Ob-Gyn questions? Ask a gynecologist online.
Hi, It's Dr. C. Board certified Ob-gyne. I hope I can help you today.There are several options:http://www.cascadewomenshealth.org/download/PDFs/HealthEducation/Menopausal%20Management/Paced-Breathing.pdfAlternative medications include clonidine, gabapentin or an SSRI such as Effexor.Which of these might be a good option depends on the details of your situation. For example if blood pressure is low, clonidine is not a good choice. If trouble sleeping, gabapentin could be a good choice, etc.Nothing works as well as estrogen. Quite a low dose can be used. Using a transdermal patch lowers some of the risks of use such as blood clots and gallbladder disease flares. Research on the use of estrogen replacement used 4 x the dose that many women find helpful enough and also used oral delivery systems which carry more risk.It's best to schedule an office visit for a very detailed discussion of the risks and benefits of each of these options including options for use of progesterone if you still have a uterus. There are gynecologists who specialize in menopausal management. They are most qualified to help. Here is a link to find a provider nearest you:http://www.menopause.org/I hope this information has been helpful.