The concerns regarding the safety of menopausal hormone therapy since the initial publication of the WHI trial results has lead to women turning to interventions that they can initiate themselves. The end points of interest are vasomotor symptoms, cardiovascular disease, osteoporosis, sarcopenia and prevention of cognitive decline and dementia. The options used are weight loss, changes of dietary components ( such as phytoestrogen, fat and protein content) and exercise. A recent randomised trial has shown that weight loss can revert type 2 diabetes. The effect of exercise on hot flushes is uncertain as the evidence from clinical trials are contradictory. Exercise is beneficial for the long term conditions affecting post reproductive health but needs to be individually tailored.