Shilpa Gajarawala struggled with hot flashes, night sweats, sleep problems and brain fog. But given her history of breast cancer, treating these menopausal symptoms with hormone therapy wasn’t an option.

“For two years, I tried to kind of power through,” said the 58-year-old physician assistant from Jacksonville, Florida.

But doctors say women like Gajarawala don’t need to suffer.

Though many women take hormone therapy medications to ease menopause symptoms, recently announced label changes may encourage even more to start. But others choose not to use these medications that circulate throughout the body. And doctors advise some to avoid them because they have medical problems such as severe liver disease or a history of heart attack, stroke, blood clots or a type of breast cancer

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