Final answer:
Non-hormonal options such as SSRIs and GnRH agonists can be used to treat hot flushes while menstruation is still present.
Step-by-step explanation:
The treatment for hot flushes while menstruation is still present can include:
- Non-hormonal options (e.g., SSRIs): Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine can be effective in reducing hot flushes.
- Gonadotropin-releasing hormone (GnRH) agonists: These medications suppress the production of estrogen and can help reduce hot flushes.
It is important to note that hormone replacement therapy (HRT) is not recommended in this case as it is typically used for menopause symptoms after menstruation has stopped. HRT carries certain risks and should be used cautiously under the guidance of a healthcare professional.