Menopausal Symptoms

Lifestyle modifications

NUTRITION

  • Alcohol, caffeine and spices may worsen menopausal symptoms (1)
  • Drinking cold water (1)
  • A whole food plant based diet low in fat with a daily 1/2 cup (86g) of cooked soybeans: In a randomized controlled study including postmenopausal women with 2 or more hot flashes daily there was a 79% reduction of total hot flashes (49% in the control group with no intervention), 84% reduction of moderate-severe hot flashes (42% in the control group). From week 0-12 56% of the intervention group reported becoming free of moderate-severe hot flashes (no change in control group) (2).

STRESS

  • Stress management as stress may worsen symptoms (1)
  • Avoid warm environment (1)

WEIGHT & PHYSICAL ACTIVITY

  • Weight reduction if obese or overweight and regular exercise may not reduce menopausal symptoms (hot flashes, etc.), but have benefits for cardiovascular and bone health (1).

References

1) https://bestpractice.bmj.com/topics/en-gb/194/management-approach

2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462449/


Resources

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

Evidence based on observational / cohort studies is written in CURSIVE font