Brief Answer: Isoflavones and lignanes will help. Detailed Answer: Hello, Thanks for trusting us with your health concern. I understand that you have menopausal symptoms and you have stopped taking Renifemin. Since you are looking for natural alternatives the commonest ones and those found beneficial are compounds containing isoflavones and lignanes. These include soy, flax seeds, red clover, whole cereals, whey proteins, legumes and green leafy vegetables. You can also use menopro powder 2 spoonfuls with milk twice daily. Using soy and koesh will also benefit you. St. John's wort is not likely to help you much. Other measures are regular light exercise like yoga or walking, use of evening primrose oil. Calcium supplementation is important to prevent osteoporosis. If the symptoms are severe then you may need SSRI's or SNRI group of drugs that modulate the estrogen receptors and prevent hot flashes. They need prescription and you may discuss their use and side effects with your doctor before using as they ultimately modulate the hormones. Most cause severe nausea and decrease libido. Having said all this, duration of perimenopause may be variable in different women. Some may experience the symptoms for a few days and then become menopausal while others may experience them for years. Hence maintain a healthy lifestyle, light but regular exercise, a proper diet and taking calcium and vitamin D are the most useful measures in the long term. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

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