Lifestyle changes: regular exercise, balanced diet, adequate sleep, stress reduction
Track symptoms and menstrual changes
Use nonhormonal treatments for hot flashes and night sweats if needed
Consider hormone therapy for bothersome symptoms if appropriate
Use vaginal estrogen or other local treatments for vaginal dryness and painful intercourse
Manage mood changes with therapy, medication, or both if needed
Treat heavy or irregular bleeding with medical evaluation and appropriate medication
Use birth control if pregnancy prevention is needed
Check bone health and support calcium and vitamin D intake
Avoid smoking and limit alcohol
See a healthcare professional for persistent, severe, or unusual symptoms