DotS the definition of mind and body practices may vary. In Mind and Body Practices the (United States) National Center for Complementary and Integrative Health’s (NCCIH) definition is:
“Mind and body practices are a large and diverse group of techniques that are administered or taught to others by a trained practitioner or teacher. Examples include acupuncture, massage therapy, meditation, relaxation techniques, spinal manipulation, and yoga”.2
Vasomotor Symptoms
What mind and body practices “have not been shown to be meaningful treatments for VMS” (Vasomotor Symptoms)?
Where may I find Links related to Mind and Body Practices?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. Published Online: 01 December 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 08 July 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. Published Online: 01 December 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 08 July 2024
Menopausal Symptoms: In Depth – What the Science Says About Complementary Health Approaches for Menopausal Symptoms: Mind and Body Practices. Last Updated: May 2017. National Center for Complimentary and Integrative Health https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth Accessed: 08 July 2024
Topic Last Updated: 24 July 2024 – Topic Last Reviewed: 08 July 2024
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“The goal of screening for cervical cancer is to find
precancerous cervical cell changes, when
treatment can prevent cervical cancer from developing”.1
Umbrella
What may the Cervical Cancer Screening Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Cervical Cancer Early Detection
Cervical Cancer Screening
Cervical Screening
HPV Screening
Pap Smear
Pap Smear Test
Pap Test
Smear Test
Definition
What is cervical cancer screening?
Dots the definition of cervical cancer screening may Vary. The (United States) National Cancer Institute’s (NCI) definition is:
“The goal of screening for cervical cancer is to find precancerous cervical cell changes, when treatment can prevent cervical cancer from developing. Sometimes, cancer is found during cervical screening. Cervical cancer found at an early stage is usually easier to treat. By the time symptoms appear, cervical cancer may have begun to spread, making treatment more difficult”.2
“The tests for cervical cancer screening are the HPV test and the Pap test. These tests can be done alone or at the same time (called a co-test) and are done during a pelvic exam”.3
“There are three main ways to screen for cervical cancer:
The human papillomavirus (HPV) test checks cells for infection with high-risk HPV types that can cause cervical cancer
The Pap test (also called a Pap smear or cervical cytology) collects cervical cells so they can be checked for changes caused by HPV that may—if left untreated—turn into cervical cancer. It can find precancerous cells and cervical cancer cells. A Pap test also sometimes finds conditions that are not cancer, such as infection or inflammation
The HPV/Pap cotest uses an HPV test and Pap test together to check for both high-risk HPV and cervical cell changes”.5
Start. Frequency. Stop
Can when to start, the frequency and when to stop Pap tests, vary?
Yes. Depending on You (DoY), DotS and/or Depending on Your Country’s (DoYC’s) cervical cancer screening program, when to start, stop and the frequency of Pap tests can vary. It may therefore be in your best interest to choose to check what’s-what for you in your Country.
Screening Program
Where may women find information about cervical cancer screening or early detection programs?
Women may find information about cervical cancer screening or early detection programs from their health care provider or their country’s equivalent of a local community health center or a national and/or state Department/Center/Institute of Aging/Cancer/Disease Control and Prevention/Health/Human Services.
“CDC’s National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides breast and cervical cancer screenings and diagnostic services to women who have low incomes and are uninsured or underinsured”.6
Health Care Provider
When may women stop having regular Pap tests?
DoY, DotS and/or DoYC’s cervical cancer screening program, when women may stop regular Pap tests can vary. It may therefore be in your best interest to choose to check what’s-what for you.
“Discuss your options with your doctor and together you can decide what’s best for you based on your risk factors. If you’re sexually active with multiple partners, your doctor may recommend continuing Pap testing”.7
Health Topics A-Z
Where may I find Health Topics A-Z related to Cervical Cancer Screening?
