General Approach to Treatment

Women suffering from vasomotor symptoms should attempt lifestyle or behavioral modifications before seeking medical treatment. Women who seek medical treatment usually suffer from symptoms that diminish their QoL, such as multiple hot flashes per day or week, sleep disturbances, vaginal dryness, or mood swings. HT should be considered for these women, but is not the most appropriate choice for all women.

Women should receive a thorough history and physical examination, including assessing for CHD and breast cancer risk factors, before HT is considered. They should be informed of the risks and the benefits of HT and encouraged to be involved in the decision-making process. If a woman does not have any contraindications to HT, including CHD or significant CHD risk factors, and also does not have a personal history of breast cancer, HT would be an appropriate therapy option (Fig. 50—1). Women who have undergone a hysterectomy need only be prescribed estrogen. A progestogen should be added to the estrogen only for women with an intact uterus. Alternative and nonhormonal treatment options are available for women who are not candidates for HT, but they are less efficacious than hormonal therapies. These treatments should be chosen based on the efficacy and safety profile of the treatment and the patient's past medical history and current medications.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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