Hormone Therapy Alternatives

“Alternative therapies, including cognitive behavioural
therapy, may also improve hot flushes, nights sweats
and other menopausal symptoms and…”.1

Umbrella
What may the Hormone Therapy Alternatives Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Antidepressants
  • Bioidentical Hormone Therapy
  • Clonidine
  • Complementary Medicine (CM)
  • Complementary and Alternative Medicine (CAM)
  • Complementary and Integrative Health (CIH)
  • Gabapentin (Neurontin)
  • Herbal Medicines
  • Holistic Care
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Hormone Therapy Alternatives
  • Menopausal Hormone Therapy (MHT)
  • Menopause Lifestyle Changes/Management
  • Natural Approaches/Medicines/Practices/Products/Remedies/Supplements/Therapies/Treatments
  • Nonhormonal/Non-Hormonal Approaches/Medicines/Practices/Products/Remedies/Supplements/Therapies/Treatments
  • Over the Counter Products
  • Phytoestrogens
  • Pregabalin
  • Tibolone or Livial

Non Hormone Treatments for Hot Flashes and Night Sweats

What does the North American Menopause Society’s (NAMS) Non Hormone Treatments for Hot Flashes and Night Sweats explain?

On pages one and two in Nonhormone Treatments for Hot Flashes and Night Sweats, published July 2023, the NAMS explain:

Hormone Therapy Alternatives“Nonhormone Treatment Options

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”.2

What are VMS?

VMS can be an abbreviation for Vasomotor Symptoms which include hot flushes and night sweats.

2023 Nonhormone Therapy Position Statement of The North American Menopause Society

What were the Results in the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?

On page one in the The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society: Abstract – Results, published May 2023, the results were:

“Results: Evidence-based review of the literature resulted in several nonhormone options for the treatment of vasomotor symptoms.

Recommended: Cognitive-behavioral therapy, clinical hypnosis, selective serotonin reuptake inhibitors/serotonin-norepinephrine reuptake inhibitors, gabapentin, fezolinetant (Level I); oxybutynin (Levels I-II); weight loss, stellate ganglion block (Levels II-III).

Not recommended: Paced respiration (Level I); supplements/herbal remedies (Levels I-II); cooling techniques, avoiding triggers, exercise, yoga, mindfulness-based intervention, relaxation, suvorexant, soy foods and soy extracts, soy metabolite equol, cannabinoids, acupuncture, calibration of neural oscillations (Level II); chiropractic interventions, clonidine; (Levels I-III); dietary modification and pregabalin (Level III)”.3

What do the Levels mean in the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?

On page one in the The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society: Abstract – Methods the North American Menopause Society (NAMS) elaborate on:

“Methods: The panel assessed the most current and available literature to determine whether to recommend or not recommend use based on these levels of evidence:

  • Level I, good and consistent scientific evidence
  • Level II, limited or inconsistent scientific evidence
  • Level III, consensus and expert opinion”.4

Where may I find Links related to the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?

Your Country may have Links similar to:

Fezolinetant (Veozah)

What is Fezolinetant (Veozah)?

In FDA Approves Novel Drug To Treat Moderate To Severe Hot Flashes Caused By Menopause, published 12 May 2023, the (United States) Food and Drug Administration (FDA) explain:

“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. Veozah is the first neurokinin 3 (NK3) receptor antagonist approved by the FDA to treat moderate to severe hot flashes from menopause. It works by binding to and blocking the activities of the NK3 receptor, which plays a role in the brain’s regulation of body temperature”.5

Where may I find Links to a video about the FDA’s approval of Veozah?

Your Country may have Links similar to:

NK3R Antagonists

What are NK3R antagonists?

In Top 10 Medical Innovations for 2022 Unveiled: 7. Non-Hormonal Alternatives for Menopause the (United States) Cleveland Clinic Consult QD elaborate on:

“Fortunately, a new group of nonhormonal drugs, called NK3R antagonists, has emerged as a viable alternative to hormone therapy. These drugs disrupt a signaling pathway in the brain implicated in the development of hot flashes. They have shown promise in clinical trials for relieving moderate to severe menopausal hot flashes as effectively as hormones. While additional studies are needed to fully understand the effectiveness and safety profile of these new drugs, it is clear that the next generation of nonhormonal treatments for menopausal hot flashes is on the horizon”.6

NK3 Inhibitors

What are NK3 inhibitors?

