Fast Five Quiz: Do You Know the Conditions Associated With Menopause and How Best to Treat Them?

Michel E. Rivlin, MD


January 20, 2015

In January 2014, the American College of Obstetricians and Gynecologists released an updated Practice Bulletin following:

  • Systemic hormone therapy with estrogen or estrogen plus progestin is the most effective treatment for vasomotor symptoms.

  • Low-dose estrogen and ultra-low systemic doses of estrogen have a better adverse effect profile than standard doses.

  • Alternatives to hormone therapy for vasomotor symptoms include selective serotonin reuptake inhibitors, selective serotonin and norepinephrine reuptake inhibitors, clonidine, and gabapentin.

  • Use of progestin alone, testosterone, compounded bioidentical hormones, phytoestrogens, herbal supplements, and lifestyle modifications are not supported by the data.

For more on treatment of menopause-related symptoms, read here.

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