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afya Menopause

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20160425222541 Ben  
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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