AKT-2766

A 54-year-old perimenopausal woman presents to the clinic with a range of menopausal symptoms, including vaginal soreness, hot flashes, poor libido, and urinary issues. She has a BMI of 31 kg/m² and a family history of unprovoked deep vein thrombosis (her father). The patient is only interested in hormone replacement therapy (HRT) and refuses to consider other treatments like antidepressants. What is the most appropriate management plan for this patient?