Menopause Affects Women Differently

Menopause Affects Women Differently.


Women bothered by pretentiousness flashes or other chattels of menopause have a number of treatment options - hormonal or not, according to updated guidelines from the American College of Obstetricians and Gynecologists. It's estimated that anywhere from 50 percent to 82 percent of women effective through menopause have flatulence flashes - sudden feelings of extreme enthusiasm in the upper body - and night sweats provillus. For many, the symptoms are frequent and severe enough to cause nod off problems and disrupt their daily lives.



And the duration of the misery can last from a couple years to more than a decade, says the college, the nation's matchless group of ob/gyns. "Menopausal symptoms are common, and can be very bothersome to women," said Dr Clarisa Gracia, who helped correspond the new guidelines. "Women should differentiate that effective treatments are available to address these symptoms" try vimax. The guidelines, published in the January pay-off of Obstetrics andamp; Gynecology, reinforce some longstanding advice: Hormone therapy, with estrogen unique or estrogen plus progestin, is the most effective way to cool hot flashes.



But they also go to bed out the growing evidence that some antidepressants can help an associate professor of obstetrics and gynecology at the University of Pennsylvania in Philadelphia. In studies, unfavourable doses of antidepressants such as venlafaxine (Effexor) and fluoxetine (Prozac) have helped abate hot flashes in some women. And two other drugs - the anti-seizure stimulant gabapentin and the blood pressure medication clonidine - can be effective, according to the guidelines.



So far, though, only one non-hormonal cure is actually approved by the US Food and Drug Administration for treating popular flashes: a low-dose version of the antidepressant paroxetine (Paxil). And experts said that while there is statement some hormone alternatives ease hot flashes, none works as well as estrogen and estrogen-progestin. "Unfortunately, many providers are apprehensive to prescribe hormones.



And a lot of the time, women are fearful," said Dr Patricia Sulak, an ob/gyn at Scott andamp; White Hospital in Temple, Texas, who was not twisted in literature the new guidelines. Years ago, doctors routinely prescribed hormone replacement analysis after menopause to lower women's risk of heart disease, among other things. But in 2002, a stocky US trial called the Women's Health Initiative found that women given estrogen-progestin pills in point of fact had slightly increased risks of blood clots, heart attack and breast cancer. "Use of hormones plummeted" after that.



But analysis since then has suggested that hormone therapy is safer for more younger women who start using it soon after menopause, the report notes. Women in that landmark study were in their untimely 60s, on average - whereas US women typically hit menopause at around age 51. Experts now utter that women should not take hormones to prevent any chronic ills. But when it comes to unpredictable flashes, hormone therapy remains the most effective option.



Another ob/gyn agreed that doctors and women similar are often reluctant to consider hormones. "Since the Women's Health Initiative, we've been be little fishes swimming upstream," said Dr Jill Rabin, of Long Island Jewish Medical Center in New Hyde Park, NY To hand misprise any risks it's important to keep the hormone dose at the lowest level needed to replace a woman's symptoms. "I'm an estrogen minimalist.



I'm going to start you at a low dose, and that's enough for most women". Women who should not hear hormones include those who've ever had breast cancer or a blood clot. Hot flashes and tenebriousness sweats are the most common menopause complaint. But vaginal dryness and distress during sex are also issues for many women. The guidelines say that estrogen applied just to the vagina - in the form of creams, tablets or rings - is effective.



So "Very little" of that estrogen gets into the bloodstream so the imperil of side effects is considered small. And just this year, the FDA approved a additional option for treating painful sex in postmenopausal women. It's a troche called ospemifene (Osphena), and it has estrogen-like effects on the lining of the vagina. As for "natural" remedies, such as soy and unconscionable cohosh, studies have failed to prove they're functioning for hot flashes and night sweats, the guidelines say.



However, Rabin said that some women who try supplements do feel better - even if it's by a "placebo effect". There are some "common sense" tactics any handmaiden can use to help ease hot flashes, the guidelines say. Those include dressing in layers, keeping the thermostat let at home and drinking cool beverages. But for women who sine qua non more than that, Gracia advised talking to your doctor about the benefits and risks of all your options product. "Therapy should be individualized, since one group therapy may not be optimal for all women".

tag : women flashes estrogen guidelines menopause effective hormone hormones therapy

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