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When estrogen as estradiol is used transdermally as a patch, gel, or pessary with micronized progesterone this may avoid the serious side effects associated with oral estradiol HRT since this avoids first pass metabolism ( Phase I drug metabolism). [21] Women taking bioidentical estrogen, orally or transdermally, who have a uterus must still take a progestin or micronized progesterone to lower the risk of endometrial cancer. A French study of 80,391 postmenopausal women followed for several years concluded that estrogen in combination with micronized progesterone is not associated with an increased risk of breast cancer. [22] The natural, plant-derived progesterone creams sold over the counter contain too little progesterone to be effective. Wild yam ( Dioscorea villosa) extract creams are not effective since the natural progesterone present in the extract is not bioavailable. [23] Selective serotonin reuptake inhibitors [ edit ] Bunyavanich S (6 June 2007). "Low Testosterone Could Kill You". ABC News. ABC News Internet Ventures . Retrieved 20 April 2013. Sicat BL, Brokaw DK (January 2004). "Nonhormonal alternatives for the treatment of hot flashes". Pharmacotherapy. 24 (1): 79–93. doi: 10.1592/phco.24.1.79.34812. PMID 14740790. S2CID 22844064. Alternative medications to help decrease the intensity of hot flashes include clonidine ( Catapres), gabapentin ( Neurontin), or antidepressants such as venlafaxine (Effexor), paroxetine ( Paxil), fluoxetine ( Prozac) and sertraline ( Zoloft). For women who have undergone surgical menopause and have unusually severe hot flashes, some studies have shown that a combination of estrogen and androgen may be effective. Treatment options

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Spetz AC, Zetterlund EL, Varenhorst E, Hammar M (November–December 2003). "Incidence and management of hot flashes in prostate cancer". The Journal of Supportive Oncology. 1 (4): 263–6, 269–70, 272–3, discussion 267-8, 271–2. PMID 15334868. a b Touillaud MS, Thiébaut AC, Fournier A, Niravong M, Boutron-Ruault MC, Clavel-Chapelon F (March 2007). "Dietary lignan intake and postmenopausal breast cancer risk by estrogen and progesterone receptor status". Journal of the National Cancer Institute. 99 (6): 475–86. doi: 10.1093/jnci/djk096. PMC 2292813. PMID 17374837. Nissan HP, Lu J, Booth NL, Yamamura HI, Farnsworth NR, Wang ZJ (May 2007). "A red clover (Trifolium pratense) phase II clinical extract possesses opiate activity". Journal of Ethnopharmacology. 112 (1): 207–10. doi: 10.1016/j.jep.2007.02.006. PMID 17350196. A hot flash is a brief feeling of intense warmth and sweating. Hot flashes commonly occur in women around the time of menopause.a b Freedman RR (July 2014). "Menopausal hot flashes: mechanisms, endocrinology, treatment". The Journal of Steroid Biochemistry and Molecular Biology. Current Views of Hormone Therapy for Management and Treatment of Postmenopausal Women. 142: 115–20. doi: 10.1016/j.jsbmb.2013.08.010. PMC 4612529. PMID 24012626. Hot flashes affect about 85% of women during the years immediately before and after menopause. Menopause usually occurs around age 51, but hot flashes can begin as early as 2 to 3 years before the last menstrual period. That depends. About 2 in 10 women never get hot flashes. Others have hot flashes for only a very short period of time. Still others can have them for 11 years or more. On average, however, women get hot flashes or night sweats for about 7 years. Prevention

