What do you recommend for pre menopause?

Hot Flashes??: More recently it has been noted that a significant number of women experience hot flashes for approximately a decade prior to cessation of menses (about 25%). If this is an issue for you, there are a few non-hormonal treatments that have been shown to be effective. In terms of prescriptive therapy, venlafaxine has been shown to be effective at relatively small doses.

Bioidentical HRT. : Whenever you start suffering with menopausal symptoms of estrogen or Progesterone deficiency, you may start to use bioidentical hrt. This may be several years before your period stops completely.