Alternatives to propranolol in gynecological practice include:
1. Selective Serotonin Reuptake Inhibitors (SSRIs): For managing PMS and PMDD. 2. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): For menstrual migraines. 3. Hormonal Treatments: Such as oral contraceptives for PMS and PMDD. 4. Other Beta-Blockers: Metoprolol or atenolol may be used if propranolol is not suitable.