Treatment - Menopause and perimenopause (NHS)

Tier 1: Established: peer-reviewed research or government health authority
Publisher: NHS (National Health Service, UK) · Published: August 14, 2026 · Accessed: August 23, 2026

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Claims this source supports

  • HRT (hormone replacement therapy) is the main treatment for menopause and perimenopause symptoms.
  • Treatment depends on which symptoms a woman has: HRT, vaginal estrogen, cognitive behavioural therapy (CBT), or other medicines can be offered for hot flushes and night sweats.
  • If menopause or perimenopause symptoms are causing problems, a GP can help identify which treatments might suit the individual.
  • The type of HRT offered depends on whether you still have periods or not, and on whether you have had your womb removed (hysterectomy).
  • If you take oestrogen and have not had a hysterectomy, it is important to take progestogen as well to protect the womb lining.
  • Non-hormonal options for hot flushes and night sweats include CBT, clonidine, or certain antidepressants, if HRT does not suit you.