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The Curbsiders Internal Medicine Podcast
#409 Hormonal and Nonhormonal Therapy for Vasomotor Symptoms of Menopause
Sep 25, 2023
Dr. Monica Christmas from University of Chicago Medicine joins to discuss hormonal and nonhormonal therapy for vasomotor symptoms of menopause. They cover nonpharmacologic management of symptoms, taking a history for menopausal symptoms, hormone therapy risk assessment and prescribing, troubleshooting hormone therapy, premature menopause, and discontinuation of hormone therapy.
01:18:56
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Quick takeaways
- Individualize treatment decisions for menopausal symptoms by assessing the impact on quality of life and considering risk factors.
- Consider low-dose vaginal estrogen therapy or non-hormonal options for the management of vaginal symptoms of menopause.
Deep dives
Assessing Symptoms and Risk Factors
When evaluating menopausal symptoms, it is important to listen to the patient and understand the impact of their symptoms on their quality of life. Severity of symptoms can vary, so it is crucial to individualize treatment decisions. Risk factors such as history of venous thromboembolism and estrogen-derived cancers should be evaluated to determine the appropriateness of hormone therapy.
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