Systemic hormone therapy
Estrogen, with progesterone if you have a uterus. The most effective treatment for hot flashes and night sweats, and it protects bone.
Includes: Estradiol, Transdermal estradiol, Conjugated estrogens, Micronized progesterone
Treatments
Treatment options
Hormone therapy is one option, not the plan. Every page below tells you what the evidence supports, what it does not, and how we decide.
Vaginal estrogen and local therapy
Low-dose local treatment for dryness, painful sex, urgency, and repeat UTIs. Guideline-backed, and barely absorbed into the bloodstream.
Includes: Estradiol vaginal cream, Conjugated estrogens vaginal cream, Estradiol vaginal insert, Estradiol vaginal ring
Non-hormonal options
Prescription treatment for hot flashes without estrogen, plus bladder medication and CBT. Tested against placebo, not a consolation prize.
Includes: Fezolinetant, Elinzanetant, Paroxetine, Venlafaxine
Bone health, DEXA, and osteoporosis treatment
Bone density scanning, vertebral fracture assessment, FRAX risk scoring, and the full range of osteoporosis treatment.
Includes: Dual-energy X-ray absorptiometry, Vertebral fracture assessment, FRAX, Alendronate
Pelvic floor and bladder care
Physical therapy, bladder training, PTNS, bladder Botox, and sacral neuromodulation — in order, least invasive first.
Includes: Pelvic floor muscle training, Bladder training, Percutaneous tibial nerve stimulation, OnabotulinumtoxinA
Testosterone for women
One evidence-based use: distressing low sexual desire after menopause. Everything else claimed for it is not supported, and we will say so.
Includes: Testosterone, Transdermal testosterone gel, Total testosterone, Sex hormone binding globulin
How we rate evidence
Every treatment page carries evidence tags. Strong means randomized trials and current specialty guidelines support the claim. Moderate means the evidence is real but has meaningful limits or mixed results. Limited means early, small, or indirect evidence — and where we rate something Limited, that is us telling you not to count on it.
We would rather rate our own options honestly than have you find out later that a claim did not hold up. See our editorial and evidence policy.
Ready to talk to someone who treats this every day?
Insurance-based visits across metro Atlanta. No membership, no cash-pay program, no obligation to start hormones.