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Am Fam Physician. 2023;108(4):345

What treatment options are available for vasomotor symptoms associated with menopause?

Estrogen-containing systemic hormone therapy is an effective treatment for vasomotor symptoms (i.e., hot flashes and night sweats). Physicians should prescribe the lowest effective dose for the shortest duration necessary to improve symptoms because of the potential risks of long-term use of hormone therapy. Nonhormonal medications, including selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, fezolinetant (Veozah), gabapentin, clonidine, and oxybutynin, are reasonable alternatives.

Which nonpharmacologic treatments are recommended for lower urinary tract symptoms due to benign prostatic hypertrophy?

Limiting evening fluid intake, reducing caffeine and alcohol intake, toilet and bladder training, sitting to urinate, urethral milking, double voiding, bladder retraining, pelvic floor exercises, and mindfulness techniques are recommended to improve symptoms.

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