Now that the safety of hormone-replacement therapy (HRT), traditionally prescribed to treat the symptoms of menopause, has been questioned, where can women find alternatives for relief? Fortunately, there are several options to treat such symptoms as hot flashes, mood swings and vaginal dryness. These therapies include everything from herbs and medications to lifestyle changes-such as exercising regularly and cutting back on hot-flash triggers like spicy food, caffeine, sugar and alcohol.

The National Institutes of Health (NIH) is supporting a trial to test two herbal remedies, black cohosh and red clover. Still it should be noted that herbal compounds, no matter how natural, can have side effects. Check with your doctor before taking these or other remedies.

Soy: In a study conducted in Italy, phytoestrogens (plant compounds similar in structure to a woman's own estrogen) and protein in soy (available as tofu, soy milk or edamame) were shown to reduce hot flashes. The researchers found that 60 grams of soy protein a day reduced flashes by 45 percent. Soy has also been found to lower cholesterol and may help decrease the risk of breast cancer and osteoporosis.

Black cohosh: A review of eight studies in the Journal of Women's Health and Gender Based Medicine in 1999 found that using black cohosh was a safe and effective way to diminish hot flashes. Research also shows it may help stabilize mood swings There do not appear to be serious side effects associated with short-term use. The NIH recommends that pregnant women or those who are breast-feeding avoid using this herb. Large amounts (more than several grams daily) may cause abdominal pain, nausea, headaches and dizziness.

Red clover: Not only has red clover shown great promise in relieving hot flashes, but an Australian study also found that women who were given a daily dose of red-clover-derived isoflavones (estrogenlike compounds) may have lowered their risk of cardiovascular disease. Pregnant or breast-feeding women should avoid red clover, as should people taking anticoagulant drugs.

Lubricants: Vaginal dryness, another major menopausal complaint, can be remedied with over-the-counter lubricants such as K-Y Liquid or Replens and, say doctors, with more frequent sex.

Ginkgo: Years of research have shown that this herb, which is a staple of traditional Chinese medicine, may improve memory, concentration and blood flow to the brain. In addition, doing word games like crossword puzzles and taking classes to learn new skills can help keep your mind sharp.

From Healthy.net