The Effect of Complementary and Alternative Therapy at Menopause: Trick or Treat?
Pp. 385-413 (29)
Lily Stojanovska and Viki Kitanovska
Hot flushes affect approximately 75% of postmenopausal women and are one
of the most distressing symptoms that women experience as they enter the menopause.
The treatment of hot flushes is a common clinical challenge. A large body of data shows
that HRT effectively relieves vasomotor symptoms by 80-90%, however, many patients
may be unable or unwilling to undergo hormonal treatment. Publication of the results of
the Women’s Health Initiative (WHI) and the Million Women Study (MWS) has led to
considerable uncertainties about the role of hormone replacement therapy (HRT) among
health professionals and women. All of these concerns have generated interest in nonhormonal
treatment and many women seek alternative strategies to relieve climacteric
complaints. The use of complementary and alternative medicine (CAM) among
menopausal women has increased in the last years. This growth highlights the need for a
critical evaluation of the tolerability and effectiveness of these readily available
therapies. This chapter provides an overview for the evidence underlying the commonly
used non-hormonal therapies for menopausal symptoms in terms of their efficacy and
safety when used for relief of menopausal-related symptoms.
Menopause, menopause symptoms, hot flushes, night sweats, HRT,
complementary therapy, alternative therapy, phytoestrogens, isoflavones, red clover,
black cohosh, maca, soy beans, botanical herbs for menopausal symptoms, ginseng,
evening primrose oil, dong quai, hops, homeopathy, acupuncture.
School of Biomedical and Health Sciences, Victoria University, Melbourne, Australia