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Non-hormonal strategies for managing menopausal symptoms in cancer survivors: An update

Title: Non-hormonal strategies for managing menopausal symptoms in cancer survivors: An update
Authors: Biglia N.; Bounous V. E.; De Seta F.; Lello S.; Nappi R. E.; Paoletti A. M.
Contributors: Biglia N.; Bounous V.E.; De Seta F.; Lello S.; Nappi R.E.; Paoletti A.M.
Publication Year: 2019
Collection: Università degli studi di Torino: AperTo (Archivio Istituzionale ad Accesso Aperto)
Subject Terms: Hot flushe; Menopause; Non-oestrogenic therapie; Nonhormonal therapie; Vasomotor symptoms
Description: Vasomotor symptoms, particularly hot flushes (HFs), are the most frequently reported symptom by menopausal women. In particular, for young women diagnosed with breast cancer, who experience premature ovarian failure due to cancer treatments, severe HFs are an unsolved problem that strongly impacts on quality of life. The optimal management of HFs requires a personalised approach to identify the treatment with the best benefit/risk profile for each woman. Hormonal replacement therapy (HRT) is effective in managing HFs but it is contraindicated in women with previous hormone-dependent cancer. Moreover, many healthy women are reluctant to take HRT and prefer to manage symptoms with non-hormonal strategies. In this narrative review, we provide an update on the current available non-oestrogenic strategies for HFs management for women who cannot, or do not wish to, take oestrogens. Since isoflavones have oestrogenic properties and it is not known if they can be safely consumed by women with previous hormone-dependent cancer, they were excluded. Selective serotonin reuptake inhibitors/selective serotonin-norepinephrine reuptake inhibitors, as well as other neuroactive agents, some herbal remedies and behavioural strategies are considered.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/31123492; info:eu-repo/semantics/altIdentifier/wos/WOS:000463973100001; volume:13; issue:909; firstpage:1; lastpage:15; numberofpages:15; journal:ECANCERMEDICALSCIENCE; http://hdl.handle.net/2318/1714928; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85072539582; https://ecancer.org/journal/13/full/909-non-hormonal-strategies-for-managing-menopausal-symptoms-in-cancer-survivors-an-update.php
DOI: 10.3332/ecancer.2019.909
Availability: http://hdl.handle.net/2318/1714928; https://doi.org/10.3332/ecancer.2019.909; https://ecancer.org/journal/13/full/909-non-hormonal-strategies-for-managing-menopausal-symptoms-in-cancer-survivors-an-update.php
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.149D23F2
Database: BASE