In perimenopause, low dose oral contraceptive therapy will also work for most women. Some women cannot or do not want to go the estrogen route. There are many medications available that act to stabilize the blood vessels. This medication is a combination of small amounts of belladonna and phenobarbital. It works well for many women.
Adverse effects can be sleepiness and dry mouth.
But neither tends to be overwhelming. It can lower your blood pressure, so if you take it you need to have that monitored. But it can work well for hot flashes. Several studies have shown that soy supplementation will reduce hot flashes. Soy contains phytoestrogens which can work like estrogens in the body.