56 years old woman has come to OPD with the complaints of hot flushes, irritability, joint pains and lack of sleep. Most appropriate treatment would be:

The symptoms that the patient is suffering from are post menopausal symptoms due to deficiency of estrogens. Therefore the alletion of these shall require hormone replacement therapy Indications of hormone replacement therapy in a menopausal woman Relief of vasomotor symptoms: hot flushes Prevention and treatment of osteoporosis Urogenital atrophy Depression, insomnia Premature Menopause Drugs used for H Estradiol Conjugated equine Estrogen Tibolone Synthetic Estrogen combined estrogen + progesterones SERM(Selective Estrogen Receptor Modulator) Raloxifene Estrogenic on bone C/I for Hot flushes Plant Estrogen Bisphosphonates: only for osteoporosis, not for vasomotor symptoms Alendronate Risendronate