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afya
Menopause
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> little or no symptoms HRT for menopausal symptoms. (not to modify cardiovascular risk (following WHI) ? helpful for prevention and treatment of osteoporosis. ''Management options for hot flushes or night sweats'' lifestyle advice: exercise, avoiding caffeine/spicy foods, lighter clothing hormone replacement therapy: most effective tibolone: unsuitable for use within 12 months of last menstrual period as may cause irregular bleeding clonidine: use is often limited by side-effects such as dry mouth, dizziness and nausea - help 20% women selective serotonin reuptake inhibitors: only small trials have been completed to date - help 30% women ''Vaginal atrophy'' topical oestrogens
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