Hot Flash Remedy report

Hot Flash Remedy report

Heres what youll discover in The Hot Flash Remedy report: The herb from central Asia that can stop hot flashes in one week! (page 17) How your brain gets tricked into firing up the furnace and how to recalibrate it. (page 6) 7 lifestyle factors that increase your odds of suffering from hot flashes. (page 19) 9 food items that bring hot flashes on fast and furious! (page 10) The bean that actually makes hot flashes non-existent for women in other countries. (page 12) The secret ingredient in your fruit bowl that extinguishes the flame. (page 17) Why 6 meals a day are better than 3 and eating more often wont make you gain weight! (page 10) How common wildflowers hold the key to shutting down hot flashes. (page 16)

Hot Flash Remedy report Summary

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Vasomotor Instability

The menopausal state most commonly produces vasomotor instability and genital organ atrophy. Vasomotor symptoms affect 70 percent of postmenopausal women but only about 30 percent seek medical assistance. For 25 percent of menopausal women, these symptoms may persist for 5 years and may be lifelong in others. Vasomotor instability is more commonly termed hot flushes or hot flashes. The frequency, severity, or diurnal variation with which hot flushes occur can result in significant disruptions of sleep and daytime function. Menopausal symptoms are the most common side effect associated with the use of adjuvant chemotherapy for breast cancer, with approximately two-

What does menopause have to do with osteoporosis Are there different kinds of osteoporosis

Hot flashes Sweating that occurs at night resulting from hot flashes during peri-menopause and postmenopause. Because primary osteoporosis is caused mostly by estrogen loss in women, one of the preventive treatments for primary osteoporosis in women is estrogen therapy (ET). Estrogen (with or without progesterone) is usually prescribed to prevent osteoporosis only if the woman also has significant other symptoms of menopause such as hot flashes and night sweats. When estrogen therapy is used for the relief of menopause symptoms, it's called menopause hormone therapy (MHT). If you have a uterus, progesterone must be added to the estrogen therapies (see Question 64). An estrogen patch is also available to prevent the bone loss associated with postmenopause, but it is not intended to treat hot flashes (see Question 65).

Benefits Versus Toxicity And Risks Of Therapy

Tamoxifen is a selective estrogen receptor modular (SERM) and so may be antiestrogenic or estrogenic, depending on its interaction with the individual tissue receptor. Its toxicity profile reflects this duality. The most common acute tamoxifen side effects are menopausal symptoms. In the NSABP trial B-14, hot flashes were seen in about two-thirds of patients, about a third had weight gain, fluid retention, and vaginal discharge, and a quarter experienced nausea, and weight loss.35 Irregular menses were seen in a fourth of pre-menopausal women.35 The only significant acute toxicities were rare thromboembolic events deep vein thrombosis in 0.8 percent and pulmonary embolus in 0.4 percent. Mood swings and depression are unusual. Very-high-dose tamoxifen may cause retinal changes, but these are rarely seen with conventional doses. There are reports of cataracts in patients on the drug.66 In a large review of ocular toxicity from the NSABP, there were no cases of vision-threatening eye...

Nutritional and medicinal

Hundreds of herbal remedies are purported to have benefits in palliative care, including anticancer benefits as well as more general immune enhancing effects. Most of them do not have proven specific benefits but this could be due to the quality of the trials conducted. Possible interactions with active treatment and side effects necessitate caution in recommending their use. Careful discussion with a knowledgeable health professional is recommended. The evidence of clinical effectiveness of homoeopathy is mixed and scientific research into homoeopathy in cancer is in its infancy. Nevertheless, homoeopathy is used by patients in palliative care, and there is evidence that they find the approach helpful. The best available evidence suggests effectiveness of use for fatigue, hot flushes, pain including joint pain and muscle spasm, anxiety and stress, depression, quality of life including mood disturbance, radiotherapy, skin reactions, and ileus after surgery

Climacteric and Menopause

With age, the ovaries have fewer remaining follicles and those that remain are less responsive to gonadotropins. Consequently, they secrete less estrogen and progesterone. Without these steroids, the uterus, vagina, and breasts atrophy. Intercourse may become uncomfortable, and vaginal infections more common, as the vagina becomes thinner, less distensible, and drier. The skin becomes thinner, cholesterol levels rise (increasing the risk of cardiovascular disease), and bone mass declines (increasing the risk of osteoporosis). Blood vessels constrict and dilate in response to shifting hormone balances, and the sudden dilation of cutaneous arteries may cause hot flashes a spreading sense of heat from the abdomen to the thorax, neck, and face. Hot flashes may occur several times a day, sometimes accompanied by headaches resulting from the sudden vasodilation of arteries in the head. In some people, the changing hormonal profile also causes mood changes. Many physicians prescribe hormone...

Have early menopause What does this mean for my bones and will I need treatment

Induced menopause is permanent menopause that occurs in women before their natural menopause. It occurs when the ovaries are removed with the uterus and tubes as well (often called a total hysterectomy the technical term is total hysterectomy with bilateral salpingo-oophorectomy). Once the ovaries are removed, menopause is sudden and the accompanying symptoms of hot flashes, sleep disruptions, and mood changes can be quite severe. The ovaries no longer can secrete estrogen and bone loss may start to occur almost immediately as well.

