopause Society guidance does not recommend supplements or herbal remedies for vasomotor symptoms.
Step 2 · Safety
When to get medical help
Get medical help if arrange prompt medical assessment for any vaginal bleeding or spotting after 12 months without a period, even if it happens only once.
Extra caution: Treatment choice differs for people with a history of breast or other hormone-sensitive cancer, cardiovascular or thromboembolic risk, liver disease, complex medication use, or surgical/early menopause. Herbal products should not be presented as a substitute for individualized menopause treatment.