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A 45-year-old female asked:

what options do you have for perimenopause symptoms when you have tried hrt, bc pills, and antidepressants, and over the counter supplements? no luck!

3 doctor answers4 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Integrative medicine: You've tried a number of things for your difficulties. I don't know what kind of evaluations you've had before implementing these things, but it could be helpful to work with an integrative medicine physician. This could include nutritional, hormonal, mind-body, and other areas. You can find a board-certified integrative/holistic medicine physician through http://www.Holisticboard.Org/.
Dr. Pamela Pappas
Psychiatry 42 years experience
Provided original answer
Classical Homeopathy can be very helpful also -- it takes a skilled practitioner to help find the most effective homeopathic medicine for you. For physician homeopaths: http://www.homeopathyusa.org/ For a larger, more mixed group of practitioners: http://www.nationalcenterforhomeopathy.org/
Jun 18, 2013
Dr. Alan Ali
Dr. Alan Ali answered
Psychiatry 32 years experience
Perimenopause: Other options would be neurontin, (gabapentin) clonidine, & alternative medicines such as femarelle (mixture of soy & flaxseed), red clover & black cohosh. Also, acupuncture can be tried.
Dr. Brad Douglas
Obstetrics and Gynecology 24 years experience
See below: Other herbs too such as vitex, chasteberry and dong quai too.
Dr. Alan Ali
Dr. Alan Ali commented
Psychiatry 32 years experience
Thanks Dr. Wilson!
Dec 29, 2012

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Last updated Feb 22, 2014

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