In the NAMS Video Series-2022: New Treatment Options for Menopause Symptoms Are Around the Corner information is included about NK3 Inhibitors:


Healthy Lifestyle

Can a healthy lifestyle improve menopause symptoms?

On page one in the 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, one of the recommendations is:

  • “Women should be advised that implementing or maintaining a healthy lifestyle can improve menopause symptoms. A healthy diet (one low in saturated fat and salt and rich in calcium and vitamin D), stopping smoking, reducing alcohol intake and including regular exercise can be beneficial. Reducing caffeine intake may also improve symptoms”.7

Alternative Therapies

Can alternative therapies improve menopause symptoms?

On page one in the 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 one of the recommendations is:

  • “Alternative therapies, including cognitive behavioural therapy, may also improve hot flushes, nights sweats and other menopausal symptoms and can be considered in women who do not wish to take HRT or have contraindications to taking HRT”.8

What is HRT?

HRT can be an abbreviation for Hormone Replacement Therapy.

What do the EMAS note about some alternative and complementary therapies for menopause symptoms?

In Menopause Wellbeing and Health: A Care Pathway From the European Menopause and Andropause Society: 11. Complementary and Alternative Therapies, published 12 May 2022, the authors note:

“Alternative and complementary therapies are less effective than MHT for the control of climacteric symptoms. They include phytoestrogens, yoga, acupuncture, homoeopathic medicine, mindfulness-based stress reduction, clinical hypnosis and paced respiration. These therapies have modest effects on menopausal symptoms; the evidence is limited by the quality and heterogeneity of studies. Health care providers should take into consideration possible interactions with standard medicines such as anticancer therapies, anticoagulants and antiepileptics”.9

Dietary Supplements

Can dietary supplements improve menopause symptoms?

On page two in Nonhormone Treatments for Hot Flashes and Night Sweats the NAMS explain:

“There are many dietary supplements available over the counter and advertised as remedies for relief of hot flashes and night sweats. There are limited studies showing that these supplements are effective at relieving VMS, and there is a lack of government regulation ensuring their safety and purity, so none of these are recommended treatments for hot flashes and night sweats.

Despite the lack of evidence supporting their use for VMS, if you plan to use dietary supplements, let your health care professional know so they can ensure they are safe for you, that they don’t interact with any of your medications, and so that they can be appropriately monitored”.10

Antidepressants

Can some antidepressants reduce menopause symptoms?

In Menopause Management Options: Non-Hormonal Prescription Medications – Antidepressants the (Australian) Jean Hailes for Women’s Health note:

“Some antidepressants have been shown to relieve hot flushes. For example, venlafaxine, paroxetine, escitalopram and fluoxetine. Side effects may include nausea, dry mouth, hot flushes, sweats and insomnia.

Note: Paroxetine and fluoxetine can reduce the effectiveness of some cancer treatment medications”.11

In Hot Flashes: Diagnosis & Treatment – Treatment: Antidepressants the (United States) Mayo Clinic elaborate on:

“A low-dose form of paroxetine (Brisdelle) is the only nonhormone treatment for hot flashes approved by the U.S. Food and Drug Administration. Other antidepressants that have been used to treat hot flashes include:

  • Venlafaxine (Effexor XR)
  • Paroxetine (Paxil, Pexeva)
  • Citalopram (Celexa)
  • Escitalopram (Lexapro)

These medications aren’t as effective as hormone therapy for severe hot flashes, but they can be helpful to women who can’t use hormones. Possible side effects include nausea, difficulty sleeping or drowsiness, weight gain, dry mouth or sexual dysfunction”.12

Other Medications

Apart from antidepressants, can some other medications improve menopause symptoms?

In Hot Flashes: Diagnosis & Treatment – Treatment: Other Prescription Medications the Mayo Clinic explain:

“Other medications that might offer relief for some women include:

  • Gabapentin (Neurontin, Gralise, Others). Gabapentin is an anti-seizure medication that’s moderately effective in reducing hot flashes. Side effects can include drowsiness, dizziness, water retention in the limbs (edema) and fatigue
  • Pregabalin (Lyrica). Pregabalin is another anti-seizure medication that can be effective in reducing hot flashes. Side effects can include dizziness, drowsiness, difficulty concentrating and weight gain
  • Oxybutynin (Ditropan XL, Oxytrol). Oxybutynin is a pill or patch most often used to treat urinary conditions like overactive bladder. It may also help relieve hot flashes in some women. Side effects can include dry mouth, dry eyes, constipation, nausea and dizziness
  • Clonidine (Catapres, Kapvay, Others). Clonidine, a pill or patch typically used to treat high blood pressure, might provide some relief from hot flashes. Side effects include dizziness, drowsiness, dry mouth and constipation”.13

Bioidentical Hormone Therapy

Can bioidentical hormone therapy improve menopause symptoms?

