Which of the following therapies is NOT a non-hormonal treatment for hot flashes?

Bioidentical hormones are considered hormone therapy, which is primarily used to alleviate menopausal symptoms, including hot flashes. This therapy involves using hormones that are chemically identical to those the human body produces and is aimed at replacing the hormones that decline during menopause. Since the question specifically asks for a treatment that is NOT non-hormonal, bioidentical hormones clearly fall into the category of hormonal treatments.

Gabapentin, SSRIs, and SNRIs, on the other hand, are classified as non-hormonal treatments for hot flashes. Gabapentin is an anticonvulsant medication that has shown effectiveness in reducing the frequency and severity of hot flashes. SSRIs (selective serotonin reuptake inhibitors) are commonly used antidepressants that can also alleviate hot flashes by altering neurotransmitter levels. Similarly, SNRIs (serotonin-norepinephrine reuptake inhibitors) are another class of antidepressants effective in treating hot flashes. Collectively, these non-hormonal options offer alternatives for women looking to manage menopausal symptoms without hormone therapy.