If you choose MHT, experts recommend that you:
• 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
• Other sources of phytoestrogens.