Uses and Efficacy Currently, the primary use of black cohosh extract is for alleviation of menopausal symptoms. The American College of Obstetrics and Gynecology guidelines on the use of botanicals for the management of menopausal symptoms support this use for up to six months, especially in treating the symptoms of sleep and mood disturbance, and hot flushes. [Evidence level C, consensus/exper...

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...

Abstract:Menopause is about a pattern in ovarian activity, fertility rate, and climacteric with range of four surfaces including hot flashes, problems, mood disturbance, sexual dysfunction. Many women seek traditional complementary medicine for the management these problems during this period. This research was conducted as descriptive study order to determine health menopausal alternative trea...

Hormone replacement therapy (HRT) is recommended for most women who experience surgical menopause following hysterectomy/oophorectomy for noncancerous conditions; it is also commonly prescribed for postmenopausal women. Beginning in 1992, 1,299 women undergoing hysterectomy in 28 hospitals throughout Maryland were interviewed prior to hysterectomy and were subsequently followed over a 2-year pe...

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...

A collection of STEPS published in AFP is available at http://www.aafp.org/ afp/steps. Conjugated estrogens/bazedoxifene (Duavee) combines conjugated estrogen with bazedoxifene, a selective estrogen receptor modulator. Bazedoxifene stimulates estrogen receptors in bone and has antagonistic effects in the breast and uterus.1 Conjugated estrogens/bazedoxifene is labeled for the treatment of moder...

To the Editor, Following medical advances and the consequent increase in life expectancy during the recent decades, more women reach menopause each year. Menopause with resultant estrogen deficiency can lead to troublesome vasomotor symptoms, necessitating hormone replacement therapy (HRT). Despite all efforts made by the scientific community, the number of currently available treatment options...