EMAS position statement: Non-hormonal management of menopausal vasomotor symptoms


Mintziori G., Lambrinoudaki I., Goulis D. G. , Ceausu I., Depypere H., Erel C. T. , ...Daha Fazla

Maturitas, cilt.81, sa.3, ss.410-413, 2015 (SCI Expanded İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 81 Konu: 3
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1016/j.maturitas.2015.04.009
  • Dergi Adı: Maturitas
  • Sayfa Sayıları: ss.410-413

Özet

© 2015 Elsevier Ireland Ltd. All rights reserved.Aim: To review non-hormonal therapy options for menopausal vasomotor symptoms. The current EMAS position paper aims to provide to provide guidance for managing peri- and postmenopausal women who cannot or do not wish to take menopausal hormone therapy (MHT). Material and methods: Literature review and consensus of expert opinion. Results: Non-hormonal management of menopausal symptoms includes lifestyle modifications, diet and food supplements, non-hormonal medications and application of behavioral and alternative medicine therapies. There is insufficient or conflicting evidence to suggest that exercise, supplements or a diet rich in phytoestrogens are effective for vasomotor menopausal symptoms. Selective serotonin-reuptake inhibitors (SSRIs), serotonin norepinephrine-reuptake inhibitors (SNRIs) and gabapentin could be proposed as alternatives to MHT for menopausal symptoms, mainly hot flushes. Behavioral therapies and alternative medicine interventions have been tried, but the available evidence is still limited. Conclusions: A number of interventions for non-hormonal management of menopausal vasomotor symptoms are now available. For women who cannot or do not wish to take estrogens, non-hormonal management is now a realistic option.