July 2, 2026

Non-Hormonal Menopause Treatment

Non-Hormonal Menopause Treatment
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Non-Hormonal Options for Menopausal Symptoms

On the Vagina Doctor Podcast, nurse practitioner Sophie Mengele discuss non-hormonal options for managing menopausal symptoms such as hot flashes, night sweats, and mood irregularities. Sophie reviews several medication choices used when hormone therapy isn’t desired or isn’t an option, including SSRIs (noting Lexapro as a preferred option) and SNRIs for anxiety and mood stabilization. She highlights Veozah, which works on brain pathways involved in thermoregulation to reduce hot flashes and night sweats, emphasizing that it should be prescribed with ongoing monitoring and liver enzyme labs. She also mentions gabapentin and pregabalin as additional options that can help with uncomfortable symptoms and encourages listeners to speak with their healthcare provider about which approach may fit.

00:00 Non-Hormonal Menopause Treatment Options

01:09 SSRIs & SNRIs

02:05 Gabapentin & Pregabalin

02:33 Talk to Your Provider

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