Menopause Symptoms & Management: Practical Relief and Hormone Therapy Options
Reviewed by Yukhanan Benjamin, MD, PhD — General Practitioner
Menopause is a natural phase that marks the end of a woman’s reproductive years and often brings physical and emotional changes. As we move toward 2025, staying current with evidence-based, personalized approaches is essential to preserving quality of life during this transition. This article outlines common menopause symptoms, reviews the evolving role of Bioidentical Hormone Replacement Therapy (BHRT), and offers practical non‑hormonal strategies. We also point to affordable, specialized care options locally — including services available at UCO Medical Clinic in Hallandale Beach, Florida — so you can find care that fits your needs.
Common Symptoms of Menopause and Perimenopause
Perimenopause and menopause can cause a range of symptoms that affect day‑to‑day life. Typical complaints include hot flashes, night sweats, mood swings, and vaginal dryness. These changes are driven largely by falling estrogen levels and related hormonal shifts. Recognizing the causes and patterns of symptoms is the first step toward effective, personalized management.
How Hot Flashes and Night Sweats Affect Daily Life
Hot flashes and night sweats are among the most reported complaints during menopause. A hot flash is a sudden sensation of heat often accompanied by sweating and a faster heartbeat; night sweats occur during sleep and can interrupt rest. Research shows roughly 75% to 85% of women experience hot flashes at some point in menopause, and for many this can meaningfully reduce quality of life. Addressing both the physical and emotional effects of these symptoms is an important part of care.
What Causes Vaginal Dryness and Genitourinary Syndrome of Menopause?
Vaginal dryness and genitourinary syndrome of menopause (GSM) result from lower estrogen levels, which can thin and inflame vaginal tissue. Symptoms may include painful intercourse, urinary urgency, and higher risk of urinary tract infections. Understanding that these problems stem from hormonal change helps guide effective treatment — from over‑the‑counter lubricants and moisturizers to local estrogen therapies that restore tissue health and comfort.
Emphasizing the progressive nature of GSM and the need for treatment, an important review from 2019 remains relevant:
Genitourinary Syndrome of Menopause: Symptoms & Treatment Options
Genitourinary syndrome of menopause describes the atrophic symptoms and signs women can experience in the vulvovaginal and bladder‑urethral areas after menopause‑related loss of sex steroids. It is a progressive condition that does not resolve on its own and can negatively affect quality of life. This review summarizes the clinical presentation and available treatments, including both hormonal and non‑hormonal options.
Practical treatment considerations in the management of genitourinary syndrome of menopause, 2019
How Bioidentical Hormone Replacement Therapy (BHRT) Can Help
Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are chemically identical to those the body naturally produces. The goal of BHRT is to rebalance hormones to relieve symptoms such as hot flashes, mood shifts, and vaginal dryness. When chosen and monitored appropriately, BHRT can be an effective, individualized option as part of a broader menopause care plan.
Benefits and Risks: BHRT vs. Traditional Hormone Therapy
BHRT’s main advantage is personalization — dosing and delivery can be tailored to a woman’s symptoms and hormone profile. Some patients report fewer side effects with BHRT compared with older, standard formulations, but high‑quality evidence distinguishing risks and long‑term outcomes is still evolving. Importantly, BHRT carries many of the same potential risks as traditional hormone therapy, including a possible increased risk of blood clots and certain cancers. Discussing benefits and risks with a clinician helps determine the safest option for each individual.
| Therapy Type | Benefits | Risks |
|---|---|---|
| Bioidentical Hormone Replacement Therapy | Customized dosing and delivery; may reduce certain side effects anecdotally reported by patients | Potentially similar risks to standard hormone therapy |
| Traditional Hormone Therapy | Well‑established efficacy with a long clinical track record | Higher documented risks for blood clots and some cancers in certain groups |
Use this comparison as a starting point for a conversation with your healthcare provider so you can choose the safest, most effective approach for your situation.
How UCO Medical Clinic Personalizes BHRT
At UCO Medical Clinic, we tailor BHRT through a thorough assessment: review of symptoms, medical history, and hormone testing when appropriate. That information guides a personalized plan — including dose, route, and follow‑up — to maximize symptom relief while monitoring safety. Our goal is to deliver thoughtful, individualized care throughout the menopausal transition.
