If you choose MHT, ex­perts rec­om­mend that you:

Wellness Update - - Let's Talk Menopause -

• Use it at the low­est dose that helps • Use it for the short­est time needed

If you take MHT, call your doc­tor if you de­velop any of the fol­low­ing side ef­fects:

• Vagi­nal bleed­ing • Bloat­ing • Breast ten­der­ness or swelling • Headaches • Mood changes • Nau­sea

Who should not take MHT for menopause?

Women who: • Think they are preg­nant • Have prob­lems with un­di­ag­nosed vagi­nal bleed­ing • Have had cer­tain kinds of can­cers (such

as breast or uter­ine can­cer) • Have had a stroke or heart at­tack • Have had blood clots • Have liver dis­ease • Have heart dis­ease

Can MHT pre­vent heart dis­ease or Alzheimer's dis­ease?

A ma­jor study called the Women’s Health Ini­tia­tive (WHI) has looked at the ef­fects of MHT on heart dis­ease and other health con­cerns. It has ex­plored many ques­tions re­lat­ing to MHT, in­clud­ing whether MHT’s ef­fects are dif­fer­ent de­pend­ing on when a woman starts it. Fu­ture re­search may tell ex­perts even more about MHT. For now, MHT should not be used to pre­vent heart dis­ease, mem­ory loss, de­men­tia, or Alzheimer’s dis­ease. MHT some­times is used to treat bone loss and menopausal symp­toms.

Are there nat­u­ral treat­ments for my symp­toms?

Some women try herbs or other prod­ucts that come from plants to help re­lieve hot flashes. Th­ese in­clude:

Soy con­tains phy­toe­stro­gens (FEYE-toh-ESS-truhjuhns). Th­ese are sub­stances from a plant that may act like the es­tro­gen your body makes. There is no clear proof that soy or other sources of phy­toe­stro­gens make hot flashes bet­ter. And the risks of tak­ing soy prod­ucts like pills and pow­ders are not known. If you are go­ing to try soy, the best sources are foods such as tofu, tem­peh, soymilk, and soy nuts.

Th­ese in­clude herbs such as black co­hosh, wild yam, dong quai, and va­le­rian root. There is not enough ev­i­dence that th­ese herbs — or pills or creams con­tain­ing th­ese

• Soy.

• Other sources of phy­toe­stro­gens.

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