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However, research reported since then found that younger women are at less risk and have more potential benefits than was suggested by the WHI study. The negative effects of the WHI hormone treatments mostly affected women who were over age 60 and postmenopausal. Newer hormone formulations seem to have less risk and may provide benefits that outweigh possible risks for certain women during the menopausal transition. Studies continue to evaluate the benefit, risk, and long-term safety of hormone therapy. Utian WH (1 June 2012). "Recent Developments in Pharmacotherapy for Vasomotor Symptoms". Current Obstetrics and Gynecology Reports. 1 (2): 43–49. doi: 10.1007/s13669-012-0009-4. ISSN 2161-3303. Explore mind-body practices. Some early-stage research has shown that hypnotherapy and mindfulness meditation could help with management of hot flashes. Stay cool. At night, a "chill pillow" filled with water or other cooling material might help. Use fans during the day. Wear lightweight, looser-fitting clothes made with natural fibers such as cotton.Cut down on red wine, chocolate, and aged cheeses. They contain a chemical that can trigger hot flashes by affecting the brain's temperature control center. Shanafelt TD, Barton DL, Adjei AA, Loprinzi CL (November 2002). "Pathophysiology and treatment of hot flashes". Mayo Clinic Proceedings. 77 (11): 1207–18. doi: 10.4065/77.11.1207. PMID 12440557. Some were even traumatized after either being circled by groups of men, stared at maliciously, ripped off of their swimsuits, and then “fīngered” underwater. Although attention was called for, no immediate assistance or regard was provided despite the alarming screams and shouts—no one ever came to their aid. Clonidine is a blood pressure-lowering medication that can be used to relieve menopausal hot flashes when hormone replacement therapy is not needed or not desired. For hot flashes, clonidine works by helping reduce the response of the blood vessels to stimuli that cause them to narrow and widen. [26] While not all women respond to clonidine as a hot flash medication, it can reduce hot flashes by 40% in some peri-menopausal women. [27] Isoflavones [ edit ]

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Wiklund IK, Mattsson LA, Lindgren R, Limoni C (1999). "Effects of a standardized ginseng extract on quality of life and physiological parameters in symptomatic postmenopausal women: a double-blind, placebo-controlled trial. Swedish Alternative Medicine Group". International Journal of Clinical Pharmacology Research. 19 (3): 89–99. PMID 10761538. Other causes of hot flashes aren’t due to the same low estrogen levels that cause them during menopause. Chemotherapy or hormone treatment for cancer can also trigger hot flashes, as can alcohol and certain medications. Fournier A, Fabre A, Mesrine S, Boutron-Ruault MC, Berrino F, Clavel-Chapelon F (March 2008). "Use of different postmenopausal hormone therapies and risk of histology- and hormone receptor-defined invasive breast cancer". Journal of Clinical Oncology. 26 (8): 1260–8. doi: 10.1200/jco.2007.13.4338. PMC 2346534. PMID 18323549.

I was swimming in the lazy river with my friends. Behind us, all the boys kept splashing water like crazy, we were so freak out that all of us decided to go out of the river. As we just got out, one of my friend, who were still near the river, were pulled down and dragged to the centre of the river and was being splashed water and her head was pressed down. We saw our friend being surrounded by bunches of guys, we kept crying and called out: please help my friend, someone please help my friend. Around us, people kept on using phone to record and laugh like they were at the circus. Call your family doctor or gynecologist if hot flashes bother you at home or at work, prevent you from getting a good night's sleep, cause you serious discomfort or otherwise interfere with your quality of life. Prognosis

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Hot flashes can be accompanied by other uncomfortable sensations, such as heart palpitations, a pressure feeling in the head, or feelings of dizziness, faintness or weakness. When hot flashes occur during the night, they can cause sleeplessness (insomnia), resulting in poor concentration, memory problems, irritability and exhaustion during the day. Drink a glass of cool water at the beginning of a hot flash. This seems to lessen discomfort in some women. Also, be sure to drink enough water, usually six to eight glasses per day.Always talk with your doctor before taking any herb or supplement. Currently, it is unknown whether these herbs or other "natural" products are helpful or safe to treat your hot flashes or other menopausal symptoms. The benefits and risks are still being studied. Using hormones to treat hot flashes and night sweats Isoflavones are commonly found in legumes such as soy and red clover. The two soy isoflavones implicated in relieving menopausal symptoms are genistein and daidzein, and are also known as phytoestrogens. The half life of these molecules is about eight hours, which might explain why some studies have not consistently shown effectiveness of soy products for menopausal symptoms. [ citation needed] Although red clover ( Trifolium pratense) contains isoflavones similar to soy, the effectiveness of this herb for menopausal symptoms at relatively low concentrations points to a different mechanism of action. [28] Other phytoestrogens [ edit ] Hot flashes occur in women who experience natural menopause, as well as in women who undergo menopause because their ovaries have been removed surgically or because they take medications that lower estrogen levels. These medications include gonadotropin-releasing hormone agonists, such as leuprolide (Lupron) or danazol (Danocrine) that lower estrogen levels. After the horrifying ordeal, some girls confessed their terrifying experiences and disgusts in various social networks:

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