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ACOG updates menopause guidance on hot flashes, sleep and mood
The Associated Press reports the American College of Obstetricians and Gynecologists has issued its first update in about 12 years on treating menopause-related hot flashes, night sweats, sleep and mood symptoms.
- New headline Was: “There's new guidance on menopause symptoms like hot flashes. What women need to know”
- Our desk filed its story
Based on reporting by AP
The Associated Press reports that the American College of Obstetricians and Gynecologists has updated its clinical advice on managing hot flashes, night sweats, sleep changes and other menopause-related symptoms, the group's first such update in about 12 years (AP)1.
The AP account said ACOG released the advice this month and that clinicians in the report described hormone therapy as an option for many patients, alongside nonhormonal treatments, after federal safety warnings on menopausal hormone products were removed1.
According to the AP, ACOG defined menopause as 12 consecutive months without a menstrual period, typically around age 50 in the United States, and cited high rates of vasomotor symptoms, sleep disruption and depressive symptoms in perimenopause and menopause1.
Harvard's Dr. JoAnn Manson, quoted in the AP report, said ACOG's guidance aligns with other medical groups and that hormone therapy is first-line for moderate to severe or bothersome symptoms when it is appropriate, while noting it is not suitable for all patients1.
The AP recapped a 2002 trial of an oral estrogen-progestin combination that was stopped early over links to breast cancer, blood clots and other issues, later research that many clinicians say shifted the risk-benefit picture for today's regimens, and more than two decades of boxed warnings that Manson said discouraged use; the AP also said the FDA last year moved to change those warnings and, on Friday, that the agency was taking steps to shore up supply1.
