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Hormone Therapy and Other Treatments for Symptoms of Menopause - American Family Physician

Dec 1, 2016 - The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1201/p884.html

Menopause - American Family Physician

Oct 1, 2018 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59

Health Maintenance in Postmenopausal Women - American Family Physician

May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p561.html

Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...

Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p801.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Estrogen No Better Than Vaginal Lubricant for Postmenopausal Vaginal Symptoms - POEMs -...

Nov 15, 2018 - It is time to rethink the idea that vaginal atrophy caused by diminished estrogen is the cause of vaginal symptoms associated with menopause. Vaginal estradiol is no more effective than a non-prescription vaginal lubricant or placebo lubricant in the treatment of women with painful ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1115/od3.html

Soy: A Complete Source of Protein - American Family Physician

Jan 1, 2009 - Soybeans contain all of the essential amino acids necessary for human nutrition and have been grown and harvested for thousands of years. Populations with diets high in soy protein and low in animal protein have lower risks of prostate and breast cancers than other populations. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p43.html

Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...

Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1001/od1.html

The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...

Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0715/p117.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results, and has no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0415/p541.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2018/0415/od1.html

Minimal Effect of ERT on Sexual Function in Menopausal Women - POEMs - American Family ...

Mar 15, 2018 - Transdermal, but not oral, estrogen produced a small improvement in sexual function scores in menopausal women. The increases were very small and may not be noticeable by most women.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0315/p408.html

Transdermal Estrogen and Progestogen Most Effective to Reduce Menopausal Vasomotor ...

Dec 1, 2017 - Transdermal estrogen plus progestogen, or oral estrogen plus progestogen, is the treatment most likely to effectively reduce the frequency of vasomotor symptoms among menopausal women. Isoflavones and black cohosh were found to be better than placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/1201/p744.html

Nonhormonal Therapies for Hot Flashes in Menopause - American Family Physician

Feb 1, 2006 - Numerous reports in the medical literature and popular media have discussed the effectiveness of various nonhormonal agents in reducing menopausal hot flash symptoms. Data for these therapies are limited, and most of the studies have been conducted in women with a history of breast ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p457.html

Conjugated Estrogens/Bazedoxifene (Duavee) for Menopausal Symptoms - STEPS - American ...

Feb 15, 2016 - Conjugated estrogens/bazedoxifene is effective for the treatment of menopausal symptoms and may be better tolerated than conjugated estrogens/medroxyprogesterone. It will maintain bone mineral density in the lumbar spine and hip, but its effect on fractures is not known. Cardiovascular ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0215/p307.html

ACOG Releases Clinical Guidelines on Management of Menopausal Symptoms - Practice ...

Sep 1, 2014 - The American College of Obstetricians and Gynecologists (ACOG) has provided recommendations for the treatment of vasomotor and vaginal symptoms related to menopause.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0901/p338.html

AACE Releases Guidelines for Menopausal Hormone Therapy - Practice Guidelines - ...

Nov 1, 2012 - Menopause is diagnosed in women who have not had menses for one year. The American Association of Clinical Endocrinologists (AACE) convened a task force to review available evidence on therapies for menopausal symptoms. The task force's guidelines include recommendations for prescribing...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1101/p864.html

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions: ...

Mar 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2013/0315/od1.html

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions - Putting ...

Mar 15, 2013 - Case Study: A 59-year-old healthy, postmenopausal woman presents for a routine health maintenance visit. She has an intact uterus and no history of skeletal fractures. She asks if menopausal hormone therapy would help prevent chronic illness, specifically stroke and dementia.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0315/p437.html

Alternative Therapies for Traditional Disease States: Menopause - American Family ...

Jul 1, 2002 - With growing concern about the use of hormone replacement therapy, some women are looking for alternative treatments for menopausal symptoms and preventing postmenopausal cardiovascular disease and osteoporosis. In observational trials, exercise has been associated with decreased ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p129.html

Exercise for Treatment of the Vasomotor Symptoms of Menopause - Cochrane for Clinicians...

Feb 1, 2012 - Although menopausal women who exercise are less likely to report vasomotor symptoms than those who do not, there is insufficient evidence that counseling women to exercise is more effective than no treatment or hormone therapy for vasomotor symptoms of menopause.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0201/p237.html

Oral Contraceptive Use During the Menopausal Years - American Family Physician

Oct 15, 1998 - Few guidelines exist for the use of estrogen, particularly low-dose oral contraceptives, during the perimenopausal years. Use of low-dose oral contraceptive pills in women over 35 years of age provides protection against unwanted pregnancy, maintains a stable hormonal environment and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1373.html

Managing Menopause - American Family Physician

Mar 1, 2000 - Many women will spend one third of their lifetime after menopause. A growing number of options are available for the treatment of menopausal symptoms like vasomotor instability and vaginal atrophy, as well as the long-term health risks such as cardiovascular disease and osteoporosis ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1391.html

Raloxifene: A Selective Estrogen Receptor Modulator - American Family Physician

Sep 15, 1999 - Raloxifene is a selective estrogen receptor modulator that produces both estrogen-agonistic effects on bone and lipid metabolism and estrogen-antagonistic effects on uterine endometrium and breast tissue. Because of its tissue selectivity, raloxifene may have fewer side effects than are...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1131.html

NAMS Releases Updated Position Statement on the Use of Estrogen and Progestogen in ...