Where may I find Links related to Cervical Cancer Screening?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Cervical Cancer: Screening for Cervical Cancer: Screening Tests. October 2023. Centers for Disease Control and Prevention https://www.cdc.gov/cervical-cancer/screening/ Accessed: 08 June 2024
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“The type of HRT most suited to a woman will depend on
a variety of factors, including her stage in the menopausal
process, and whether or not she has had a hysterectomy”. Read more
“Many types of HRT are available and there is not one type, dose or regimen which suits all women. It is important to understand which hormones are used, why and how so that for each woman who chooses to take HRT, the treatment is individualised to best suit her needs, taking into account types of symptoms, medical history, period pattern if present and current national recommendations and guidelines”.2
“Hormone therapy is available as a daily pill, but it also may be taken as a skin patch, gel, cream, spray, or vaginal ring. Non-pill forms may be more convenient. Hormone therapy pills need to be taken every day, but skin patches are changed only once or twice weekly, and the HT vaginal ring is changed only every 3 months. Hormone therapy taken in non-pill form enters your blood stream more directly, with less effect on the liver. Studies suggest that this may lower the risk of blood clots in the legs and lungs compared with HT taken as a pill”.3
“MHT can be prescribed in different dosages and methods, depending on your needs and responses. For example, you might be prescribed pills, patches, gel, vaginal creams or an intrauterine device (IUD).
You may need to try different dosages or methods to find the right combination. Your doctor must supervise this process”.4
“You’ll usually start with a low dose, which may be increased later. Your symptoms should improve after a few days or weeks.
A GP will usually recommend a review appointment 3 months after you start taking HRT, or if you change your type of HRT. This is to see how well it’s working. If everything is OK, you’ll usually have 1 review a year”.6
Who is a GP?
Dots and/or DotC (Depending on the Country) a GP may be a registered general practitioner, a medical practitioner, a medical doctor or a doctor.
“Low-dose and ultra-low dose vaginal oestrogen preparations can be taken by perimenopausal and menopausal women experiencing genitourinary symptoms and continued for as long as required. All vaginal oestrogen preparations have been shown to be effective in this context and there is no requirement to combine vaginal oestrogens with systemic progestogen treatment for endometrial protection, as low-dose and ultra-low dose vaginal oestrogen preparations do not result in significant systemic absorption or endometrial hyperplasia”.7
Health Care Provider
What if I would like help to choose what HT to use?
If you would like help to choose what HT to use, it may be in your best interest to choose to talk to your health care provider about this.
“Each woman must make her own decision about HT with the help of a healthcare professional. If you decide to take HT, the next step is to choose between the many HT options available to find the best dose and route for you. With guidance from your healthcare professional, you can try different forms of HT until you find the type and dose that treats your symptoms with few adverse effects”.8
“It can take around six months to find the right MHT. Once you’ve found an MHT that works for you, it’s important to review it with your doctor each year”.9
Health Topics A-Z
Where may I find Health Topics A-Z related to Hormone Therapy Options?
Where may I find Links related to Hormone Therapy Options?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayesena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:3-4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 07 June 2024
“You may want to complete a bladder-diary and monitor your food and fluid intake to see if you are able to find any relationship between your intake and urination”.1
Look for A Pattern
How may I Look for A Pattern with urinary incontinence (UI)?
“Your doctor or nurse may ask you to keep a diary for 2 to 3 days to track when you empty your bladder or leak urine. The diary may help your doctor or nurse see patterns in the incontinence that give clues about the possible cause and treatments that might work for you”.2
“There is no “diet” to cure incontinence. However, the foods you eat can have a profound effect on your bladder or bowel leaks. There are symptoms you may be able to manage just by altering your diet. You may want to complete a bladder-diary and monitor your food and fluid intake to see if you are able to find any relationship between your intake and urination.
Remember that certain “natural” or “energy” supplements may also contain ingredients that irritate the bladder, so read labels carefully. You may want to see if eliminating one or all of the items discussed in this section improves your bladder control”.3
“Ask your health care professional whether you should drink less liquid during the day. However, don’t limit liquids to the point of becoming dehydrated. Your health care professional can tell you how much and when to drink, based on your health, activities, and local climate.
To limit nighttime trips to the bathroom, you may want to stop drinking liquids a few hours before bedtime, but only if your health care professional suggests it. Limiting foods and drinks with caffeine, such as chocolate, tea, coffee, and carbonated beverages, may help reduce leaks. You should also limit alcoholic drinks, which can increase how much urine your body makes”.4
What if I would like help to look for a UI pattern?
If you would like help to look for a UI pattern, it may be in your best interest to choose to talk to your health care provider about this. Together you may identify any patterns, discuss your options and if required, agree on who may be the most appropriate health care provider to help you.
Health Topics A-Z
Where may I find Health Topics A-Z related to Urinary Incontinence Pattern?
Where may I find Links related to Urinary Incontinence Pattern?
