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=== Other efforts === * Lack of lubrication is a common problem during and after perimenopause. Vaginal moisturizers can help women with overall dryness, and lubricants can help with lubrication difficulties that may be present during intercourse. It is worth pointing out that moisturizers and lubricants are different products for different issues: some women complain that their genitalia are uncomfortably dry all the time, and they may do better with moisturizers. Those who need only lubricants do well using them only during intercourse. * Low-dose prescription vaginal estrogen products such as estrogen creams are generally a safe way to use estrogen topically, to help vaginal thinning and dryness problems (see [[vaginal atrophy]]) while only minimally increasing the levels of estrogen in the bloodstream. * Individual counseling or support groups can sometimes be helpful to handle sad, depressed, anxious or confused feelings women may be having as they pass through what can be for some a very challenging transition time. * [[Osteoporosis]] can be minimized by [[smoking cessation]], adequate [[vitamin D]] intake and regular weight-bearing exercise. The bisphosphonate drug alendronate may decrease the risk of a fracture, in women that have both bone loss and a previous fracture and less so for those with just osteoporosis.<ref>{{cite journal |vauthors=Wells GA, Cranney A, Peterson J, Boucher M, Shea B, Robinson V, Coyle D, Tugwell P |date=January 2008 |title=Alendronate for the primary and secondary prevention of osteoporotic fractures in postmenopausal women |journal=The Cochrane Database of Systematic Reviews |issue=1 |pages=CD001155 |doi=10.1002/14651858.CD001155.pub2 |pmid=18253985}}</ref> * A surgical procedure where a part of one of the ovaries is removed earlier in life and frozen and then over time thawed and returned to the body ([[ovarian tissue cryopreservation]]) has been tried. While at least 11 women have undergone the procedure and paid over Β£6,000, there is no evidence it is safe or effective.<ref>{{Cite web |date=28 January 2020 |title=Concerns over new 'menopause delay' procedure |url=https://www.bbc.com/news/health-51269237 |website=BBC News}}</ref>
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