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About 20% of women report having used a vaginal lubrication product in the past 30 days. Knowing what is in these widely used products can help your patients select from [...]

Expert perspectives on menopausal hormone therapy and breast cancer risk, nonindicated bilateral salpingo-oophorectomy in pre- and perimenopausal women, benefits of hormone therapy for depression in menopause, and the American Heart [...]

Although there is no commercially available FDA-approved testosterone preparation for use in women, clinicians have been providing testosterone supplementation to women for decades, with clinical improvement. How do these experts [...]

INTRODUCTION The aging of the US population has led to a substantial increase in the number of postmenopausal women. Currently, there are an estimated 64 million women in the United [...]

INTRODUCTION Of the approximately 64 million women in the United States who are postmenopausal, at least half--estimated at more than 32 million women--have symptoms of vulvovaginal atrophy (VVA) or dyspareunia, [...]

Menstrual bleeding was significantly reduced among women with uterine fibroids who took a new once-daily combination of relugolix (an oral gonadotropin-releasing hormone receptor antagonist) plus estrogen/ progestin versus placebo. There [...]

As new options for managing menopausal symptoms emerge, so do data on their efficacy and safety. In this article, I highlight the following publications: * long-term follow-up data from the [...]

Since the last installment of this Update on Sexual Dysfunction, three new drugs have been added to the armamentarium for menopausal symptoms and dyspareunia: * paroxetine 7.5 mg (Brisdelle) * [...]

Estrogen therapy is highly effective in the treatment of hot flashes among postmenopausal women. For postmenopausal women with a uterus, estrogen treatment for hot flashes is almost always combined with [...]

How do you now manage her menopausal symptoms, including bothersome hot flashes? CASE Atypical ductal hyperplasia Your 56-year-old, married, white patient has been on hormone therapy (H'F) since age 52 [...]

At menopause, a woman's risk of cardiovascular disease (CVD) begins to increase. The prevalence of coronary heart disease (CHD) increases from 5.5% in women aged 45 to 54, to 8.4% [...]

A variety of well-respected observational and randomized clinical trials have shown that hormone therapy (HT) effectively treats and prevents menopausal symptoms and osteoporosis. (1-4) Controversial issues concerning additional potential risks [...]

Practice recommendations * Ask your patients about complementary and alternative therapies; 21% of women say they use complementary or alternative therapies only, and another 25% say they use both conventional [...]

In this special installment of Cases in Menopause, I interview series contributor and menopause expert JoAnn V. Pinkerton, MD. We discuss a fairly new therapy: the combination conjugated estrogen and [...]

Position Statement emphasizes differences in the benefit-risk profile of estrogen-only HT and estrogen-progestin HT Periodically, NAMS assembles a multidisciplinary panel of clinicians and researchers to evaluate new evidence about HT [...]

EVIDENCE-BASED ANSWER No single test for menopause is highly sensitive and specific. The best predictors that a woman will enter menopause within 4 years include age at least 50 years, [...]

Androgens have direct central nervous effects that modulate endocrine factors associated with hot flashes. Combining androgen therapy with estrogens is an option for the relief of hot flashes in postmenopausal [...]

* EVIDENCE-BASED ANSWER Regular exercise may reduce vasomotor syrupores of menopause (strength of recommendation [SOR]: C--single observational study). (1) Soy products/isoflavones, either through diet or supplementation, may reduce the incidence [...]

A new mobile app for iPhone and iPad enables both clinicians and patients to make decisions about menopausal therapies for moderate to severe hot flashes, night sweats, and/or genitourinary symptoms. [...]

Estrogen relieves physical symptoms of menopause, and new research supports its effectiveness in relieving emotional symptoms as well, said Dr. Claudio de Novaes Soares of the University of Sao Paulo [...]

The Emerita menopause kit combines ProGest, a natural progesterone cream; Phytoestrogen Body Cream; and Personal Lubricant, which helps relieve vaginal dryness. The 2-oz. products are packaged in one box and [...]

ORLANDO, FLA. -- The usual dose of hormone-replacement therapy should be cut in half when given to women with end-stage renal disease because women with severely impaired kidney function have [...]

Estrogen at 0.3 mg/day is adequate. WASHINGTON -- Low-dose hormone replacement therapy is as effective as conventional HRT in decreasing both the number and severity of hot flashes and in [...]

Menopause and Hormone Replacement Therapy: Effective Patient Care SILVERPLATTER INFORMATION INC. (NOW HEALTHSTREAM), 246 WALNUT ST, STE 302, NEWTON, MA 02160-1639. PHONE: (617) 244-5979 OR (800) 521-0574. E-MAIL: PHP@SILVERIPLATTER.COM. WEB [...]

