By Beth Havey –
Hot flashes don’t occur because something exciting is happening to you during your menopause and postmenopausal years. Hot flashes can spontaneously erupt at any time and often at the worst of times:
you are attempting to dry your hair and the hot flash starts, making you sweat and keeping your scalp and hair wet no matter what!
you are in a deep sleep, then suddenly awakened because your nightclothes and sheets are soaking wet;
you are about to walk to the podium and give a talk; your heart begins to race and you break out in a sweat—not because of the talk or the audience—it’s a damn hot flash.
Some women who have been taking hormone replacement therapy (HRT) have no trouble stopping estrogen and experience few to no hot flashes. Others, especially women who started HRT because of severe hot flashes, find stopping estrogen very difficult. The North American Menopause Society (NAMS) suggests the extension of hormone therapy may be needed for some women who decide that the symptom relief outweighs the possible risks of continuing estrogen. Your doctor needs to talk to you during this decision process. A recent Scientific Statement of the Endocrine Society states the risks and benefits of hormone therapy for five years in women ages 50-59. These guidelines will help you and your doctor decide what is best for you.
For mild hot flash symptoms NAMS recommends lifestyle changes like attempting to keep the core body temperature cool and doing regular exercise. Nonprescription therapies such as soy foods, isoflavone supplements (from either soy or red clover), black cohosh, or vitamin E are also suggested. But no clinical trial data supports the efficacy of any of these. Also, soy foods, isoflavone supplements and black cohosh can be like taking estrogen and therefore have estrogenic effects on the breast—a side effect. If you are considering using any alternative therapies, it is always a good idea to discuss what you are doing with your doctor.
Beth Havey is a Boomer, member of the sandwich generation, passionate about health and the snags in the fabric of life that affect our children and grandchildren. Help me slow life down on BOOMER HIGHWAY http://www.bethhavey.wordpress.com/. Be sure to stop and to chat with her.