ENDOCRINE DILEMMA: Managing menopausal symptoms after breast cancer

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ENDOCRINE DILEMMA: Managing menopausal symptoms after breast cancer.

Managing the symptoms of menopause after a diagnosis of breast cancer offers some unique clinical challenges. For some women, vasomotor symptoms can be severe and debilitating, and hormone therapy is at least relatively contraindicated. Non-oestrogen therapies for hot flushes include SSRIs, clonidine, gabapentin and perhaps black cohosh extracts. Vulvovaginal atrophy can usually be alleviated b...

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Managing menopausal symptoms after gynecological cancer.

PURPOSE OF REVIEW As the length of survival in patients with gynecological malignancies increases due to advances in early diagnosis and therapy, quality of life becomes a major issue for the survivors. These women frequently suffer symptoms following an iatrogenically induced menopause. Many gynecologists advise these patients against hormonal replacement therapy. This review attempts to provi...

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Practical clinical guidelines for assessing and managing menopausal symptoms after breast cancer.

BACKGROUND The purpose of this study was to provide practical, evidence-based guidelines for evaluating and treating common menopausal symptoms following breast cancer. METHODS Literature review of the causes, assessment and management of menopausal symptoms in breast cancer patients. RESULTS A number of nonhormonal treatments are effective in treating hot flashes. Whether pharmacological t...

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Managing debilitating menopausal symptoms.

Severity and duration of menopausal symptoms varies markedly. Eight out of ten women experience symptoms and on average these last four years, with one in ten women experiencing symptoms for up to 12 years. A recent study found that women whose vasomotor symptoms started before the menopause suffered longest, median 11.8 years. Women whose hot flushes and night sweats started after the menopaus...

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Managing menopausal symptoms in breast cancer survivors: results of a randomized controlled trial.

BACKGROUND Menopausal symptoms (e.g., hot flashes, vaginal dryness, and stress urinary incontinence) are very common in breast cancer survivors and cannot be managed with standard estrogen replacement therapy (ERT) in these patients. The purpose of this study was to test the efficacy of a comprehensive menopausal assessment (CMA) intervention program in achieving relief of symptoms, the improve...

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ژورنال

عنوان ژورنال: European Journal of Endocrinology

سال: 2016

ISSN: 0804-4643,1479-683X

DOI: 10.1530/eje-15-0814