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Suggest treatment for hot flushes

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Posted on Wed, 30 Jul 2014
Question: Hi I am 67 years old & have had climara patches since my hysterectomy about 19 years ago. I have tried several times to not wear them but end up still having terrible hot flushes day & night. I feel being on them this long is dangerous for me but can't stand the hot flushes. Do you have any suggestions?
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Answered by Dr. Vjollce Mbiarra (1 hour later)
Brief Answer:
Detailed below.

Detailed Answer:
Hi dear!
I understand your concern but other alternatives than HRT for treatment of menopausal symptoms are a little and havent same effect as HRT.
But side effects like increased risk of breast cancer,increased risks of stroke
,deep vein thrombosis and dementia are caused by long use of HRT.

There are some tips that you can use other than HRT:

1.Changing lifestyle
There is some evidence that women who are more active tend to have fewer symptoms of the menopause.
The best activity is regular sustained aerobic exercise, such as regular swimming or jogging.
Avoid spicy food, caffeine and alcohol.
Wearing lighter-weight clothing, sleeping in a cooler room, and reducing stress may reduce the number of hot flushes.

2.Use antidepressant medicines (SSRIs and SNRIs)or clonidine
A trial of one to two weeks is usually enough to find out whether it is going to work or not. If symptoms improve, a longer course may then be prescribed.

3.Use of foods and herbal rich of isoflavones

Before using these tips please consult your gynecologist.

ALL THE BEST
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Vjollce Mbiarra

OBGYN, Maternal and Fetal Medicine

Practicing since :2006

Answered : 1572 Questions

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Suggest treatment for hot flushes

Brief Answer: Detailed below. Detailed Answer: Hi dear! I understand your concern but other alternatives than HRT for treatment of menopausal symptoms are a little and havent same effect as HRT. But side effects like increased risk of breast cancer,increased risks of stroke ,deep vein thrombosis and dementia are caused by long use of HRT. There are some tips that you can use other than HRT: 1.Changing lifestyle There is some evidence that women who are more active tend to have fewer symptoms of the menopause. The best activity is regular sustained aerobic exercise, such as regular swimming or jogging. Avoid spicy food, caffeine and alcohol. Wearing lighter-weight clothing, sleeping in a cooler room, and reducing stress may reduce the number of hot flushes. 2.Use antidepressant medicines (SSRIs and SNRIs)or clonidine A trial of one to two weeks is usually enough to find out whether it is going to work or not. If symptoms improve, a longer course may then be prescribed. 3.Use of foods and herbal rich of isoflavones Before using these tips please consult your gynecologist. ALL THE BEST