Are there OTC products I could use in place of HRT?

There are many products you can purchase over the counter (OTC) to try and ease symptoms of menopause. Black Cohosh has been used for decades to ease hot flashes. Products that contain soy isoflavones generally work well too. Keep in mind that not all OTC products are regulated by the FDA so quality and efficacy can be a concern. Always tell your doctor what you're taking especially when obtaining a new prescription. Many OTC products and prescription medicines don't interact well together.