Your Country may have Links similar to:
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This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Urinary Incontinence: How Is Urinary Incontinence Diagnosed? Page Last Updated: 22 February 2021. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/urinary-incontinence Accessed: 07 June 2024
Bladder Control Problems (Urinary Incontinence): Treatments for Bladder Control Problems (Urinary Incontinence): How Can I Treat My Bladder Control Problem? Make Lifestyle Changes. Last Reviewed: July 2021. National Institute of Diabetes and Digestive and Kidney Diseases https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/treatment Accessed: 07 June 2024
Bladder Control Problems (Urinary Incontinence): Diagnosis of Bladder Control Problems (Urinary Incontinence): How Do Health Care Professionals Find the Cause of A Bladder Control Problem? Bladder Diary.Last Reviewed: July 2021. National Institute of Diabetes and Digestive and Kidney Diseases https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/diagnosis Accessed: 07 June 2024
Topic Last Updated: 07 June 2024 – Topic Last Reviewed: 07 June 2024
“For healthy women with bothersome hot flashes aged
younger than 60 years or within 10 years of menopause,
the benefits of HT generally outweigh the risks”. Read more
“To see whether treatment is helping you should be offered
review appointments every 3 months to start with.
If you are not having any problems you should then…”.1
Umbrella
What may the Hormone Therapy Follow Up Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
If menopausal women choose to use hormone therapy (HT), how often should they review their use?
The (Australian) Jean Hailes for Women’s Health (JH) explain:
“It can take around six months to find the right MHT. Once you’ve found an MHT that works for you, it’s important to review it with your doctor each year”.2
“If you’re having treatment for your symptoms of menopause or perimenopause, you’ll need to return to the doctor or nurse who is prescribing your HRT for a follow-up review after 3 months.
When you and your doctor or nurse agree your treatment is working well for you, you’ll need to see them once a year”.3
The (United Kingdom) Women’s Health Concern note:
“Women on HRT should be re-assessed by their doctor at least annually”.4
“Seek regular follow-up care. See your doctor regularly to ensure that the benefits of hormone therapy continue to outweigh the risks, and for screenings such as mammograms and pelvic exams”.5
“Optimally, women using systemic MHT should have a medical review at 3 months to assess symptom relief and side effects. This is also an opportunity to discuss any patient concerns and ensure correct use of the prescribed therapy. Further follow-up will be determined by whether any treatment adjustments are made or investigations initiated. Long-term follow-up should be at least yearly”.6
“Review should include updating medical history and a general medical examination and breast assessment as indicated. Investigations should be individually determined, with mammography frequency according to local recommendations”.7
“Unscheduled or prolonged bleeding 3–6 months after commencing MHT needs investigation (ultrasound and/or biopsy), and where indicated, specialist referral. The need for ongoing MHT, the formulation and dose requirement should be reviewed”.9
Health Care Provider
How long do I need to take HT or menopausal hormone therapy (MHT)?
“You can take MHT at low doses for as long as you need. Many women have symptoms for around eight years and one in four women have symptoms into their 60s and 70s. The benefits of MHT far outweigh the risks in healthy women within 10 years of reaching menopause”.10
The NHS explain:
“You can choose to continue taking HRT. The doctor or nurse prescribing your HRT can discuss with you the benefits and risks, so you can decide what’s right for you.
You can take HRT for as long as you need it. You can discuss this with your doctor or nurse at your yearly review”.11
Health Topics A-Z
Where may I find Health Topics A-Z related to Hormone Therapy Follow Up?
Where may I find Links related to Hormone Therapy Follow Up?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Menopause: Diagnosis and Management – Information for the Public: Reviewing Your Care. Published Date: 12 November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/NG23/ifp/chapter/Reviewing-your-care Accessed: 06 June 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 06 June 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 06 June 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 06 June 2024
“Women in their 60s are more than TWICE AS LIKELY
to develop Alzheimer’s disease over the rest of their lives
as they are to develop breast cancer”.1
Umbrella
What may the Alzheimer’s Disease Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Alzheimer’s
Alzheimer’s Disease (AD)
Dementia
Alzheimer’s Disease
What is Alzheimer’s disease?
DotS the definition of Alzheimer’s disease may vary. The (United States) National Institute on Aging’s (NIA) definition is:
“Alzheimer’s disease is a brain disorder that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks. In most people with the disease — those with the late-onset type symptoms first appear in their mid-60s”.2
Dementia
What is the association between dementia and Alzheimer’s disease?
