Quiz: Nonhormonal Menopause Management

Author: Laura A. Stokowski, RN, MS; Reviewers: JoAnn E. Manson, MD, DrPH; Hadine Joffe, MD, MSc


December 02, 2014

Vasomotor Symptoms of Menopause: Desperately Seeking Relief

Most perimenopausal women experience vasomotor symptoms (VMS), including hot flashes. Frequently accompanied by night sweats, hot flashes can disrupt sleep, interfere with activities of daily life, and impair productivity and quality of life.

The traditional treatment for hot flashes and other symptoms of menopause is menopausal hormone therapy (HT), but safety concerns involved with HT may make it a less-than-ideal option for some women.[1,2] Generally, women in whom the risks associated with HT outweigh the benefits include those with a history of venous thromboembolism, endometrial or breast cancer, coronary heart disease, stroke, or transient ischemic attack.[3] Other contraindications to HT include unexplained vaginal bleeding, active liver disease, hypertriglyceridemia, and active gallbladder diseases.[4] Women at high risk for cardiovascular disease also are not good candidates for initiation of HT.[3]

Take our quiz to learn more about nonhormonal treatments that may work for patients who fall into any of these categories.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: