First, and foremost, I hope you are under the care of a good
menopause clinician. If you log onto
www.menopause.org, the North American Menopause Society's website, you will find a list of clinicians in your geographical area.
Since you seem to be on an HT product already, you may want to try making lifestyle changes and see if this helps control your menopausal symptoms. Simple things like avoiding hot beverages, alcohol, spicy foods and caffeine sometimes does the trick. And, of course dressing in layers. And, hopefully, you are not smoking. Smoking causes a decline in
estrogen, and, of course, increases your risk of developing
heart disease, cancer, and is a
risk factor for osteoporosis. Some alternative therapies some women try are acupuncture; eating foods which contain phytoestrogens (soy),and using black cohosh. Herbal remedies and dietary supplements are products which do not need FDA approval, so you must check with your clinician before using these products as they do have potential side effects and may be harmful.There are also other drugs used for menopausal symptoms, which are non hormonal and include:
antidepressants, Gabapentin, Clonidine,as well as others. My advice is to discuss all options with your clinician and don't forget to exercise. Studies show that women who exercise have fewer hot flashes than those who are sedentary. Please let us know how you are doing and thank you for logging onto our bulletin board.