“Alzheimer’s disease is a type of dementia. Dementia is a loss of thinking, remembering, and reasoning skills that interferes with a person’s daily life and activities. Alzheimer’s disease is the most common cause of dementia among older people. Other types of dementia include frontotemporal disorders, Lewy body dementia, and vascular dementia”.4
Early Signs and Symptoms
What are early signs and symptoms of Alzheimer’s disease?
Trouble understanding visual images and spatial relationships…
New problems with words in speaking or writing…
Misplacing things and losing the ability to retrace steps…
Decreased or poor judgement…
Withdrawal from work or social activities…
Changes in mood and personality…”.5
Common or Not
How common is Alzheimer’s disease?
In the United States according to the Mayo Clinic:
“About 6.5 million people in the United States age 65 and older live with Alzheimer’s disease. Among them, more than 70% are 75 years old and older. Of the about 55 million people worldwide with dementia, 60% to 70% are estimated to have Alzheimer’s disease”.6
“Alzheimer’s disease is most common in people over the age of 65.
The risk of Alzheimer’s disease and other types of dementia increases with age, affecting an estimated 1 in 14 people over the age of 65 and 1 in every 6 people over the age of 80.
But around 1 in every 20 people with Alzheimer’s disease are under the age of 65. This is called early- or young-onset Alzheimer’s disease”.7
“Currently, there is no definitive evidence about what can prevent Alzheimer’s disease or age-related cognitive decline. What we do know is that a healthy lifestyle — one that includes a healthy diet, physical activity, appropriate weight, and control of high blood pressure — can lower the risk of certain chronic diseases and boost overall health and well-being. Scientists are very interested in the possibility that a healthy lifestyle might delay, slow down, or even prevent Alzheimer’s. They are also studying the role of social activity and intellectual stimulation in Alzheimer’s disease risk”.11
In Brain Health the Alzheimer’s Association elaborate on:
“Research is still evolving, but evidence is strong that people can reduce their risk of cognitive decline by making key lifestyle changes, including participating in regular physical activity, staying socially engaged, and maintaining good heart health”.12
Health Care Provider
What if I would like reassurance I do not have Alzheimer’s disease?
If you would like reassurance you do not have Alzheimer’s disease, it may be in your best interest to choose to talk to your health care provider about this.
“Memory loss can be annoying if it happens occasionally, but if it’s affecting your daily life, or it’s worrying you, or someone you know, you should get help from a GP.
Dementia is not only about memory loss. It can also affect the way you speak, think, feel and behave.
It’s also important to remember that dementia is not a natural part of ageing”.13
Who is a GP?
DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.
Health Topics A-Z
Where may I find Health Topics A-Z related to Alzheimer’s Disease?
Where may I find Links related to Alzheimer’s Disease?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“During menopause, it’s important to look after yourself
Healthy lifestyle choices will help to improve physical
and emotional symptoms at every stage of menopause”.1
Umbrella
What may the Hot Flushes Management Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
“A trigger is something that can set off a hot flash. There are actually a lot of things in your normal life that could trigger a hot flash. Triggers of hot flashes can include:
“Watch what you eat and drink. Hot and spicy foods, caffeinated beverages and alcohol can trigger hot flashes. Learn to recognize your triggers and avoid them”.4
3. Healthy Lifestyle
Is there an association between health lifestyle choices and menopause symptoms?
“During menopause, it’s important to look after yourself. Healthy lifestyle choices will help to improve physical and emotional symptoms at every stage of menopause”.5
4. Weight
Is there an association between weight and hot flushes?
“Maintaining a healthy weight may help to improve menopausal symptoms. There is some evidence that weight gain can increase the severity of hot flushes and night sweats. More severe symptoms are associated with being overweight”.6
5. Alcohol
Is there an association between alcohol and hot flushes?
“Drinking may trigger hot flashes for some women, although that isn’t based in research. So determine whether it’s a personal trigger for you. (As for a general risk of experiencing hot flashes and night sweats, some studies find alcohol increases it, whereas others find the opposite)”.7
6. Smoking
Is there an association between smoking and hot flushes?
“Women who smoke generally reach menopause earlier than non-smokers. They are also more likely to experience early menopause”.8
According to the Mayo Clinic:
“Don’t smoke. Smoking is linked to increased hot flashes. By not smoking, you might reduce hot flashes, as well as your risk of many serious health conditions, such as heart disease, stroke and cancer”.9
7. Attitude
Is there an association between attitude and hot flushes?
