NEJM has a nice, short article on the management of menopausal
symptoms. Usually their clinical stuff is subscription-only,
but this one is openly accessible. I'm not going to comment
on it, specifically, but mention it only because it might be something
of general interest.
href="http://content.nejm.org/cgi/content/full/355/22/2338">Management
of Menopausal Symptoms
Deborah Grady, M.D., M.P.H.
Volume 355:2338-2347, November 30, 2006, Number 22
This Journal feature begins with a case
vignette highlighting a common clinical problem. Evidence supporting
various strategies is then presented, followed by a review of formal
guidelines, when they exist. The article ends with the author's
clinical recommendations.
A 51-year-old woman has frequent and distressing hot flushes that
interfere with her work and sleep, and vaginal dryness that makes
sexual intercourse with her husband uncomfortable. She is otherwise
healthy. How should her case be managed?
What is nice about the article, is that the author gives a summary of
the available evidence for each treatment of each symptom.
This should help people to make informed choices.
She mentions some alternative treatments, but pretty much
dismisses them as inadequately supported.