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Hormone replacement therapy (HRT) is commonly used to treat menopausal symptoms such as night sweats, hot flushes, insomnia, and vaginal dryness. The risks of HRT are high, however, and research has shown that this therapeutic approach may increase the risk of breast and ovarian cancer.
There are several natural treatment alternatives to HRT which can help control menopausal symptoms effectively. Although the below alternatives shouldn’t be a replacement for conventional medical intervention, they can complement current menopause treatments.
Regular exercise helps deal with hot flushes and enhances sleep; it also helps improve bone density and combat stress, anxiety, and depression. Walking, dancing, aerobics, and running are ideal.
Wearing loose clothing and staying cool could help relieve night sweats and improve sleep quality. Also, try yoga or other relaxing activities to reduce stress. Smoking cessation is another important factor as smoking can be a cause of hot flushes.
Avoid spicy food, alcohol, and caffeine as they can trigger hot flushes. Additionally, a healthy diet containing calcium and vitamin D-rich foods is essential to fight osteoporosis, a common symptom of menopause.
Foods high in calcium and vitamin D include milk, cheese, yoghurt, and sardines. Other dietary components that may assist in alleviating menopausal symptoms include:
Antidepressant medications may help ease depression-like symptoms experienced during menopause. Selective serotonin reuptake inhibitors (SSRIs) such as paroxetine, fluoxetine, and citalopram can help some patients, and serotonin and noradrenaline reuptake inhibitors (SNRIs) such as venlafaxine are said to be effective in controlling menopausal symptoms.
The benefits of antidepressants are typically short acting and aren’t considered a long-term solution for real psychological issues. Also, both SSRIs and SNRIs can cause side effects such as dizziness, nausea, anxiety, and sleeplessness.
A medicine used to treat epileptic pain and seizures, Gabapentin has been shown to ease menopausal symptoms, though it is not licensed for use in menopause. Side effects include fatigue and dizziness.
Available in pharmacies, lubricants help reduce vaginal dryness. Estrogen creams work in a way similar to HRT to ease vaginal symptoms of menopause and are less risky than HRT tablets.
Originally developed to control blood pressure, clonidine is shown to be effective in reducing hot flushes and night sweats. Side effects include drowsiness, dry mouth, depression, and fluid retention.
Aromatherapy and reflexology have been found to be beneficial in some women for controlling menopausal symptoms. Cognitive behavioral therapy has been shown to improve mood swings and anxiety in women going through menopause.
Herbal products such as black cohosh, red clover, soy, dong quai, angelica, and evening primrose oil are said to be effective in treating menopausal symptoms, though the quality of these unregulated products available in health shops is a matter of concern. These products can also interfere with other treatments and cause a myriad of side effects.