“The attitude with which you embark upon this transition can have a tremendous impact on your experience of it, as well as on your choice of behaviors. Many of the changes that come with menopause and aging aren’t avoidable, but how you experience menopause and the years that follow has much to do with your attitude. Far from being the end of life, you may find menopause to be a new beginning, one that can be lived richly, fully, and in good overall health. Knowing the spectrum of what’s a normal experience may help ease your concerns and help you to prepare for what’s to come”.10
8. Stress
Is there an association between stress and hot flushes?
“Many studies suggest that stress and anxiety can influence the frequency and intensity of hot flushes. Some foods or alcohol can also have an impact”.11
9. Relaxation, Meditation, Mindfulness and Yoga
Is there an association between relaxation, meditation, mindfulness, yoga and hot flushes?
“For some women, stressful situations can make hot flushes worse. Reducing stress and using mind-body techniques can help.
Cognitive behavioural therapy (CBT) has been shown to be effective in managing hot flushes and night sweats. While CBT doesn’t usually reduce the frequency of hot flushes, it can reduce their impact.
There is some evidence that breathing and relaxation techniques can help you manage the impact of hot flushes.
Yoga has also been shown to be a safe and effective way to reduce menopausal symptoms, including hot flushes”.12
“Practice mind-body therapies. Although evidence is inconclusive, some women find relief from mild hot flashes through mind-body therapies. Examples include meditation; slow, deep breathing; stress management techniques; and guided imagery. Even if these approaches don’t help your hot flashes, they might provide other benefits, such as easing sleep disturbances that tend to occur with menopause”.13
10. Hypnosis
Is there an association between hypnosis and hot flushes?
“Mind and body practices such as hypnosis, mindfulness meditation, and tai chi may help improve some menopausal symptoms. Researchers looked at mind and body therapies for menopausal symptoms and found that tai chi and meditation-based programs may be helpful in reducing common menopausal symptoms including the frequency and intensity of hot flashes, sleep and mood disturbances, stress, and muscle and joint pain. There is also some evidence that hypnotherapy may help women manage hot flashes”.14
11. Sleep
Is there an association between sleep and hot flushes?
“Although studies have not shown a clear cause-and-effect relationship between hot flashes and sleep disturbance, nighttime hot flashes and night sweats certainly do not make for restful sleep. The result can be fatigue and less energy for sex”.15
12. Sex
Is there an association between sex and hot flushes?
“Many natural products, such as black cohosh, soy isoflavone supplements, and DHEA, have been studied for their effects on menopausal symptoms, but scientists have found little evidence that they are helpful. There is also no conclusive evidence that the herbs red clover, kava, or dong quai reduce hot flashes”.17
“Many herbal therapies have been tried for relief of hot flushes and night sweats in menopausal women. Some herbs have been found to be effective in reducing hot flushes, whereas others have been found to be no better than a placebo (dummy medicine). Some have not been studied rigorously”.18
14. Phytoestrogens
Is there an association between phytoestrogens and hot flushes?
“Plant estrogens. Asian women, who consume soy regularly, are less likely to report hot flashes and other menopausal symptoms than are women in other parts of the world. One reason might be related to the estrogen-like compounds in soy.However, studies have generally found little or no benefit with plant estrogens, although research is ongoing to determine whether specific components of soy, such as genistein, help hot flashes”.19
15. Non Hormone Treatment Effectiveness
What does the North American Menopause Society’s (NAMS) Non Hormone Treatments for Hot Flashes and Night Sweats explain?
Recommended
The treatments with research showing they are effective for treating VMS include:
Clinical Hypnosis…
Cognitive-Behavioral Therapy…
Fezolinetant
Gabapentin
Oxybutynin
SSRIs/SNRIs
Stellate Ganglion Block
Weight Loss
Not Recommended
Treatments not recommended for VMS either because there is evidence showing that they do not reduce VMS or because there is not enough evidence showing that they are effective in reducing VMS include acupuncture, paced respirations, supplements/herbal remedies, cooling techniques, avoidance of triggers, dietary modification, exercise, yoga, mindfulness-based intervention, relaxation, suvorexant, cannabinoids, calibration of neural oscillations, chiropractic interventions, clonidine, and pregabalin”.20
What are VMS?
