Which 2 nonpharmacologic treatments are HIGHLY recommended by the North American Menopause Society (NAMS) to treat VMS? - ANS Cognitive behavioral therapy, clinical hypnosis
What other nonpharmacologic options are used to treat VMS? - ANS Temperature control (colder pillow)
Yoga/relaxatio...
, Which 2 nonpharmacologic treatments are HIGHLY recommended by the North American
Menopause Society (NAMS) to treat VMS? - ANS Cognitive behavioral therapy, clinical
hypnosis
What other nonpharmacologic options are used to treat VMS? - ANS Temperature control
(colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
K
Paced respiration (slowed down breathing)
What are vasomotor symptoms? - ANS Hot flushes and night sweats
C
What are the non-VMS of menopause? - ANS Dyspareunia, vaginal dryness, mood changes,
sleep disturbances, concentration and memory issues, arthralgia
LO
If patient has a uterus, you must give them - ANS estrogen + progestin combo
If patient does NOT have a uterus, you can give them - ANS estrogen alone
YC
What are the 3 main differences in estrogen of transdermal estrogens? - ANS Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
What are the 2 main differences in estrogen of oral estrogens? - ANS Increases triglycerides
Potential for decreased libido
D
What is the Women's Health Initiative (WHI)? - ANS Clinical study started in 1991. Studied the
use of conjugated equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in women
U
with and without a uterus
What was the most important "shocking" result from the WHI? - ANS Estrogen + progestin
ST
combo resulted in an increased risk of breast cancer
What was the problem with how the WHI ended? - ANS There was some bias in the study,
since it stopped early. Upon further investigation 18 years later, increased mortality was not
associated with hormone therapy. Women would have less side effects over time
When is it considered safe to start menopause hormone therapy (MHT) in women? - ANS
Likely safe to start in patients with no contraindications who are within 10 years of menopause,
and/or <60 years old according to NAMS (North American Menopause Society)
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