Night Sweats Treatment ⋆ Meno Martha

“Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly…”.¹

Umbrella
What may the Night Sweats Treatment Umbrella include?

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

Hot Flashes/Flushes At Night Treatments
Hot Flashes/Flushes That Occur During Sleeping Treatments
Night Sweats Treatments

Vasomotor Symptoms

What are vasomotor symptoms (VMS)?

The International Menopause Society (IMS) explain:

“Hot flushes and night sweats are also referred to as Vasomotor Symptoms (VMS)”.²

Hormone Therapy

Is menopausal hormone therapy (MHT) an effective treatment for night sweats?

One of the governing principles in the 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy: IMS Governing Principles on MHT published online 12 February 2016, is:

“MHT remains the most effective therapy for vasomotor symptoms and urogenital atrophy”.³

What is urogenital atrophy?

Urogenital atrophy or the genito-urinary syndrome of menopause may include changes to a woman’s urinary system and vagina, such as vaginal atrophy and vaginal dryness.

Revised Global Consensus Statement

What is one of the points of consensus about MHT and VMS?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

“MHT, including tibolone and the combination of conjugated equine estrogens and bazedoxifene (CE/BZA), is the most effective treatment for vasomotor symptoms (VMS) associated with menopause at any age, but benefits are more likely to outweigh risks if initiated for symptomatic women before the age of 60 years or within 10 years after menopause”.⁴

Hormone Therapy Benefits and Risks

What is one of the points of consensus about MHT benefits and risks?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT is:

“The option of MHT is an individual decision in terms of quality of life and health priorities as well as personal risk factors such as age, time since menopause and the risk of VTE, stroke, ischemic heart disease and breast cancer. MHT should not be recommended without a clear indication for its use”.⁵

What is VTE?

VTE can be an abbreviation for Venous Thromboembolism.

Hormone Therapy Alternatives

What is one of the points of consensus about MHT alternatives and VMS?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT is:

“If MHT is contraindicated or not desired for treatment of VMS, selective serotonin reuptake inhibitors and serotoninnorepinephrine reuptake inhibitors such as paroxetine, escitalopram, venlafaxine and desvenlafaxine, which have been shown to be effective in randomized controlled trials (RCTs), may be considered. Gabapentin may also be considered”.⁶

Complementary and Integrative Health

What may be an elephant in the room with choosing to use complementary and integrative health to treat night sweats?

In 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 2. the (United States) National Center for Complementary and Integrative Health (NCCIH) elaborate on:

“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”.⁷

In Menopause: Diagnosis and Management – Information for the Public: Managing Your Symptoms – Hot Flushes and Night Sweats the (British) National Institute for Health and Care Excellence’s (NICE) elaborate on:

“Some women find that the dietary supplements black cohosh and isoflavones can reduce their hot flushes and night sweats. However, the ingredients of these products may vary and their safety is unknown. They may also interfere with any other medicines you are taking”.⁸

St John’s Wort

Can St John’s wort used to treat night sweats?

In Menopause: Diagnosis and Management – Information for the Public: Treating Menopausal Symptoms – Non-Prescribed Treatments: St John’s Wort the NICE explain:

“Some women have found St John’s wort can reduce their hot flushes and night sweats during menopause. However, the ingredients of products containing St John’s wort may vary and their effects are uncertain. Also, these products can interfere with other drugs, including those used to treat breast cancer (for example, tamoxifen)”.⁹

Health Care Provider

What if I would like help with my night sweats?

If you would like help with your night sweats, it may be in your best interest to choose to talk to your health care provider about this.

In Menopause: Diagnosis & Treatment – Treatment the (United States) Mayo Clinic encourage us to seek help explaining:

“Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly, as your needs and treatment options may change”.¹⁰

In 4 Things To Know About Menopausal Symptoms and Complementary Health Practices. 4 the NCCIH remind us:

“Tell all your health care providers about any complementary health practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care”.¹¹

Health Topics A-Z

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Sources

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