Surgical Menopause New Zealand Trust

On this page: Medications Herbal Supplements Vitamin and Mineral Supplements Complementary Treatments References

For some women, Hormone Replacement Therapy (HRT) isn’t an option. This can be due to medical contraindications, such as a history of certain cancers, blood clotting disorders, or other conditions where HRT could pose significant risks. Others might choose to avoid HRT due to personal beliefs, concerns about long-term effects, or a desire to pursue more natural or holistic approaches. Regardless of the reason, the inability to use HRT can trigger a sense of uncertainty and fear.

Feeling Left Out Not being able to take HRT often means facing menopause without the treatment that many regard as the most effective for alleviating symptoms like hot flushes, night sweats, mood swings, and more. This can lead to concerns about whether other treatments will be as effective, or whether symptoms will become unmanageable. For those with a history of hormone-sensitive cancers, the fear of recurrence or triggering new health issues can weigh heavily, making the search for safe alternatives even more pressing. There’s also the emotional and psychological impact of feeling excluded from the broader conversation about menopause management. With much of the focus on HRT, those who cannot take it may feel sidelined or overlooked, as if their needs and struggles are less understood or prioritised. This can add to the stress and anxiety of navigating surgical menopause, making the journey even more challenging. Given these complexities, women in this situation often turn to other options to manage their symptoms and maintain their quality of life. For more detailed information on each of these alternatives, please refer to our dedicated pages on these topics. Remember, finding the right treatment can be a journey, and it’s important to work closely with your healthcare provider to explore the safest and most effective options for your individual needs.

Medications

Women may choose non-hormonal medications to manage specific symptoms when HRT is not an option. These medications, like certain antidepressants and gabapentin, can provide relief, especially for symptoms like hot flushes and mood swings. The choice of medication often depends on the individual’s health profile, the severity of symptoms, and the need for a safe alternative to HRT.

Herbal Supplements

Some women seek relief through herbal supplements, hoping for a natural approach to managing symptoms. These options can be appealing because they are perceived as more in harmony with the body. However, the decision to use herbal supplements often comes with concerns about efficacy and safety, as “natural” does not always mean risk-free, and these supplements can interact with other medications. 

Vitamin and Mineral Supplements

While a nutrient-rich diet should always be the primary source of vitamins and minerals, there are times when supplements can offer extra support during your surgical menopause journey. We’ll explore key supplements that may help manage symptoms and support overall health, including Vitamin B, Calcium and Vitamin D, Magnesium, Melatonin, Omega-3s, and Vitamin E.

Complementary Treatments

Complementary therapies like acupuncture, mindfulness practices, and exercise offer a holistic approach to menopause management. These treatments are particularly appealing to women who want to take an active role in their health and well-being. While these approaches may not always provide immediate symptom relief, they can contribute to long-term health and emotional balance, offering a sense of control and empowerment during a time of significant change.

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References

Australasian Menopause Society, Non Hormonal Treatments for Menopausal Symptoms, [Updated: Sept 2018].

The Menopause Society, formerly known as the North American Menopause Society (NAMS), Position Statement (2023) Non Hormone Therapy

British Menopause Society (BMS), Prescribable Alternatives to HRT, [Updated: July 2020].

Healthify, Menopausal Non-Hormone Therapy, [Updated: 8 Dec 2022].

[Updated: 19 July 2025]