SAN ANTONIO -- The good news for fans of complementary and alternative medicine is that soy phytoestrogens have consistently achieved a moderate reduction in hot flashes in women with breast [...]

"Guidelines for Counseling Women on the Management of Menopause" reviews the principles of patient counseling, information on methods for managing diseases of advancing age, and resources for clinicians and women. [...]

Guidelines for Counseling Women on the Management of Menopause EMILY SCHIFRIN, ED. JACOBS INSTITUTE OF WOMEN'S HEALTH, WASHINGTON, DC, 2000. 30 PAGES. AVAILABLE FOR FREE DOWNLOAD AT WWW.JIWH.ORG/MENODOWNLOAD.HTM; HARD COPIES [...]

ORLANDO, FLA. -- The North American Menopause Society has launched two new examinations intended to demonstrate the competency of health care providers in the field of menopause medicine. "We believe [...]

NEW YORK -- Many herbal supplements can provide significant benefits to menopausal women as long as they have realistic expectations, buy quality products, and use them properly, according to Dr. [...]

NEW YORK -- Many herbal supplements can provide significant benefits to menopausal women as long as they have realistic expectations, buy quality products, and use them properly, according to Dr. [...]

TORONTO -- The successful transplantation of frozen ovarian tissue for the first time is still far from the long-term reversal of menopause that many news articles hailed it as, according [...]

SAN DIEGO -- Application of specially formulated testosterone patches produced significant improvements in sexual function and psychological well-being in women who had undergone surgical menopause and were taking estrogen replacement. [...]

NEW ORLEANS -- Among the growing universe of popular complementary therapies for alleviation of menopausal symptoms, black cohosh stands out as one that appears to be safe and effective, Dr. [...]

CASE Premature treatment for osteopenia A 57-year-old woman presents to establish care and discuss concerns related to menopause and osteoporosis management. She is G2P2, healthy, 5 ft 6 in, and [...]

FROM THE ANNUAL MEETING OF THE ENDOCRINE SOCIETY SAN DIEGO -- The scale that weighs risks and benefits tips more favorably for newly menopausal women who begin hormone therapy at [...]

When estrogen therapy is initiated within 10 years of menopause, it may reduce the risk of CAD, according to data from the WHI randomized trial and observational data. The picture [...]

Because unopposed estrogen raises the risk of endometrial hyperplasia and adenocarcinoma, we prescribe progestational therapy when a menopausal woman who has an intact uterus decides to use estrogen. Some ObGyns [...]

WASHINGTON -- The latest position statement on hormone therapy in peri- and post-menopausal women issued by the North American Menopause Society moderates prior guidance on treatment duration and adds a [...]

The first alternative to hormone therapy for treating hot flashes should be a lifestyle approach, such as instituting an exercise regimen or practicing controlled breathing techniques, according to a statement [...]

NATIONAL HARBOR, MD. -- Relizen, a nonhormonal purified pollen extract with demonstrated efficacy in treating vasomotor symptoms of menopause, had negligible effects on the CYP2D6 enzyme at five times the [...]

WASHINGTON--The use of combination hormone replacement therapy is expected to be limited mainly to short-term treatment of menopausal symptoms, now that a landmark trial has found that the overall risks [...]

FROM JAMA Taking the GnRH analogue triptorelin during chemotherapy led to a 17% absolute reduction in the occurrence of early menopause in young women with early-stage breast cancer, investigators reported. [...]

The article on HT asked for feedback from readers about how we manage menopausal patients. I see a large population of menopausal and postmenopausal women in my practice. To manage [...]

We have long recognized the important role vitamin D plays in promoting calcium absorption from the gut and maintaining adequate serum calcium and phosphate concentrations to enable normal bone mineralization. [...]

Much has changed in the management of menopausal women. The Women's Health Initiative (WHI) and other trials shed light on the risk-benefit ratio of hormone therapy (HT) and significantly altered [...]

Hormone therapy to treat menopause-related symptoms or to reduce the risk of certain disorders in postmenopausal women is associated with a favorable risk-benefit ratio when initiated around the time of [...]

Postmenopausal women improved their physical fitness and reported reductions in the severity of menopausal symptoms after 12-24 weeks of aerobic exercise in three 70-minute sessions per week. The 65 women [...]

DENVER -- Menopausal status appears to modify the relationship between inflammation and bone mineral density, on the basis of Findings from the Framingham Osteoporosis Study. Postmenopausal women on estrogen replacement [...]

SAN ANTONIO--A course of acupuncture reduced hot flashes in women with a history of breast cancer by more than half while improving sleep and quality-of-life measures to a similar extent [...]

NEW ORLEANS -- Compounded transdermal hormone therapy relieves menopausal symptoms while improving cardiovascular risk factors and inflammatory and thrombotic biomarkers, according to a preliminary study. "By replacing the hormone that's [...]