Management of Menopause involves managing the symptoms that many people experience during menopause. Menopause can occur when reproductive hormones naturally decline with age, following a hysterectomy, and following some cancer therapies. Symptoms of menopause are generally the same as perimenopause – hot flashes, trouble sleeping, and vaginal dryness are common. Treatments include hormone replacement therapy, vaginal creams, antidepressant therapy, as well as treatments that can reduce accompanying risks, like medications for osteoporosis.