###Human: Is there any treatment other than hormonal pills for perimenopause symptoms? ###Assistant: Hello. That is really sad to hear about your mother but I would like to add into your information that evidence suggests that HRT does not significantly increase the risk of breast cancer. It is only contraindicated if the person taking HRT has breast cancer already. Secondly, yes other options (SSRI, SNRI, Clonidine, Primrose oil, Black cohosh, Red clover, etc.) are available for menopausal symptoms. But the choice of the treatment option depends on your symptoms. Many over-the-counter drugs like evening Primrose oil, etc., are available which are helpful to many women in relieving their symptoms. Another way is the choice of route of administration of hormones like pills, skin patches, vaginal rings, etc. These again depend on your symptoms and your overall medical fitness. Hope this information has given you a brief idea regarding options for your query.