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●● What other nonpharmacologic options are used to treat VMS?
Answer: Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
●● What are vasomotor symptoms?
Answer: Hot flushes and night sweats
●● What are the non-VMS of menopause?
Answer: Dyspareunia, vaginal dryness, mood changes, sleep
disturbances, concentration and memory issues, arthralgia
●● If patient has a uterus, you must give them
, Answer: estrogen + progestin combo
●● If patient does NOT have a uterus, you can give them
Answer: estrogen alone
●● What are the 3 main differences in estrogen of transdermal
estrogens?
Answer: 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?
Answer: Increases triglycerides
Potential for decreased libido
●● What is the Women's Health Initiative (WHI)?
Answer: Clinical study started in 1991. Studied the use of conjugated
equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in
women with and without a uterus
●● What was the most important "shocking" result from the WHI?
Answer: Estrogen + progestin combo resulted in an increased risk of
breast cancer