Medical Treatment for Menopause
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Learn about the medical treatment options available to help manage your menopause symptoms.
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Medical Treatment for Menopause
- 1. Menopause Medical Treatments Beth Nicastro, BSN, MS Women’s Health Educator
- 2. Catholic Health WomenCare l WomenCareWNY.org 2 Hormone therapy is used to manage menopause symptoms and can relieve: • Hot flashes • Mood swings • Vaginal atrophy (dryness) • Sleep issues, such as the inability to fall asleep or stay asleep Estradiol is a form of estrogen that comes in pill, patch, cream or vaginal preparations. Hormone Therapy
- 3. Catholic Health WomenCare l WomenCareWNY.org 3 Hormone Therapy Candidates for therapy are: • Women in their late 40s or 50s with moderate to severe vasomotor symptoms • 50-59 years of age • In good health Hormone therapy is not recommended for women with a history of heart disease, breast cancer, blood clots, previous stroke or liver disease. Talk to your doctor about the best plan for you.
- 4. Catholic Health WomenCare l WomenCareWNY.org 4 Hormone Therapy Use the lowest dose of estrogen possible for the shortest time possible. This minimizes risks, which include blood clots and strokes. Risks are rare in ages 50-59. The risk of complications for healthy, young menopausal women who take hormone therapy for 5 years is low.
- 5. Catholic Health WomenCare l WomenCareWNY.org 5 • The best method for you • The smallest amount you can take • Cost • When to seek follow-up care • Healthy lifestyle changes If you’re considering hormone therapy, talk to your doctor about: Hormone Therapy
- 6. Catholic Health WomenCare l WomenCareWNY.org 6 • Brisdelle (Paxil) – a non-hormonal treatment for moderate to severe hot flashes • Antidepressants (Effexor or Lexapro) • Gabapentin – take at bedtime, may cause drowsiness. Can also treat epilepsy and migraines. Non-hormonal Therapies (Prescription)
- 7. Catholic Health WomenCare l WomenCareWNY.org 7 Bio-identical Hormones Bio-identical hormones are compounds that have same chemical and molecular structure as hormones produced by the body. More research is needed to understand the risks and benefits of these treatments. They are not regulated by the FDA.
- 8. Non-Prescription Therapies Catholic Health WomenCare l WomenCareWNY.org 8 Herbs can help to reduce hot flashes and improve your mood. • Black cohosh • Red clover • Ginseng • Vitamins Although these medicines are natural and are sold over-the-counter, they may interfere with prescription medications that you are already taking. For instance, they can make statin medications for high cholesterol less effective. Please consult your doctor before use.
- 9. Catholic Health WomenCare l WomenCareWNY.org 9 More Information • www.womenshealth.gov/menopause • www.menopause.org • www.ncbi.nlm.nih.gov • www.nams.org • www.acog.org • www.amfoundation.org • www.mayoclinic.org
Hinweis der Redaktion
- Estrogen use for women who have had hysterectomy- show models. Or Combined estrogen- progestin therapy for women who have an intact uterus. Estrogen is most effective for hot flashes. . Breast cancer increased with 5 or more years of therapy. Due to results of the WHI, hormone therapy is not recommended to prevent disease. .
- Consider current meds and OTC meds. Talk to MD about pros and cons. One size does not fit all! Hormone therapy: based on personal and family history Personal approach: Symptoms, age at menopause, FH and past Medical history. window of opportunity. Bisphosphonates (Fosamax, Actonel) First line treatment for osteoporosis. Estrogen is reasonable if cannot tolerate
- Rule of thumb with hormone therapy is lowest for the least
- Brisdelle: Paxil or paroxetine. 7.5 mg 10 mg (generic) for 50% price. Weight gain. s/s. **Should not take if u take tamoxifen for breast cancer. Not for depression. Antidepressants: Effexor or lexapro. Gabapentin: 100-300 mg hs less se wih lower dose- may cause drowsiness (bedtime). Can treat epilepsy and migraines.
- NAMS and ACOG continue to discuss pros and cons. ( womens health experts) Natural is not always safer Made from soy and yams. Look for products made in North america. No good clinical trials and not regulated by the FDA. Need more data for patient safety NAMS does not suggest saliva testing to determine hormone levels. Refer to patient handout. Most refer to custom made compounded formulas. Nams: Govt approved are a good option for many women.
- Black cohosh reduce hf in some studies, may be liver probs (Remifemin) Red clover no scientific studies say is useful for hf studies continue Ginseng mood and sleep not for hot flashes Promensil (soy isoflavones) may reduce hot flashes in some studies. Vitaman E and B vitamins Folic acid Tell MD WHAT VITAMINS YOU are taking. Stop 2 weeks before surgery. May interact regular meds. www.nams.org