Table 1. Interventions to consider for menopausal symptom management in young breast cancer survivors.

Hormonal medication (often contraindicated in this setting)
Non-hormonal medication
• Antidepressants, gabapentin, and clonidine for hot flashes
• Topical lubricants and moisturizers for vaginal health
Behavioral strategies and interventions
• Exercise
• Yoga
• Acupuncture
• Cold packs, dressing in layers, etc.
Psychoeducation
• Cognitive behavioral therapy (CBT)
• Individual or couples counseling