Non‑Hormonal and Lifestyle Strategies That Support Symptom Relief
Not everyone can or wants to use hormone therapy. Safe, effective non‑hormonal and lifestyle approaches can help control symptoms and improve overall well‑being. These include dietary adjustments, targeted exercise, and stress‑reduction techniques that complement medical treatments or stand alone when hormones aren’t recommended.
Current research supports the role of alternatives for many women, especially those with contraindications to hormones:
Non‑Hormonal Strategies for Menopause Symptom Management
Hormone replacement therapy is effective for hot flashes but may be contraindicated for women with prior hormone‑dependent cancers. Many otherwise healthy women also prefer non‑hormonal options to manage symptoms.
Non‑hormonal strategies for managing menopausal symptoms in cancer survivors: an update, N Biglia, 2019
Diet and Exercise Approaches That Help
A balanced diet rich in fruits, vegetables, whole grains, and lean proteins supports overall health through menopause. Some women find modest relief from hot flashes with phytoestrogen‑rich foods like soy. Regular physical activity — walking, yoga, or strength training — helps with weight control, mood, sleep, and symptom severity. Small, consistent changes often produce the best results.
Stress Management and Mindfulness for Better Symptom Control
Mindfulness practices, deep breathing, guided relaxation, and gentle movement can reduce stress and anxiety, which in turn lessens symptom burden. These tools are especially useful when combined with medical treatments, improving sleep and emotional resilience during the transition.
Where to Find Affordable, Specialized Menopause Care in Hallandale Beach
UCO Medical Clinic in Hallandale Beach offers affordable, specialized menopause care, including BHRT and comprehensive gynecologic services. For appointment information, call (786) 288-3661.
Support for Underinsured Patients
UCO Medical Clinic works to make care accessible: affordable office visits, reasonable lab pricing, and acceptance of many insurance plans, including Medicaid and Medicare. We also accept self‑pay patients (cash), with a credit card surcharge when applicable. Our approach aims to remove financial barriers so women can get timely care.
Gynecologic Services for Menopause Management
The clinic’s gynecology services for menopause include:
- Bioidentical Hormone Replacement Therapy: Individually tailored hormone plans to ease menopausal symptoms.
- Management of Hot Flashes and Other Menopause Symptoms: Comprehensive symptom control using medical and lifestyle strategies.
- Treatment for Low Libido and Hormonal Imbalance: Focused therapy to support sexual health and hormonal wellness.
These services are part of our specialized gynecology offerings, designed to support women through this important life stage.
Perimenopause, Menopause, and Postmenopause: What’s the Difference?
Knowing the stages of the menopausal transition helps set expectations and guide treatment. Each phase has its own pattern of symptoms and management priorities.
How Symptoms Change Across the Stages
Perimenopause is the years leading up to menopause and is marked by menstrual irregularity, hot flashes, and mood swings as hormones fluctuate. Menopause is defined after 12 consecutive months without a period and often brings more consistent symptoms. Postmenopause refers to the years after menopause — symptoms may continue but often become more stable. Recognizing where you are in this timeline helps tailor care effectively.
When to Seek Medical Evaluation
See a clinician if symptoms interfere with daily life — for example, severe hot flashes, persistent mood changes, sleep disruption, or vaginal dryness that affects intimacy. Early evaluation allows for timely, individualized strategies that can greatly improve quality of life.
Managing Specific Menopause Symptoms Effectively
Many symptoms respond well to a combination of targeted medical therapies and lifestyle measures. BHRT can be effective for several complaints, but there are other proven options depending on individual needs and risks.
Best Options for Hot Flashes and Night Sweats
BHRT can offer substantial relief from hot flashes and night sweats for many women. Non‑hormonal options — including certain antidepressants, gabapentin, and lifestyle changes like avoiding triggers (spicy foods, caffeine) and practicing relaxation techniques — also help and may be preferable in some situations.
Addressing Mood Swings, Sleep Problems, and Weight Gain
Mood disturbances, insomnia, and weight changes often respond best to a combined approach: medical management where appropriate, plus targeted lifestyle changes. UCO Medical Clinic’s Weight‑Loss Program provides hormonal assessment and support when weight is a concern. For convenience and continuity of care, telemedicine visits are available so you can receive personalized guidance from home.
Managing menopause well depends on current information and individualized care. As treatments and recommendations continue to evolve through 2025 and beyond, partnering with clinicians who specialize in menopausal health remains the best way to protect your comfort, function, and long‑term well‑being.

