• American family physician · Jul 2002

    Alternative therapies for traditional disease states: menopause.

    • Vincent Morelli and Christopher Naquin.
    • Family Practice Residency Program, Louisiana State University Health Sciences Center, Kenner 70065, USA.
    • Am Fam Physician. 2002 Jul 1; 66 (1): 129134129-34.

    AbstractWith growing concern about the use of hormone replacement therapy, some women are looking for alternative treatments for menopausal symptoms and preventing postmenopausal cardiovascular disease and osteoporosis. In observational trials, exercise has been associated with decreased vasomotor symptoms. One trial suggested that black cohosh may reduce menopausal symptoms. Soy has been shown to decrease vasomotor symptoms, lower lipid levels, and increase bone density. However, large amounts of soy must be consumed, and it is not clear whether soy consumption causes a decrease in cardiovascular events or fractures. The evidence for St. John's wort is equivocal. Fish oil is helpful for secondary prevention of coronary artery disease.

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