5th May 2024

A 51-year-old woman presents to her GP complaining of frequent hot flushes, night sweats, and difficulty sleeping for the past six months.

A 51-year-old woman presents to her GP complaining of frequent hot flushes, night sweats, and difficulty sleeping for the past six months. She reports her last menstrual period was 14 months ago. Her medical history is unremarkable, and she has no known allergies. She is not currently taking any medication and has no history of thromboembolic events. On examination, her blood pressure and body mass index are within normal limits. She is keen to explore treatment options to alleviate her symptoms.

Which is the most appropriate management plan?