Treatment strategies for hot flushes

Shen, Wen; Stearns, Vered

doi:10.1517/14656560902868217

Cited by 40 publications

(26 citation statements)

References 98 publications

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“…Lifestyle strategies such as wearing cotton clothes, dressing in layers, using a fan and avoiding hot food and drink, have been recommended for reducing core body temperature. 44,45 The prevalence of use of these strategies, however, has rarely been investigated. A study of naturally postmenopausal women living in Malaysia, 17 reported that sleeping in an air-conditioned room was the most commonly used self-care strategy for managing night sweats (used by 43% of women).…”

Section: Discussionmentioning

confidence: 99%

The impact and management of symptoms experienced at midlife: a community‐based study of women in northeast Scotland

Duffy

Iversen

Hannaford

2012

BJOG

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Objectives To determine the frequency and management of menopausal symptoms among community-dwelling women.Design Cross-sectional study.Setting Northeast Scotland.Population Women aged 45-54 years registered with 16 general practices.Methods In 2009, a self-completed questionnaire enquiring about the frequency, associated level of bothersomeness and management of 23 symptoms experienced during the previous month was sent to 8206 women.Main outcome measures The proportion (95% CI) of women reporting each symptom and management strategy.Results Hot flushes, night sweats and vaginal dryness were reported by 46.7% (95% CI 45.2-48.2), 46.4% (95% CI 44.9-47.9) and 28.2% (95% CI 26.9-29.6) of women, respectively. Two-fifths of women rated these symptoms as quite bothersome or extremely bothersome. More than 60% managed menopausal symptoms using social support by talking to friends and family. Avoidance or alleviating options were common. Herbal remedies were more commonly used than prescription drugs. Current hormone replacement therapy use was highest among surgically menopausal women (21%); 8% of postmenopausal and <2% of perimenopausal women with symptoms were using hormone replacement therapy. Many women had sought information about symptom management. More than one-third of women wanted more support about menopausal symptoms from their general practitioner or practice nurse.Conclusion Following the publication of the Women's Health Initiative trial results, menopausal symptoms remain common and are often bothersome. Many women seek information about menopausal symptoms from healthcare professionals. Future studies should look beyond frequently researched management strategies, to consider other commonly used options, such as social support, strategies to reduce core body temperature and information about managing menopausal symptoms.

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Section: Discussionmentioning

confidence: 99%

The impact and management of symptoms experienced at midlife: a community‐based study of women in northeast Scotland

Duffy

Iversen

Hannaford

2012

BJOG

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“…Hot flushes and night sweats often cause discomfort and may negatively impact quality of life (3,4). The gold standard for treating HF is hormone therapy (HT) (5), which reduces the flushes by 75% (6). The use of HT has changed dramatically over the past 50 years.…”

Section: Introductionmentioning

confidence: 99%

Hot flushes, hormone therapy and alternative treatments: 30 years of experience from Sweden

et al. 2014

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Objectives The use of hormone therapy (HT) for hot flushes has changed dramatically over the past five decades.In this cross-sectional questionnaire study, the aim was to describe the use of HT and alternative treatments and to study the frequency of hot flushes. A further aim was to compare data from the present questionnaire with data from previous studies made in the same geographic area.Method A questionnaire was sent to a random sample of 2,000 women aged 47-56 years living in Östergötland County, Sweden. The results were compared with findings from previous studies regarding use of HT, alternative treatment and hot flushes, and the number of HT prescriptions dispensed during the corresponding time using data derived from the Swedish Prescribed Drug Registry. ResultsThe response rate was 66%. Six percent used HT, in line with prevalence data from the Swedish Prescribed Drug Registry. Alternative treatments were used by 10%. About 70% of postmenopausal women reported flushes and almost one third of those with flushes stated that they would be positive to HT if therapy could be shown to be harmless, a view more often stated by women with severe complaints of hot flushes (67%). ConclusionThe use of HT and alternative treatments is low and many women suffer from flushes that could be treated. Women considered their knowledge of the climacteric period and treatment options as insufficient. Individualized information should be given and women with significant climacteric complaints, without contraindications, should be given the opportunity to try HT.3

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“…Now the hypothesis of a primary deficiency of inhibin products by aging ovaries dominates. Its decline causes increase of FSH and then of LH [1][2][3][4]12]. That is, the levels of FSH and inhibin are inversely proportional ratios, that leads to anovulatory cycles and in future to complete follicular atresia [2][3][4].…”

Section: Problem Statement and Analysis Of The Recent Researchmentioning

confidence: 99%

The modern approach to the correction of menopausal disorders in women with physiological menopause and after ovariectomy

et al. 2017

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The problem of menopause attracts attention for many decades of not only gynecologists, but urologists, cardiologists, psychiatrists and other doctors. This is related to systemic complications of estrogen deficiency. The objective of our work is to establish clinical and hormonal changes in women of menopausal age with physiological menopause and after ovariectomy and also assess the effectiveness of the offered treatment. During the examination and treatment the women were divided as follows: I -main group -48 women with physiological menopause: Ia (n=27) -within three months received a complex of non-hormonal treatment, Ib (n=21) -hormone replacement therapy (HRT); II group -34 women after total ovariectomy: IIa (16) with therapeutic purpose received a complex of non-hormonal treatment for three months, IIb (18) -HRT. The offered complex of non-hormonal treatment included Cimicifuga, Menopace, Noophen. This treatment was used in women with early menopause who have contraindications to HRT or refused to take hormones. The degree of severity of menopausal syndrome was judged according to the menopausal index of Kuperman. In the study of hormonal status the determination of a set of hormones by immunochemical method was performed. During study we obtained results that indicate the inverse dynamics of menopausal disorders in both study groups. For the prevention and treatment of individual selection of treatment of climax manifestations it is appropriate the dynamic definition of hormonal mirrors of the patients.

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Treatment strategies for hot flushes

Cited by 40 publications

References 98 publications

The impact and management of symptoms experienced at midlife: a community‐based study of women in northeast Scotland

The impact and management of symptoms experienced at midlife: a community‐based study of women in northeast Scotland

Hot flushes, hormone therapy and alternative treatments: 30 years of experience from Sweden

The modern approach to the correction of menopausal disorders in women with physiological menopause and after ovariectomy

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