On page four in the 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, one of the recommendations is:

  • “The use of compounded bioidentical hormone replacement therapies is not recommended given the issues related to their purity, potency and safety. The potential benefits of bioidentical hormone therapy can be achieved using conventionally licensed products available through NHS prescribing without having to resort to compounded varieties from specialist pharmacies”.14

On page two in the The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement the NAMS also note:

“Compounded bioidentical hormone therapy presents safety concerns, such as minimal government regulation and monitoring, overdosing or underdosing, presence of impurities or lack of sterility, lack of scientific efficacy and safety data, and lack of a label outlining risks”.15

In Is It Really ‘FDA Approved?’ The FDA Doesn’t Approve Compounded Drugs the FDA caution:

“Be aware that compounded drugs are not FDA approved”.16

Questions To Ask

What may be questions to ask about HT alternatives?

In Menopause Treatment: Questions for Your Healthcare Provider the (United States) Endocrine Society include:

  • “What do you think are possible triggers for my hot flashes?
  • Are there any lifestyle or dietary interventions that may diminish my symptoms?
  • Should I consider medication for treatment of my symptoms? Hormonal or non-hormonal?
  • If you are interested in hormonal therapy: Am I a good candidate for hormonal therapy, specifically are my cardiovascular and breast cancer risks low?
  • Which lifestyle changes can I make that will decrease my menopause symptoms without medicine?
  • Are there any alternative medicine treatments you would recommend I try for relief of my menopause symptoms?
  • Are there any alternative medicines I should not use because they could interfere with medicines I take?”17

In the NICE Guideline Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause the (British) National Institute for Health and Care Excellence (NICE), include these and more questions to ask about Treatment for Menopausal Symptoms:

  • “What types of treatments are suitable for my symptoms?
  • What are the benefits and risks of different treatments?
  • Are there any complementary therapies that could help?
  • I use complementary therapies for my symptoms – are these safe to take alongside other treatments?…”.18

Health Care Provider

What if I would like to find out about HT alternatives?

If you would like to find out about HT alternatives, it may be in your best interest to choose to talk to your health care provider about this. Together you can discuss your options and if required, agree on who may be the most appropriate health care provider to help you.

In Complementary/Alternative Therapies for Menopausal Women the WHC caution:

“One of the powerful messages coming from the NICE Guidelines is that herbal remedies which are not regulated by a medicine authority should not be considered safer, as there is much variety in their effectiveness and potency and that there may be significant side effects. The same warning is given for bio-identical hormones which are compounded and again not regulated or subject to quality control”.19

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy Alternatives?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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Your Country may have Links similar to:

