After stopping hormone replacement therapy (HRT), many women look for alternative ways to manage menopause symptoms such as hot flashes, weight gain, and vaginal dryness. Nonhormonal treatments like exercise, avoiding caffeine, and stress reduction methods can help. Some turn to low-dose birth control pills or antidepressants. Compounded bioidentical hormones, which are not FDA-approved, are also an option but carry potential risks, including unregulated doses and possible side effects. Women should consult their doctors to weigh the benefits and risks of these treatments.