What are isoflavones Are they effective for treating osteoporosis

Because isoflavones have been found to act like estrogen in the body, isoflavones are being studied not only for their effects on the hot flashes associated with menopause, but also for their effects on bone health. Several small studies have shown some promise in reducing bone loss and increasing bone mineral density without some of the side effects of estrogen observed in other scientific studies. For example, isoflavones don't seem to increase breast density, increase endometrial thickness, or exert the same negative effects on your heart health. Further study is needed to confirm the bone findings reported when isoflavone supplements are taken. Isoflavones are considered safe when taken with other medications, such as the prescription medications described in Questions 56 to 67.

What is Evista raloxifene What is a SERM and why is it effective in the treatment of osteoporosis

If you already have hot flashes associated with postmenopause, you may want to consider a different medication for osteoporosis. One of the major side effects of Evista is blood clots, and for this reason it is contraindicated in women with a history of blood clots in veins or arteries. Evista can also cause hot flashes. If you already have hot flashes associated with postmenopause, you may want to consider a different medication for osteoporosis. You should not take Evista if you are on either estrogen therapy (ET) or estrogen-progestin therapy (EPT). Evista, however, might be prescribed with a bisphos-phonate by a specialist (see Question 67). An additional benefit of using Evista was noted in the Multiple Outcomes from Raloxifene Evaluation (MORE) Study in 2002. Risk of stroke and transient ischemic attacks (TIAs) was reduced by 48 after four years of treatment in postmenopausal women. It was noted at the time that the Women's Health Initiative Study of Estrogen-Progestin Therapy...

Alternative Complementary And Integrative Medicine

Proponents of complementary or integrative medicine tend to be interested in herbal remedies, vitamins, and other so-called dietary supplements. When Congress passed the Dietary Supplement and Health Education Act of 1994, it allowed significant differences between the marketing of prescription medicines and dietary supplements. Prescription drugs must provide proof of safety and efficacy to secure Food and Drug Administration (FDA) approval, but the agency cannot recall products sold as dietary supplements from the market unless the FDA can prove that they are harmful. Supplement manufacturers are permitted to use advertisements and testimonials claiming that their products are ''all natural'' and ''completely safe.'' Stores specializing in dietary supplements, herbs, and vitamins sell products that purportedly boost metabolism, improve cardiovascular health, prevent health attacks, and so forth. Food and beverage companies have experimented with ''functional'' or ''nutraceutical...

Progestins

Yprogesterone acetate.60,61 Up to half of women receiving these drugs will respond with improvement or stabilization of their disease. Unlike other hormonal agents, there is evidence of a dose-response effect with progestins, although their mechanism of action is unknown. These drugs also produce an increased sense of well-being, improved appetite, and suppress hot flashes. Unfortunately, the side effects of chronic weight gain, fluid retention, and dyspnea make them unacceptable to many.

Ovarian Ablation

For premenopausal women with receptor-positive disease, medical or surgical castration is also an effective approach to hormonal therapy. The endocrinologic effect of castration is achieved by two analogs of gonadotropin-releasing hormone, goserelin and leuprolide, which suppress follicle-stimulating hormone and luteinizing hormone, and thus estrogen production by the ovary.62,63 Either agent will achieve the same benefit as oophorectomy, that is, a 45 percent likelihood of disease regression or stabilization, but require parenteral administration on a monthly or tri-monthly basis. Side effects are limited to pain at the injection site and menopausal symptoms such as hot flashes, mood swings, and dry skin. Once disease progresses after either medical or surgical castration, the alternate approach has little chance of benefit. Obviously, castration by either technique can only be of benefit to pre-menopausal patients, where the ovary is the primary site of estrogen production.

Estrogen Antagonists

The oldest and most widely prescribed estrogen antagonist is tamoxifen,52 but toremifene has also been approved for this indication. Raloxifene is currently marketed for prevention of osteoporosis and may also have some efficacy against metastatic breast cancer, although further study is clearly required.53 Tamoxifen appears to be effective for both pre- and post-menopausal women with advanced, receptor-positive disease.54 Common side effects of tamoxifen include hot flashes (particularly in perimenopausal women), disruption of menstrual cycles, and vaginal dryness or discharge.55 In addition, weight gain and mild fluid retention are frequent, with nocturnal leg cramps not uncommonly reported. Patients with bone metastasis may suffer a syndrome of tumor flare, typically 7 to 10 days after initiation of tamoxifen. This is seen in 1 to 3 percent of patients and consists of increased pain at sites of metastases it may lead to hypercalcemia. As this is predictive of subsequent response to...

Others

Current evidence supports the use of acupuncture and acupressure in palliative care for the treatment of nausea and vomiting induced by chemotherapy and after surgery, with high level evidence emerging for acute pain and xerostomia. Despite limited scientific evidence, there are also data to support its use in palliative care for pain associated with diseases other than cancer, breathlessness, radiation induced rectitis, hiccups, hot flushes, angina, and AIDS