Links

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New or Updated

  1. 8 Myths and Truths About Menopausal Hot Flashes
  2. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. BMS TV: Bioidentical Hormones
  4. BMS TV: Complementary and Alternative Therapies
  5. Bioidentical Hormones: Are They Safer?
  6. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  7. Complementary/Alternative Therapies for Menopausal Women
  8. Contemporary Non-Hormonal Therapies for the Management of Vasomotor Symptoms Associated With Menopause: A Literature Review
  9. Dietary Intake and Menopausal Symptoms In Postmenopausal Women: A Systematic Review
  10. Effectiveness of Natural Therapies
  11. Emerging Research In the Management of Menopausal Symptoms
  12. Emerging Research In the Management of Menopausal Symptoms: Cognitive Behaviour Therapy (CBT)
  13. Emerging Research In the Management of Menopausal Symptoms: Resistance Training
  14. Emerging Research In the Management of Menopausal Symptoms: Yoga
  15. FDA Approves Novel Drug To Treat Moderate To Severe Hot Flashes Caused By Menopause
  16. Find A Menopause Practitioner [United States and Other]
  17. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  18. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  19. Gabapentin for Hot Flashes: What To Know
  20. Hot Flashes
  21. Hot Flashes: Are There Any Lifestyle Changes I Can Make To Help With Hot Flashes?
  22. Hot Flashes: Are There Foods That Can Help With My Hot Flashes?
  23. Hot Flashes: Non-Hormonal Medications
  24. Hot Flashes: Over-the-Counter Therapies
  25. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  26. Hot Flushes, Night Sweats, Brain Fog? Here’s What We Know About Phytoestrogens for Menopausal Symptoms
  27. Information for Consumers on Using Dietary Supplements
  28. Integrative Medicine
  29. Is It Really ‘FDA Approved?’
  30. 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
  31. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Signs and Symptoms [+ Video: Talking Menopause With Your GP]
  32. Looking After Yourself
  33. Lots of Women Try Herbs Like Black Cohosh for Menopausal Symptoms Like Hot Flushes – But Does It Work?
  34. Lubricant Alternatives: What To Use and What To Avoid
  35. Managing Vasomotor Symptoms Effectively Without Hormones
  36. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video Courtesy: Mayo Clinic News Network]
  37. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms [+ Video]
  38. Menopause
  39. Menopause & Herbs
  40. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
    Hormone Therapy Alternatives
  41. Menopause Mindfulness: A Personal Toolkit for Menopause Preparedness
  42. Menopause Mythbusting – ABC Catalyst: The Truth About Menopause [Video]
  43. Menopause Patient Information [Videos] 2. Talking To Your GP About Menopause
  44. Menopause Patient Information [Videos] 5. Lifestyle Advice In Menopause & Perimenopause
  45. Menopause Preparedness Toolkit Video Series: Lifestyle Tips for Menopause
  46. Menopause Preparedness Toolkit Video Series: Mindfulness & Wellbeing During the Menopause Transition
  47. Menopause Preparedness Toolkit Video Series: Treating Vasomotor Symptoms of Menopause
  48. Menopause Preparedness Toolkit: A Woman’s Empowerment Guide
  49. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  50. Menopause Treatment
  51. Menopause Treatments: What Works, What Doesn’t – Cognitive Behavioural Therapy (CBT) and Mindfulness
  52. Menopause Treatments: What Works, What Doesn’t – Natural Therapies
  53. Menopause Treatments: What Works, What Doesn’t – Non-Hormonal Prescription Medications
  54. Menopause Treatments: What Works, What Doesn’t – Pharmacy-Compounded Hormone Therapy
  55. Menopause, Perimenopause, Hormone Therapy and Other Treatments With Madelyn Butler, MD [Podcast]
  56. Menopause: Diagnosis & Treatment – Treatment
  57. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  58. Menopause: Diagnosis and Management – Information for the Public: Treating Menopausal Symptoms – Non-Prescribed Treatments [NICE Guideline]
  59. Menopause: Ensuring A Tranquil Transition
  60. Menopause: Understanding the Changes and Finding Relief | Dr Susan Davis | The Proof Podcast EP 256
  61. National Center for Complementary and Integrative Health: 4 Tips: Start Talking With Your Health Care Providers About Complementary Health Approaches
  62. National Center for Complementary and Integrative Health: Acupuncture: In Depth
  63. National Center for Complementary and Integrative Health: Black Cohosh
  64. National Center for Complementary and Integrative Health: Dietary and Herbal Supplements
  65. National Center for Complementary and Integrative Health: Flaxseed and Flaxseed Oil
  66. National Center for Complementary and Integrative Health: Herbs At A Glance
  67. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  68. National Center for Complementary and Integrative Health: Meditation: In Depth
  69. National Center for Complementary and Integrative Health: Mind and Body Practices
  70. National Center for Complementary and Integrative Health: Natural Doesn’t Necessarily Mean Safer, or Better
  71. National Center for Complementary and Integrative Health: Red Clover
  72. National Center for Complementary and Integrative Health: Relaxation Techniques for Health
  73. National Center for Complementary and Integrative Health: Yoga: What You Need To Know
  74. Natural Remedies To Help Manage Perimenopause Symptoms
  75. Natural Therapies
  76. Natural Therapies & Supplements
  77. Navigating Menopause: Expert Insights and Solutions | Dr Susan Davis | The Proof Podcast EP 245
  78. Non-Estrogen Treatments for Menopausal Symptoms
  79. Non-Hormonal Alternatives for Menopause [Video]
  80. NonHormonal Therapy Reduces Moderate To Severe Menopausal Hot Flashes
  81. Nonhormone Treatments for Hot Flashes and Night Sweats
  82. Office of Dietary Supplements: Black Cohosh
  83. Office of Dietary Supplements: Dietary Supplement Fact Sheets
  84. Phytoestrogens
  85. Probiotics May Help Boost Mood and Cognitive Function
  86. Selective Serotonin Reuptake Inhibitors (SSRIs)
  87. Study IDs Non-Hormonal Options for Menopause Symptoms
  88. The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society
  89. The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society
  90. Tips To Help Manage Menopause Symptoms
  91. The Truth About Menopause Supplements | Dr Sarah Berry
  92. Using Natural Therapies In the Menopause Transition – Webinar
  93. Vaginal Dryness Alternative Treatments
  94. Video Series-2022: Perimenopause, Signs, Symptoms, and Solutions
  95. Video Series-2023: NAMS 2023 Nonhormone Therapies Position Statement for Bothersome Menopause Symptoms
  96. Video Series-2023: New FDA-Approved Nonhormone Option for the Treatment of Hot Flashes
  97. Videos and Podcasts: Videos – Interviews: A Simple Approach To Menopause: The Menopause Quick Six (www.MQ6.ca)
  98. Videos and Podcasts: Videos – Interviews: How Do I Deal With the Menopause After A Diagnosis of Gynaecological Cancer
  99. Webinars: Previous – Management of Menopause In Patients With Obesity
  100. Webinars: Previous – What To Offer for Vasomotor Symptoms When MHT Is Contraindicated

