HI,
Dietary modification and regular exercise will suffice for most women in peri menopause. However if you are having distressing symptoms of hormone depletion, then only hormonal pills are indicated. Another option is natural or bio-medical hormone therapy, which mimics the natural hormones produced by the body. Hope this helps.
The answer is based on information provided. Exact advice is not possible without a proper examination and investigations. You are requested to consult your Doctor. Take care and keep us posted.
Thank-you appreciate your help.