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QUESTION
Which 2 nonpharmacological treatments are HIGHLY recommended by the North
American Menopause Society (NAMS) to treat VMS?
Answer:
Cognitive behavioral therapy, clinical hypnosis
QUESTION
What other nonpharmacologic options are used to treat VMS?
Answer:
Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
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QUESTION
What are vasomotor symptoms?
Answer:
Hot flushes and night sweats
QUESTION
What are the non-VMS of menopause?
Answer:
Dyspareunia, vaginal dryness, mood changes, sleep disturbances, concentration and
memory issues, arthralgia
QUESTION
If patient has a uterus, you must give them
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Answer:
estrogen + progestin combo
QUESTION
If patient does NOT have a uterus, you can give them
Answer:
estrogen alone
QUESTION
What are the 3 main differences in estrogen of transdermal estrogens?
Answer:
Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
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