What is the 1st line treatment for menopausal?

Antidepressants — Antidepressant medications are recommended as a first-line treatment for hot flashes in people who cannot take estrogen. SSRIs – The selective serotonin receptor inhibitors (SSRIs) are the class of antidepressants used most commonly for treating hot flashes.

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What is the most common treatment for menopause?

The main medicine treatment for menopause and perimenopause symptoms is hormone replacement therapy (HRT), which replaces the hormones that are at low levels. There are other treatments if you cannot, or choose not to, have HRT.

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What is the gold standard treatment for menopause?

Oestrogen therapy is considered the gold standard treatment, effective in 90% of women with hot flushes. Low doses of oestrogen are sufficient to control even the severest of symptoms and are also effective in maintaining bone mass.

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What is the first line of HRT?

Transdermal estradiol is first line, especially in women with higher VTE and CVD risk and migraines. Symptoms often are better controlled but transdermal progestogen might not be that well absorbed and compliance with oral progestogen can be a concern when HRT is given as two products. 7.

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Which HRT is best for menopause?

Continuous combined HRT is usually recommended for women who are postmenopausal. A woman is usually said to be postmenopausal if she has not had a period for 1 year. Continuous combined HRT involves taking oestrogen and progestogen every day without a break.

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What's Your Menopause Type? | Heather Hirsch, MD

21 related questions found

What is the downside of HRT for menopause?

Combined HRT can be associated with a small increase in the risk of breast cancer. The increased risk is related to how long you take HRT, and it falls after you stop taking it. Because of the risk of breast cancer, it's especially important to attend all your breast cancer screening appointments if you're taking HRT.

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Is it better to take estrogen or progesterone for menopause?

Estrogen can reduce menopausal symptoms like hot flashes, night sweats and vaginal dryness. If you have a uterus, you'll likely need to take progesterone along with the estrogen. Estrogen without progesterone increases the risk of uterine cancer.

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Does HRT cause weight gain?

Many women believe that taking HRT will make them put on weight, but there's no evidence to support this claim. You may gain some weight during the menopause, but this often happens regardless of whether you take HRT. Exercising regularly and eating a healthy diet should help you to lose any unwanted weight.

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How long after starting HRT do you feel a difference?

It may take a few weeks to feel the effects of treatment and there may be some side effects at first. A GP will usually recommend trying treatment for 3 months to see if it helps. If it does not, they may suggest changing your dose, or changing the type of HRT you're taking.

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Is it worth starting HRT after menopause?

Answer. Hormone therapy can be extremely beneficial for bone health purposes for women up to the age of 60 years, and in some circumstances women may continue hormone therapy after this age, depending on their general health, family history and bone density / history of fracture.

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What is the new menopause drug in 2023?

By Eileen Bailey on May 18, 2023 — Fact checked by Alexandra Sanfins, Ph. D. It's estimated that up to 80% of women in menopause will experience vasomotor symptoms, also known as hot flashes. Federal regulators have now approved a new drug, Veozah, to treat this particular menopausal symptom.

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What do doctors recommend for menopause?

Treatments may include:
  • Hormone therapy. Estrogen therapy is the most effective treatment option for relieving menopausal hot flashes. ...
  • Vaginal estrogen. ...
  • Low-dose antidepressants. ...
  • Gabapentin (Gralise, Horizant, Neurontin). ...
  • Clonidine (Catapres, Kapvay). ...
  • Fezolinetant (Veozah). ...
  • Medications to prevent or treat osteoporosis.

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What is the new pill for menopause in Australia?

Oestrogen plus SERM is a newer treatment for menopause. It is a combination therapy containing an oestrogen with a SERM (selective oestrogen receptor modulator) called bazedoxefine. It is taken as a tablet and can improve menopausal symptoms of hot flushes and night sweats, and prevent osteoporosis.

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What is the new treatment for menopause?

FDA Approves Novel Drug to Treat Moderate to Severe Hot Flashes Caused by Menopause. Today, the U.S. Food and Drug Administration approved Veozah (fezolinetant), an oral medication for the treatment of moderate to severe vasomotor symptoms, or hot flashes, caused by menopause.

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How can I increase my estrogen naturally?

Nuts and Seeds, including almonds, flaxseeds, peanuts, sesame seeds, sunflower seeds. Soy and soy products, such as soybeans, tofu, miso soup, miso paste. Vegetables, particularly broccoli, Brussels sprouts, kale, onions, spinach, sprouts.

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What are the signs that you need hormone replacement therapy?

What Are the Signs that You Need Hormone Replacement Therapy?
  • Low sex drive. The lack of estrogen can cause changes in your libido, and some women may find it more difficult to become sexually aroused. ...
  • Chronic Vaginal Itching and Burning. ...
  • Night Sweats. ...
  • Mood Swings. ...
  • Chronic Insomnia. ...
  • Hot Flashes. ...
  • Hair Loss. ...
  • Urinary Problems.

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Did you lose weight after starting HRT?

NHS Inform says although many women believe taking HRT will make them put on weight, there is no evidence that this is the case. And many actually find they lose weight by using HRT as it shifts the metabolism back into a pre-menopausal state. Studies have backed this up too.

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Can you lose weight after starting HRT?

Hormone replacement therapy can help in many ways with your weight loss goals if you're suffering from symptoms of menopause. Several studies have found that menopausal HRT can have a big impact not only on weight loss, but also how much fat your body stores and where.

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How long after starting HRT will I lose weight?

While many people notice improvements in sleep or mood within weeks of starting HRT, changes like improved muscle mass or fat loss can take at least three to six months.

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Will I lose belly fat on HRT?

Hormone replacement therapy (HRT) can affect weight loss in women. In addition to having less abdominal fat, the same study found that women undergoing HRT were almost one whole point lower on the body mass index (BMI) scale, and they had nearly 3 pounds less of fat mass.

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What are the symptoms of low estrogen?

Symptoms of low estrogen can include:
  • Hot flashes, flushes, and night sweats are the most common symptoms of low estrogen. At times, blood rushes to your skin's surface. ...
  • Mood swings are another effect of low estrogen. You may feel sad, anxious, or frustrated. ...
  • Thinning tissues may cause discomfort.

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What are the most common side effects of HRT?

Hormone replacement therapy (HRT) is medicine used to treat the symptoms of the menopause. It is common to have side effects in the first few months of taking HRT. These usually settle on their own within 6 to 8 weeks. Side effects include weight gain, irregular bleeding, feeling sick (nausea) and skin irritation.

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Does vitamin D increase estrogen?

A Fred Hutchinson Cancer Research Center study involving postmenopausal, overweight, and obese women who took 2,000 IUs of vitamin D daily for a year found that those whose vitamin D blood levels increased the most had the greatest reductions in blood estrogens, which are a known risk factor for breast cancer.

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What happens if you don't take estrogen and progesterone together?

Progesterone is used along with estrogen. Taking estrogen without progesterone increases your risk for cancer of the endometrium (the lining of the uterus). During your reproductive years, cells from your endometrium are shed during menstruation.

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