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Treatment guides

Symptoms + treatments

Side-by-side treatment comparisons per symptom. FDA-approved + off-label options scored by evidence level, cost, and side-effect profile. Sourced from NAMS, ACOG, and Endocrine Society guidelines.

Hot flashes

Hot flashes are the most common menopause symptom. Treatments compared by efficacy + cost.

5 treatments compared →

Night sweats

Night sweats overlap heavily with hot flashes but require sleep-aware treatment selection.

3 treatments compared →

Vaginal dryness

Genitourinary syndrome of menopause (GSM) responds best to local estrogen — often safe even when systemic HRT isnt.

3 treatments compared →

Low libido

Low desire from menopause has multiple drivers — hormonal, GSM, mood, sleep. Treatment matches root cause.

4 treatments compared →

Brain fog

Cognitive fog in perimenopause is real and usually transient — HRT helps subset of cases.

3 treatments compared →

Weight gain

Midlife weight gain has metabolic + behavioral + hormonal drivers. GLP-1 medications are increasingly first-line for clinically significant cases.

4 treatments compared →

Irregular periods (perimenopause + PCOS)

Irregular cycles have two main midlife causes: perimenopause OR PCOS. Treatment differs sharply.

4 treatments compared →

Hormonal acne

Hormonal acne in adult women responds to anti-androgenic therapy. Choice depends on PCOS context.

3 treatments compared →

Bone loss (osteopenia / osteoporosis)

Estrogen loss accelerates bone resorption. Early intervention prevents irreversible loss.

5 treatments compared →

Mood swings + depression

Perimenopause is a high-risk window for depression onset, particularly in women with prior depression history.

4 treatments compared →