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, 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 2022:1-2. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 18 July 2023
  2. Nonhormone Treatments for Hot Flashes and Night Sweats. July 2023:1-2. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/nonhormone-treatment-menonote.pdf Accessed: 18 July 2023
  3. The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society: Abstract – Results. May 2023. North American Menopause Society https://journals.lww.com/menopausejournal/Abstract/2023/06000/The_2023_nonhormone_therapy_position_statement_of.4.aspx Accessed: 18 July 2023
  4. The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society: Abstract – Methods. May 2023. North American Menopause Society https://journals.lww.com/menopausejournal/Abstract/2023/06000/The_2023_nonhormone_therapy_position_statement_of.4.aspx Accessed: 18 July 2023
  5. FDA Approves Novel Drug To Treat Moderate To Severe Hot Flashes Caused By Menopause. 12 May 2023. Food and Drug Administration https://www.fda.gov/news-events/press-announcements/fda-approves-novel-drug-treat-moderate-severe-hot-flashes-caused-menopause Accessed: 18 July 2023
  6. Top 10 Medical Innovations for 2022 Unveiled: 7. Non-Hormonal Alternatives for Menopause. Last Updated: 16 February 2022. Cleveland Clinic Consult QD https://consultqd.clevelandclinic.org/top-10-medical-innovations-for-2022-unveiled/ Accessed: 18 July 2023
  7. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, 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 2022:1. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 18 July 2023
  8. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, 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 2022:1-2. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 18 July 2023
  9. Lambrinoudaki et al. Menopause Wellbeing and Health: A Care Pathway From the European Menopause and Andropause Society: 11. Complementary and Alternative Therapies. Published: 12 May 2022. https://www.maturitas.org/article/S0378-5122(22)00090-1/fulltext Accessed: 18 July 2023
  10. Nonhormone Treatments for Hot Flashes and Night Sweats. July 2023:2. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/nonhormone-treatment-menonote.pdf Accessed: 18 July 2023
  11. Menopause Management Options: Non Hormonal Prescription Medications: Antidepressants. Last Updated: 08 June 2023 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 18 July 2023
  12. Hot Flashes: Diagnosis & Treatment – Treatment: Antidepressants. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 18 July 2023
  13. Hot Flashes: Diagnosis & Treatment – Treatment: Other Prescription Medications. 20 May 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/diagnosis-treatment/drc-20352795 Accessed: 18 July 2023
  14. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, 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 2022:4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 18 July 2023
  15. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022. North American Menopause Societyhttps://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 18 July 2023
  16. Is It Really ‘FDA Approved?’ FDA Doesn’t Approve Compounded Drugs. Content Current As of: 10 May 2022.  Food and Drug Administration https://www.fda.gov/forconsumers/consumerupdates/ucm047470.htm Accessed: 18 July 2023
  17. Menopause Treatment: Questions for Your Healthcare Provider. 24 January 2022. Endocrine Society https://www.endocrine.org/patient-engagement/endocrine-library/menopause-treatment Accessed: 18 July 2023
  18. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause. Treatment for Menopausal Symptoms. 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/Questions-to-ask-about-menopause Accessed: 18 July 2023
  19. Complementary/Alternative Therapies for Menopausal Women. Published: September 2020. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/complementaryalternative-therapies-menopausal-women/ Accessed: 18 July 2023
Topic Last Updated: 20 September 2023 – Topic Last Reviewed: 18 July 2023

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