[Fran]

You would need to speak to your doctor/nurse initially as they will have looked at your blood results and symptoms etc. but you can manage menopausal symptoms without HRT through lifestyle changes like regular exercise, a healthy diet, good sleep, staying cool, and supporting wellbeing.

Some women find phytoestrogens (soy, flaxseed) or herbal supplements helpful, though evidence is mixed.
You might also be able to look at things like the mirena coil dependant on your symptoms and history – so its best to speak to your doctor or nurse to decide what the best approach for you is.

Hope that helps