Management of Menopause Symptoms

    March 2025 in “ Primary Care Clinics in Office Practice ”
    Julia Snyder, Coral Matus, E. M. Landis, Robin A. Barry, Linda Speer
    TLDR Menopausal hormone therapy is best for hot flashes, while other options include SSRIs, SNRIs, fezolinetant, and lifestyle changes.
    The document discusses various treatments for menopause symptoms, highlighting that menopausal hormone therapy (MHT) is the most effective for vasomotor symptoms (VSM) like hot flashes and night sweats, especially for women under 60 or within 10 years of menopause onset. Nonhormonal options include SSRIs, SNRIs, and the new drug fezolinetant. Nonpharmacological treatments such as cognitive behavioral therapy, weight loss, and smoking cessation are also recommended. For genitourinary syndrome of menopause, topical estrogen is the first-line treatment. Female pattern hair loss affects about 50% of menopausal women, with topical minoxidil and oral finasteride as potential treatments.
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      community Request for advice, feedback...

      in Chat  2 upvotes 5 months ago
      The conversation discusses hair loss treatments for a woman experiencing androgenetic alopecia and seborrheic dermatitis, with suggestions including low-dose oral minoxidil, dutasteride, and hormone replacement therapy. The user is seeking advice due to intolerance to spironolactone and topical minoxidil, and concerns about low testosterone and DHT levels.

      community Yes your lifestyle and diet has its role in hair loss.

      in Chat  296 upvotes 2 months ago
      Diet and lifestyle changes can reduce hair shedding but won't regrow hair lost to genetic male pattern baldness. Treatments like finasteride and dutasteride are necessary for significant hair regrowth.

      community 6 months on dutast and minoxodil, hair growing like weeds now!

      in Progress Pictures  618 upvotes 3 months ago
      A woman experienced significant hair regrowth after six months of using dutasteride and minoxidil, despite initial hair loss due to androgenetic alopecia. She reported minimal side effects and highlighted the effectiveness of these treatments for women, despite doctors' hesitancy to prescribe them.
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

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