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Review

Nonhormone therapies for vasomotor symptom management

Tara K. Iyer, MD, MSCP, Alexa N. Fiffick, DO, MBS, MSCP and Pelin Batur, MD, FACP, MSCP
Cleveland Clinic Journal of Medicine April 2024, 91 (4) 237-244; DOI: https://doi.org/10.3949/ccjm.91a.23067
Tara K. Iyer
Director, Menopause and Midlife Clinic, Division of Women’s Health, Department of Medicine, Brigham and Women’s Hospital, Boston, MA; Instructor of Medicine, Harvard Medical School, Boston, MA
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  • For correspondence: [email protected]
Alexa N. Fiffick
CEO, Founder of Concierge Medicine of Westlake, Westlake, OH; Associate Director of Education, Ms.Medicine; Menopause Expert, Menopause Mandate US
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Pelin Batur
Department of Subspecialty Care for Women’s Health, Obstetrics and Gynecology Institute, Cleveland Clinic, Cleveland, OH; Professor, OB/GYN and Reproductive Biology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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ABSTRACT

Vasomotor symptoms (VMS) are associated with adverse health consequences and can cause significant morbidity for postmenopausal women. Although hormone therapy remains the gold standard of VMS treatment in menopausal women, some women have contraindications to or may choose not to take hormone therapy. This article provides an up-to-date overview of the current evidence-based nonhormone therapies available for managing VMS. Evidence supporting various treatment options is reviewed, including lifestyle interventions, mind-body therapies, procedures, pharmacologic agents, and emerging therapies, such as neurokinin-receptor antagonists. The efficacy, safety, and clinical use of these treatments are detailed, offering insights for clinicians to make informed decisions in menopausal VMS management.

  • Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Tara K. Iyer, MD, MSCP⇑
  1. Director, Menopause and Midlife Clinic, Division of Women’s Health, Department of Medicine, Brigham and Women’s Hospital, Boston, MA; Instructor of Medicine, Harvard Medical School, Boston, MA
  1. Address:
    Tara K. Iyer, MD, MSCP, Division of Women’s Health, Department of Medicine, Brigham and Women’s Hospital, 1620 Tremont Street, 3rd Floor, Boston, MA 02120; tiyer{at}bwh.harvard.edu
  1. Alexa N. Fiffick, DO, MBS, MSCP
  1. CEO, Founder of Concierge Medicine of Westlake, Westlake, OH; Associate Director of Education, Ms.Medicine; Menopause Expert, Menopause Mandate US
  1. 3957Pelin Batur, MD, FACP, MSCP
  1. Department of Subspecialty Care for Women’s Health, Obstetrics and Gynecology Institute, Cleveland Clinic, Cleveland, OH; Professor, OB/GYN and Reproductive Biology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

ABSTRACT

Vasomotor symptoms (VMS) are associated with adverse health consequences and can cause significant morbidity for postmenopausal women. Although hormone therapy remains the gold standard of VMS treatment in menopausal women, some women have contraindications to or may choose not to take hormone therapy. This article provides an up-to-date overview of the current evidence-based nonhormone therapies available for managing VMS. Evidence supporting various treatment options is reviewed, including lifestyle interventions, mind-body therapies, procedures, pharmacologic agents, and emerging therapies, such as neurokinin-receptor antagonists. The efficacy, safety, and clinical use of these treatments are detailed, offering insights for clinicians to make informed decisions in menopausal VMS management.

  • Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 91 (4)
Cleveland Clinic Journal of Medicine
Vol. 91, Issue 4
1 Apr 2024
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Nonhormone therapies for vasomotor symptom management
Tara K. Iyer, Alexa N. Fiffick, Pelin Batur
Cleveland Clinic Journal of Medicine Apr 2024, 91 (4) 237-244; DOI: 10.3949/ccjm.91a.23067

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Nonhormone therapies for vasomotor symptom management
Tara K. Iyer, Alexa N. Fiffick, Pelin Batur
Cleveland Clinic Journal of Medicine Apr 2024, 91 (4) 237-244; DOI: 10.3949/ccjm.91a.23067
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  • Article
    • ABSTRACT
    • NONPRESCRIPTION, COMPLEMENTARY, AND ALTERNATIVE THERAPIES
    • NONHORMONE PHARMACOLOGIC AGENTS
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