New hormone therapies for hot flashes offer enhanced benefits and minimized risk

CLEVELAND, Ohio (September 28, 2020)–Hormone therapy remains the best proven method for managing menopause symptoms such as hot flashes. Research continues, however, in the area to identify novel approaches to estrogen therapy that minimize any associated risks. Dr. Hugh Taylor from Yale School of Medicine will discuss some of the latest developments, including fetal estrogens, during the 2020 Pre-Meeting Symposium of The North American Menopause Society (NAMS).

According to Dr. Taylor, a number of improvements have been introduced in the past decade. These include new selective estrogen receptor modulators (SERMs) and the use of estrogens together with SERMs to replace progestins. Fetal estrogens represent one of the newest promising developments. Their unique properties distinguish them from estradiol, although they have some SERM-like properties.

Dr. Taylor noted that estriol and estetrol have entered clinical use with new data revealing promising characteristics. Specifically, estetrol decreases hot flashes and results in favorable cardiovascular

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Your Good Health: Hormone replacement therapy best treatment for hot flashes

Dear Dr. Roach: If women are prescribed a hormone replacement for hot flashes, do the hot flashes return once the medicine is discontinued. If you take hormone replacement therapy, are you just delaying the symptoms for a while and will have to deal with hot flashes either way?

C.H.

Hot flashes are a common symptom when women go into menopause — 60% to 80% of women will experience them. About half of women will stop having hot flashes after about five years. The remainder will have a longer duration. A third of women will still experience them after 10 years, and in about 10%, they continue for 20 or more years after menopause.

The most effective treatment is hormone replacement therapy — specifically, estrogen. But estrogen should not be given without a progestin in women who have a uterus, i.e., those who have not had a hysterectomy. HRT neither shortens

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To Your Good Health: Does HRT affect the duration of hot flashes? | Columnists

DEAR DR. ROACH: I am a 63-year-old female who has suffered with Epstein-Barr virus twice in the past two years. My understanding is that for many people, this virus lies dormant until a trigger, such as stress, causes it to emerge.

My symptoms consisted of fever, extreme exhaustion and weakness. After three weeks, I am slowly feeling better. I never want to feel like this again! Aside from maintaining a healthy diet, exercising and stressing less, do you have any suggestions as to how I can stay symptom-free in the future? — R.K.

ANSWER: Epstein-Barr virus is the classic cause of infectious mononucleosis, which is a common condition in children and adolescents. Its symptoms of early fever followed by days or weeks of fatigue are nonspecific. Other viruses and even a parasite can cause a similar symptoms. Blood testing can confirm the diagnosis.

EBV is in the herpes family, and

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