What is your typical menopausal hormone therapy (MHT) regimen of choice in perimenopausal women with significant vasomotor symptoms and heavy (but increasingly irregular) menstruation?

The first question for a perimenopausal woman seeking treatment of her vasomotor symptoms (VMS) is whether or not she is at risk for unwanted pregnancy (all women having sex with men up to the age of 55 are at risk of pregnancy).

If she is at risk for pregnancy, it is advised to use an MHT regimen t...