Hi, I understand your query and also this very common problem of belly fat coming after menopause. Unfortunately even with so many advances in medical sciences, the best way to reduce body fat is by following a healthy diet and proper exercise. Some surgeries like liposuction, and bariatric surgeries are performed in obese patients to get rid of body fat. Certain hormones can decrease body weight but they have far too many adverse effects and are not safe to be prescribed. So the best way to decease this is eat a diet low in calories, that is eat mainly fruits and vegetables, beans sprouts. Do not eat fried food and food containing sugar. Along with regular abdominal exercise, this regimen will help in decreasing the fat in 3-4 months. Now regarding medicines for menopausal women. For this medical sciences do have many solutions ranging from hormone replacement therapy to help tide the menopausal period as well as use of vitamin D and calcium to help increase the bone strength. So if you are experiencing menopausal symptoms, a gynecologist will help you in deciding the medications that you will need depending upon the severity and duration of menopause. Hope that I was able to help. Thanks for using HCM Dr. Madhuri Bagde Consultant Obstetrician and Gynecologist