EMAS position statement: Non-hormonal management of menopausal vasomotor symptoms. Issue 3 (July 2015)

• Record Type: Journal Article
• Authors: Mintziori, Gesthimani; Lambrinoudaki, Irene; Goulis, Dimitrios G.; Ceausu, Iuliana; Depypere, Herman; Erel, C. Tamer; Pérez-López, Faustino R.; Schenck-Gustafsson, Karin; Simoncini, Tommaso; Tremollieres, Florence; Rees, Margaret
• Is Part Of: Maturitas. Volume 81:Issue 3(2015:Jul.)
• Page Start: 410
• Page End: 413
• Publication Date: 2015-07
• Subjects: Climacteric -- Periodicals; Menopause -- Periodicals; Climacteric -- Periodicals; Geriatrics -- Periodicals; Menopause -- Periodicals; Middle Aged -- Periodicals; Climatère -- Périodiques; Ménopause -- Périodiques; Climacterium; Climacteric; Menopause; Electronic journals; Periodicals; 612.66
• DOI: 10.1016/j.maturitas.2015.04.009
• Languages: English
• ISSNs: 0378-5122

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Aim</title> <p id="spar0005">To review non-hormonal therapy options for menopausal vasomotor symptoms. The current EMAS position paper aims to provide to provide guidance for managing peri- and postmenopausal women who cannot or do not wish to take menopausal hormone therapy (MHT).</p> </sec> <sec> <title id="sect0015">Material and methods</title> <p id="spar0010">Literature review and consensus of expert opinion.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">Non-hormonal management of menopausal symptoms includes lifestyle modifications, diet and food supplements, non-hormonal medications and application of behavioral and alternative medicine therapies. There is insufficient or conflicting evidence to suggest that exercise, supplements or a diet rich in phytoestrogens are effective for vasomotor menopausal symptoms. Selective serotonin-reuptake inhibitors (SSRIs), serotonin norepinephrine-reuptake inhibitors (SNRIs) and gabapentin could be proposed as alternatives to MHT for menopausal symptoms, mainly hot flushes. Behavioral therapies and alternative medicine interventions have been tried, but the available evidence is still limited.</p> </sec> <sec> <title id="sect0025">Conclusions</title> <p id="spar0020">A number of interventions for non-hormonal management of menopausal vasomotor symptoms are now available. For women who cannot or do not wish to take estrogens, non-hormonal management is now a realistic option.</p> </sec> </abstract>