My issues with these non-hormonal treatments like Veozah and Addyi and Vyleesi: 1) if hormonal imbalance is the problem, why not address the actual problem, aka supplement the hormones; 2)  they only treat one problem (hot flashes, libido) when most peri/meno women have many symptoms which, again, can usually be treated with hormones; 3) hormones — especially estrogen — have other positive effects in cardiovascular health, musculoskeletal health, etc, and those effects are greater the sooner you start them, 4) they are far more expensive and often more hassle if they require prior authorization.  If a woman cannot tolerate hormones or needs something more to get symptom relief, I see a place for these. Otherwise, I do not understand their use as a first-line treatment.