While some women will wish to take hormone replacement therapy to relieve their symptoms, others will prefer to consider alternative treatments which may ease menopausal symptoms. Hormone replacement therapy may not be suitable or safe for everyone.

Non hormonal medication options include-

• Non hormonal medication options include the use of antidepressants, gabapentin and pregabalin, clonidine and more recently oxybutynin has been used.
• Apart from clonidine, all the other medications are used off license. They can have variable effectiveness, side effects and are not appropriate for everyone.
• Vaginal dryness can be eased by lubricants and vaginal moisturisers.