Yes! Dr. Goli offers a full wellness suite of alternatives.
Evidence-supported non-hormonal options include:
- SSRIs/SNRIs (e.g., low-dose venlafaxine, paroxetine) for hot flashes
- Gabapentin for nighttime symptoms
- Fezolinetant (a newer NK3 receptor antagonist) for hot flashes
- Cognitive behavioral therapy for insomnia (CBT-I)
- Vaginal moisturizers and lubricants for dryness
- Pelvic-floor physical therapy for urinary or sexual discomfort
These are excellent alternatives when HRT isn’t appropriate.