Postmenopausal hot flashes
Hi, my aunt is a white 60-year-old postmenopausal woman who complains of hot flashes. She is otherwise healthy, taking only a daily multivitamin. She has no children and lives with her husband. She had breast cancer 12 years earlier. Would anybody suggest any therapy?
@Abhik Seventy-five percent of women older than 50 years will experience vasomotor symptoms (VMSs) such as hot flashes and night sweats. Many FDA-approved medications are available for treating VMSs, and most contain estrogen alone or in combination with a progestin. The American Association of Clinical Endocrinologists, American College of Obstetricians and Gynecologists, and the North American Menopause Society recommend hormone replacement therapy (HRT) prescribed at the lowest effective dose and for the shortest duration possible in women for whom the benefits outweigh the risks.
HRT is the most effective and well-studied treatment option for VMSs; however, due to her history of breast cancer, it is contraindicated. Therefore, nonhormonal therapies and/or lifestyle changes are an appropriate treatment option for relief of VMSs.
Lifestyle changes are also recommended for all women with VMSs associated with menopause. Women should be encouraged to wear loose-fitting, lightweight, cotton clothing; avoid hot foods and drinks; and dress in layers to regulate their core body temperature. Regular physical activity, relaxation techniques, weight loss, and smoking cessation have also been effective in alleviating VMSs.