J Clin Outcomes Manage
Vasomotor symptoms: an evidence-based approach to medical management
Abstract: Objective: To present an evidence-based approach to medical management of vasomotor symptoms. Methods: Literature review. Results: Vasomotor symptoms are the most common problem occurring during the menopause transition. The degree of severity of vasomotor symptoms varies from mild to severe. Treatment may be indicated if menopausal symptoms interfere with a woman’s daily functioning and quality of life. The prevailing symptoms should be clarified, and the different options should be explained. Some women simply wait for the menopause to pass. Many women choose self-care and lifestyle changes. Many women are interested in herbal options or other complementary or alternative remedies. There is a range of hormone treatments, and there are nonhormonal prescription medications as well. Conclusion: The most effective intervention for relief of vasomotor symptoms is estrogen. Tibolone may have similar effectiveness. Phytoestrogens may provide a modest benefit
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