VMS can be an abbreviation for Vasomotor Symptoms which include hot flushes and night sweats.
“While women are commonly told to avoid VMS triggers and dress in layers, there is no evidence that such advice is of value with respect to the severity or frequency of VMS. Activities such as yoga, mindfulness, relaxation and exercise have health benefits but have not been shown to be meaningful treatments for VMS. Similarly, nutritional supplements and botanicals have not been found to be more effective than placebo for moderately to severely bothersome VMS in robust clinical trials”.21
16. Hormone Therapy
What is the most effective treatment for hot flushes?
“Hormone therapy remains the most effective treatment for vasomotor symptoms (VMS) and the genitourinary syndrome of menopause (GSM) and has been shown to prevent bone loss and fracture”.22
Health Care Provider
What if I would like help with my hot flushes management?
If you would like help with your hot flushes management, it may be in your best interest to choose to talk to your health care provider about this. Together you can look for a pattern, discuss your options and if required, agree on who maybe the best person to help you.
The Mayo Clinic note:
“Discuss the pros and cons of various treatments with your doctor. If hot flashes don’t interfere with your life, you probably don’t need treatment. Hot flashes subside gradually for most women, even without treatment, but it can take several years for them to stop”.23
Health Topics A-Z
Where may I find Health Topics A-Z related to Hot Flushes Management?
Where may I find Links related to Hot Flushes Management?
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4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 4. National Center for Complementary and Integrative Health https://nccih.nih.gov/health/tips/menopause Accessed: 04 June 2024
4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 2. National Center for Complementary and Integrative Health https://nccih.nih.gov/health/tips/menopause Accessed: 04 June 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 04 June 2024
“Male sexual dysfunction is a series of conditions,
most notably including erectile dysfunction (ED),
Peyronie’s disease (PD), and premature ejaculation (PE)…”.1
Umbrella
What may the Sexual Health and Male Sexual Dysfunction Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
“Male sexual dysfunction is a series of conditions, most notably including erectile dysfunction (ED), Peyronie’s disease (PD), and premature ejaculation (PE), defined by impaired sexual functioning”.2
“The prevalence of male sexual dysfunction increases with age and is relatively high with greater than 50% of men aged 40 to 70 describing some degree of erectile dysfunction. Risk factors for male sexual dysfunction include age, diabetes mellitus (DM), cancer, stroke, hypertension, penile trauma, depression, anxiety, and disturbance in central serotonin neurotransmission and 5-HT postsynaptic receptor functioning”.3
“Most types of sexual dysfunction can be addressed by treating the underlying physical or psychological problems. Other treatment strategies include:
“Medication: When a medication is the cause of the dysfunction, a change in the medication may help. Men and women with hormone deficiencies may benefit from hormone shots, pills or creams. For men, drugs, including sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®, Staxyn®) and avanafil (Stendra®) may help improve sexual function by increasing blood flow to the penis.
Mechanical aids…
Sex therapy…
Behavioural treatments…
Psychotherapy…
Education and communication…”.4
Health Care Provider
What if I think I have male sexual dysfunction?
If you think you have male sexual dysfunction, it may be in your best interest to choose to talk to your health care provider about this. MedlinePlus explain:
“Occasional problems with sexual function are common. If problems last more than a few months or cause distress for you or your partner, you should see your health care provider”.5
Health Topics A-Z
Where may I find Health Topics A-Z related to Sexual Health and Male Sexual Dysfunction?
Where may I find Links related to Sexual Health and Male Sexual Dysfunction?
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This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Anderson, D., Laforge, J., Ross, M. M. Vanlangendonck, R., Hasoon, J., Viswanath, O., Kaye, A. D. and Urits, I. Male Sexual Dysfunction: Abstract. Published Online 20 August 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392840/ Accessed: 02 June 2024
Anderson, D., Laforge, J., Ross, M. M. Vanlangendonck, R., Hasoon, J., Viswanath, O., Kaye, A. D. and Urits, I. Male Sexual Dysfunction: Abstract. Published Online 20 August 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392840/ Accessed: 02 June 2024
Anderson, D., Laforge, J., Ross, M. M. Vanlangendonck, R., Hasoon, J., Viswanath, O., Kaye, A. D. and Urits, I. Male Sexual Dysfunction: Abstract. Published Online 20 August 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392840/ Accessed: 02 June 2024
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