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New American guidelines for treating Menopause symptoms

6 January 2014

The American College of Obstetricians and Gynecologists has updated its Practice Bulletin for treating vasomotor symptoms of menopause ("hot flushes") and vaginal atrophy.

The updated bulletin, which replaces the June 2001 version, was published in the January 2014 issue of Obstetrics & Gynecology.

Hot flushes affect from 50% to 82% of US women who experience natural menopause, and 10% to 40% report vaginal atrophy. Of those who have hot flushes, 87% suffer daily and 33% have 10 or more episodes daily. Median duration of vasomotor symptoms is from 4 to 10.2 years.

Emphasis is placed on the importance of understanding the risks and benefits of different therapies and of individualizing therapy.

The recommendations are listed in 3 tiers:

Obstet Gynecol. 2014;123:202-216.

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