Nonpharmacologic Options Can Manage Hot Flashes

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Charity Scott, a trauma therapist in Los Angeles, entered menopause but has been dealing with hot flashes for a decade. Initially wary of hormone therapy due to family history of breast cancer, she tried it for 6 months but developed a venous thromboembolism. With limited options for managing hot flashes, Scott relies on environmental strategies, like antiperspirants and cooling towels. Nonpharmacologic approaches recommended by The Menopause Society, such as cognitive-behavioral therapy (CBT) and clinical hypnosis, are effective but often overlooked by medical professionals. Access to CBT and hypnotherapy has improved through telemedicine options like Evia app. Supplements and herbal remedies for hot flashes lack consistent evidence and regulation.

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