Jul 15, 2007 - The North American Menopause Society (NAMS) has released an updated position statement on the use of estrogen therapy (ET) and combined estrogen-progestogen therapy (EPT) in perimenopausal and postmenopausal women, based on the latest evidence on the risks and benefits associated with ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0715/p295.html

Hormone Therapy in Postmenopausal and Perimenopausal Women - Cochrane for Clinicians - ...

Nov 1, 2006 - Relatively healthy women taking combined continuous hormone therapy have higher risks of myocardial infarction and venous thromboembolism after one year, stroke after three years, and breast cancer after five years. In women who take hormone therapy continuously for five years, there is...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1101/p1501.html

Hormone Therapy for the Prevention of Chronic Conditions in Postmenopausal Women - ...

Dec 15, 2005 - Case study: In keeping with the 2002 recommendation from the U.S. Preventive Services Task Force (USPSTF) that women 65 years of age and older should be screened for osteoporosis, you have ordered a dual-energy x-ray absorptiometry test for a 66-year-old white woman. The results ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2005/1215/p2520.html

Hormone Therapy for the Prevention of Chronic Conditions in Postmenopausal Women - U.S....

Jul 15, 2005 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on hormone therapy for the prevention of chronic conditions in post-menopausal women and the supporting scientific evidence and updates the Task Force’s 2002 recommendations on hormone replacement...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2005/0715/p311.html

NAMS Releases Position Statement on the Treatment of Vasomotor Symptoms Associated with...

Jul 15, 2004 - The North American Menopause Society (NAMS) has released an evidence-based position statement on the treatment of vasomotor symptoms associated with menopause to provide recommendations on the most effective treatments.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p393.html

Vaginal Estrogen Preparations for Relief of Atrophic Vaginitis - Cochrane for ...

May 1, 2004 - Vaginal estrogen preparations are safe and effective as short-term treatment in patients with vaginal atrophy who are not candidates for systemic hormone therapy. Compared with estradiol products, conjugated equine estrogen creams may be associated with a higher incidence of adverse ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0501/p2111.html

Calcium Supplementation in Postmenopausal Women - Cochrane for Clinicians - American ...

Jun 15, 2004 - Calcium supplementation has a beneficial effect on bone density and may reduce vertebral fractures. It has no clear effect on nonvertebral fractures, although the number of patients studied may be too small to predict this outcome.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0615/p2822.html

Screening for Osteoporosis in Postmenopausal Women - Putting Prevention into Practice -...

Jan 1, 2004 - Case study: PK, a 65-year-old black woman, comes to get her annual influenza vaccination. She says she appreciates your recent visit to her mother, who is recovering from surgery following a hip fracture. PK asks if she should be screened for osteoporosis

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0101/p139.html

Postmenopausal Hormone Replacement Therapy for the Primary Prevention of Chronic ...

Jan 15, 2003 - These are the current U.S. Preventive Services Task Force (USPSTF) recommendations for use of hormone replacement therapy (HRT) for the primary prevention of chronic conditions in postmenopausal women.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2003/0115/p358.html

Postmenopausal Osteoporosis and Estrogen - Editorials - American Family Physician

Aug 15, 2003 - Advertisement << Previous article Next article >> Aug 15, 2003 Issue Editorials Postmenopausal Osteoporosis and Estrogen HEIDI D. NELSON, M.D., M.P.H., Oregon Health and Science University Portland, Oregon Am Fam Physician. 2003 Aug 15;68(4):606-612. Observational studies and...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0815/p606.html

Hormone Therapy: Continuing Discussion and Debate - Editorials - American Family Physician

Apr 1, 2003 - Advertisement << Previous article Next article >> Apr 1, 2003 Issue Editorials Hormone Therapy: Continuing Discussion and Debate BARBARA S. APGAR, M.D., M.S., University of Michigan Medical School, Ann Arbor, Michigan DAVID G. WEISMILLER, M.D., Sc.M., Brody School of Medicine, East...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0401/p1444.html

Is Raloxifene the Answer to the HRT Story? - Editorials - American Family Physician

Sep 15, 1999 - Advertisement << Previous article Next article >> Sep 15, 1999 Issue Editorials Is Raloxifene the Answer to the HRT Story? BARBARA APGAR, M.D., M.S., University of Michigan Medical School, Ann Arbor, Michigan Am Fam Physician. 1999 Sep 15;60(4):1092-1095. Related Article The search...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0915/p1092.html

Options and Issues in Managing Menopause - Editorials - American Family Physician

Mar 1, 2000 - Advertisement << Previous article Next article >> Mar 1, 2000 Issue Editorials Options and Issues in Managing Menopause JANE L. MURRAY, M.D., University of Kansas Medical Center, Kansas City, Kansas Am Fam Physician. 2000 Mar 1;61(5):1285-1288. Related Article With the advent of...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0301/p1285.html

Does Estrogen Therapy Have a Role in Cardiovascular Prevention? - Editorials - American...

Mar 1, 1999 - Advertisement << Previous article Next article >> Mar 1, 1999 Issue Editorials Does Estrogen Therapy Have a Role in Cardiovascular Prevention? HARVEY H. NEWNHAM, M.B.B.S., PH.D., Monash University, Victoria, Australia JONATHAN SILBERBERG, M.B.B.CH., M.SC., John Hunter Hospital,...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0301/p1125.html

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