Treatments used in Butler for menopausal symptom relief include hormone therapy with low doses of estrogen and/or progestogen, antidepressants, gabapentin for hot flashes, vaginal estrogen creams/tablets for vulvovaginal atrophy, lifestyle changes like staying cool and avoiding triggers, dietary supplements like black cohosh or vitamin E, and complementary therapies like mindfulness, acupuncture, or hypnosis.