Clinician written

HRT alternatives: 7 things you need to overcome pains

Words by Dr Sylvia Kama-Kieghe
Image of four women in their 50s and 60s sitting on a couch looking at each other and laughing, they are in a neutral toned living room. This image is being used to represent the Rockmy Menopause resource HRT alternatives: 7 things you need to overcome pains

Menopause can bring many changes, and not all women want to, or can, use hormone replacement therapy (HRT).

If you’re looking for other options, this guide lists some great alternatives that can help you manage menopause symptoms without HRT.

1. Diet and nutrition

Eating well is super important during menopause.

Here are some foods to think about incorporating into your diet.

  • Lean proteins. Eating chicken, turkey, and fish helps keep your muscles strong. If you prefer plant-based options, try lentils, tofu, and beans.
  • Collagen. Collagen helps keep skin smooth and bones strong. It can be found in foods like bone broth or as supplements from reliable health shops.
  • Magnesium. This mineral helps with sleep and mood. You can get magnesium from nuts, seeds, and leafy greens.
  • Phytoestrogens. Foods like soy and flaxseeds can help balance hormones and reduce hot flashes.
  • Antioxidants. Fruits and vegetables protect your body from damage and help you feel better.
  • Calcium and Vitamin D. These are important for strong bones. Dairy, fortified plant-based milk, and leafy greens are good sources.

2. Exercise and movement

Staying active is key.

  • Weight training. Lifting weights helps keep your muscles and bones healthy.
  • Aerobic exercise. Activities like walking, swimming, or dancing keep your heart strong.
  • Yoga and pilates. These can help you relax and feel more flexible.
  • Tai Chi and Qigong. Gentle movements that help with balance and stress relief.

Rockmy Menopause "Everything you need to know" course, a four-part masterclass with Dr Katie Barber.

3. Herbal remedies and supplements

Some women find relief from menopause symptoms with herbal remedies.

  • Black cohosh. This herb may help with hot flushes.
  • Red clover. Contains plant hormones that might help with balance.
  • Evening primrose oil. This can help with mood swings and hot flushes.
  • Maca root. Helps with energy and mood.
  • Agnus castus. May support hormonal balance.
  • Magnesium and Omega-3 fatty acids. Both are great for mood and overall health.

4. Alternative therapies for specific symptoms

If you have specific symptoms, there are some additional/alternative therapies that you could consider.

  • Hot flushes – acupuncture might help reduce their frequency.
  • Night sweats – avoid spicy foods and keep your room cool.
  • Mood swings – mindfulness and deep breathing can help.
  • Vaginal dryness – use moisturisers or lubricants.
  • Insomnia – natural sleep aids like magnesium, chamomile tea, or valerian root can improve sleep.

5. Stress management and emotional wellness

Managing stress is important around perimenopause and menopause.

  • Mindfulness and meditation – these can help calm your mind.
  • Deep breathing – great for relaxing when you’re feeling anxious.
  • Therapy – eg Cognitive Behavioural Therapy. Talking to someone can help with mood swings.
  • Acupuncture and massage – these can help relieve stress and symptoms.

“Talking to someone can help with mood swings.”

6. Sleep hygiene and insomnia management

Good sleep is crucial. Try introducing some of these tips into your routine.

  • Keep your room cool. A comfortable temperature helps you sleep better.
  • Regular sleep schedule. Going to bed and waking up at the same time can improve sleep quality.
  • Try natural aids. Valerian root or chamomile tea can help you relax.

7. Sexual health and vaginal dryness

It’s important to keep your sexual health in check.

  • Moisturisers and lubricants. These can make things more comfortable.
  • Kegel exercises. Strengthening pelvic muscles can improve sexual health.
  • Non-hormonal treatments. Some options can help with dryness.

While this guide presents various alternatives, it’s essential to talk to your healthcare professional about what works best for you, before you commence any kind of treatment.

Remember, you are not alone on this journey. With the right support and information, you can successfully navigate menopause.

This article was originally published on AskAwayHealth.

Last updated: June 2025

Share this post

Knowledge is power. Share it.

Liked that? Read this.

Core confidence: Unlocking your pelvic floor health in menopause and beyond 

Core confidence: Unlocking your pelvic floor health in menopause and beyond 

Cycling and menopause – look after your vulva

Cycling and menopause – look after your vulva

No similar resources.
Rockmy You Rock square GIF. Words 'Your story matters. Let's make it heard. You Rock. Got a story to share? >'

ABOUT THE AUTHOR

Dr Sylvia Kama-Kieghe, GP and founder of Askawayhealth.org and Your GP Consultation
Dr Sylvia Kama-Kieghe
Sylvia is a dedicated general practitioner and health educator with over a decade of experience empowering women to take charge of their health.