Women who have both the uterus and ovaries removed usually just get estrogen replacement therapy (ERT) alone. But women who have only the ovaries removed need both estrogen and progestin. That's because estrogen alone can increase the risk of cancer in the uterus.Jun 21, 2020
The majority of women will experience bothersome vasomotor symptoms (VMS). Menopausal hormone therapy (MHT) is the most effective treatment for these symptoms.
Selective serotonin reuptake inhibitors (SSRIs) and selective serotonin-norepinephrine reuptake inhibitors (SNRIs) are effective non-hormonal alternatives for vasomotor symptoms [15], reducing HFs intensity and frequency in percentages ranging from 20% to 65% [15–18].Mar 11, 2019
They include hot flashes, night sweats, heart palpitations, and changes in blood pressure. The most likely reason why these symptoms can occur during menopause is that hormonal fluctuations affect the mechanisms that control blood pressure and temperature control.
Taking estrogen without progesterone increases your risk for cancer of the endometrium (the lining of the uterus). During your reproductive years, cells from your endometrium are shed during menstruation.Jun 28, 2021
Vasomotor symptoms are best managed with systemic HT, although alternatives such as SSRIs, SNRIs, and clonidine have been shown to be effective. Vaginal symptoms are best treated with systemic or topical HT, but topical methods are preferable as they have fewer adverse effects.Sep 1, 2014
Conclusions: The data suggest that antidepressant and antianxiety medications are more helpful than HRT in relieving peri- and postmenopausal depression or anxiety. However, most women managed the mood changes associated with menopause without psychopharmacologic intervention.
SSRIs – The selective serotonin receptor inhibitors (SSRIs) are the class of antidepressants used most commonly for treating hot flashes. A form of paroxetine (sample brand name: Brisdelle) is an SSRI and is the only nonhormonal therapy that is specifically approved for hot flashes in the United States.Oct 19, 2021
What are the alternatives to HRT?Herbal medicine - a practice based on the use of plants or plant extracts to relieve symptoms, e.g. evening primrose oil or St John's Wort.Alternative medicine - a range of therapies used instead of conventional medicine, such as acupressure, acupuncture and homeopathy.More items...
Vasomotor symptoms include hot flashes and flushes—sudden, wavelike sensations of intense heat usually starting about the neck and spreading over the body and face, causing a flush followed by perspiration with a chill. Night sweats are hot flashes that occur during the night and are accompanied by drenching sweats.