New reports confirm that women struggling with menopause symptoms don’t have to endure them in silence. Many are turning to alternative treatments amidst recent changes in medical guidelines, particularly those who cannot use hormone therapy due to health concerns.
UPDATE: In a developing conversation, experts stress that lifestyle changes, non-hormonal medications, and other approaches can provide relief. This news is especially crucial for women like Shilpa Gajarawala, a 58-year-old physician assistant from Jacksonville, Florida, who faced debilitating hot flashes and sleep problems without hormone therapy due to her history of breast cancer.
Medical professionals emphasize that there’s a solution for everyone. “The key here is that there’s something for everybody,” said Dr. Stephanie Faubion, medical director at the Menopause Society. “We have lots of other options available.”
For those avoiding hormone treatments due to medical conditions such as severe liver disease or a history of heart issues, doctors suggest several effective lifestyle modifications. Increasing physical activity can significantly help manage symptoms. While exercise may not directly alleviate menopausal symptoms, it aids in weight management, which can reduce hot flashes and night sweats.
Emerging research shows that adopting a “plant-forward diet” rich in produce and low in oils may also ease symptoms. Dr. Faubion advises avoiding common triggers like caffeine and alcohol, which can exacerbate hot flashes.
During menopause, the body’s hormone production declines sharply, leading to various health issues. “Maintaining cardiovascular health is important,” Faubion added, urging women to stop smoking, manage stress, and prioritize sleep.
Beyond lifestyle changes, several non-hormonal prescription medications have shown promise. Antidepressants can alleviate hot flashes and improve mood. Recently, new drugs like Veozah (fezolinetant) have entered the market, targeting brain receptors to reduce hot flashes. Another option, Lynkuet (elinzanetant), has also been approved by the FDA, offering similar benefits with slightly different mechanisms.
However, these medications may carry side effects. Veozah comes with a warning about potential liver injury, while Lynkuet can lead to fatigue and difficulty staying awake. “There’s no medication out there that’s entirely free of risk,” cautioned Dr. JoAnn Manson of Harvard Medical School.
Over-the-counter options are also available. Women experiencing vaginal dryness may find relief with lubricants. Cognitive behavioral therapy is another method that can help manage the psychological burden of hot flashes, making them easier to cope with. Dr. Manson noted the potential of clinical hypnosis as a promising yet under-researched option.
The takeaway is clear: women no longer have to simply “get through” menopause. “I would implore women to have that conversation about what treatment might be beneficial for them,” said Dr. Juliana Kling, a women’s health expert at Mayo Clinic Alix School of Medicine.
Gajarawala has taken these recommendations to heart. She has eliminated red wine from her diet, walks at least 10,000 steps a day, practices tai chi, and uses an extended-release antidepressant. “It’s been a significant improvement,” she reported.
As awareness grows, women are encouraged to seek help and explore the wide range of new options available. The message is clear: relief is possible, and women should not hesitate to act.
Stay tuned for more updates as this conversation continues to evolve.
