ACOG updates guidance on managing menopause symptoms
The American College of Obstetricians & Gynecologists released new advice on treating hot flashes, night sweats and sleep disruptions.
The American College of Obstetricians & Gynecologists (ACOG) has released new guidance this month regarding the management of menopause symptoms, according to a report by The Hindu. The updated advice covers issues such as night sweats, sleep changes and hot flashes.
ACOG President Camille Clare said she wants patients to advocate for the treatments they require by speaking with their OB-GYNs. The group noted that more than half of women in menopause experience vasomotor issues like hot flashes, while up to two-thirds report sleep disruption.
JoAnn Manson, a professor of medicine at Harvard Medical School, said that hormone therapy should be the primary option for treating moderate to severe or troublesome symptoms. She noted that while it is not suitable for everyone, it remains a good choice for many.
The guidance comes after the US Food and Drug Administration removed a boxed warning from more than 20 hormone products last year. On Friday, the FDA also approved updated labelling for three additional estrogen-based patches.
For women who cannot use hormone therapy, the group highlighted nonhormonal options. These include fezolinetant, elinzanetant and certain antidepressants, as well as non-drug approaches like cognitive behavioural therapy, mindfulness and acupuncture.
Stephanie Faubion, medical director at The Menopause Society, said hormone therapy is the most effective and primary treatment for hot flashes. She added that women have many hormonal and nonhormonal options available.