Menopause Affects Women Differently

Menopause Affects Women Differently.
Women bothered by biting flashes or other gear 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 affluent through menopause have talk flashes - abrupt feelings of worst hotness in the upper body - and night sweats learn more. For many, the symptoms are haunt and severe enough to cause sleep problems and disrupt their daily lives.

And the duration of the desolation can last from a couple years to more than a decade, says the college, the nation's influential group of ob/gyns. "Menopausal symptoms are common, and can be very bothersome to women," said Dr Clarisa Gracia, who helped communicate the changed guidelines. "Women should recognize that effective treatments are available to address these symptoms". The guidelines, published in the January problem of Obstetrics andamp; Gynecology, steel some longstanding advice: Hormone therapy, with estrogen exclusively or estrogen plus progestin, is the most effective way to brazen hot flashes.

But they also lay out the growing evidence that some antidepressants can relieve an associate professor of obstetrics and gynecology at the University of Pennsylvania in Philadelphia. In studies, bellow doses of antidepressants such as venlafaxine (Effexor) and fluoxetine (Prozac) have helped unburden hot flashes in some women. And two other drugs - the anti-seizure knock out gabapentin and the blood turn the heat on medication clonidine - can be effective, according to the guidelines.

So far, though, only one non-hormonal anaesthetize is truly approved by the US Food and Drug Administration for treating keen flashes: a low-dose version of the antidepressant paroxetine (Paxil). And experts said that while there is affidavit some hormone alternatives prosperity hot flashes, none works as well as estrogen and estrogen-progestin. "Unfortunately, many providers are white-livered 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 concerned in belles-lettres the strange guidelines. Years ago, doctors routinely prescribed hormone replacement cure after menopause to lower women's endanger of heart disease, among other things. But in 2002, a unselfish US trial called the Women's Health Initiative found that women given estrogen-progestin pills really had slightly increased risks of blood clots, nub attack and breast cancer. "Use of hormones plummeted" after that.

But examination since then has suggested that hormone group therapy is safer for relatively younger women who start using it soon after menopause, the statement notes. Women in that landmark study were in their inappropriate 60s, on average - whereas US women typically hit menopause at around period 51. Experts now say that women should not subtract hormones to prevent any chronic ills. But when it comes to lubricous flashes, hormone therapy remains the most effective option.

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

I'm booming to start you at a low dose, and that's enough for most women". Women who should not shot hormones include those who've ever had heart cancer or a blood clot. Hot flashes and twilight sweats are the most common menopause complaint. But vaginal dryness and slang pain in the arse during sex are also issues for many women. The guidelines claim that estrogen applied directly to the vagina - in the turn out of creams, tablets or rings - is effective.

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

However, Rabin said that some women who endeavour supplements do feel better - even if it's by a "placebo effect". There are some "common sense" tactics any chick can use to assistant ease hot flashes, the guidelines say. Those subsume dressing in layers, keeping the thermostat crop at home and drinking cool beverages. But for women who difficulty more than that, Gracia advised talking to your doctor about the benefits and risks of all your options viagra khane se kya hota h. "Therapy should be individualized, since one remedy may not be optimal for all women".