Management of the Vasomotor Symptoms of Menopause: Twofers in Your Clinical Toolbox.

Mayo Clin Proc

Mayo Clinic Center for Women's Health, Rochester, MN; Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL.

Published: July 2024

AI Article Synopsis

  • Each year, over 1 million women in the U.S. enter menopause, facing common symptoms like hot flashes, mood swings, and sleep problems that often go untreated.
  • Menopausal hormone therapy is the most effective method to alleviate vasomotor symptoms, especially for women under 60 or within 10 years of menopause, where the benefits typically outweigh risks.
  • For those who prefer not to use hormone therapy, there are prescription nonhormonal options that can also help with other issues like depression and anxiety, improving overall quality of life during this transition.

Article Abstract

The number of midlife women transitioning into menopause is substantial, with more than 1 million women in the United States entering menopause each year. Vasomotor symptoms (VMS), mood and sleep disturbances, and sexual problems are common during the menopause transition yet often go untreated. Menopausal hormone therapy is the most effective treatment of VMS, and the benefits typically outweigh the risks for women without contraindications who are younger than 60 years or within 10 years from menopause onset. For women who cannot or choose not to use hormone therapy, nonhormone prescription options exist to treat VMS. Many of these therapies have secondary benefits beyond VMS relief. For example, whereas paroxetine is Food and Drug Administration approved to treat VMS, it can also help with depressive and anxiety symptoms. The aim of this paper is to summarize prescription treatments of VMS and their secondary benefits for other common symptoms experienced by midlife women. The tools presented will help clinicians caring for midlife women provide individualized, comprehensive care with the goal of improving their quality of life during the menopause transition and beyond.

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Source
http://dx.doi.org/10.1016/j.mayocp.2024.03.028DOI Listing

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