J Menopausal Med.  2023 Dec;29(3):85-91. 10.6118/jmm.23016.

A Recent Review of the Management of Postmenopausal Symptoms in Breast Cancer Survivors

Affiliations
  • 1Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract

The treatment strategy for postmenopausal symptoms resulting from estrogen deficiency in breast cancer survivors receiving endocrine therapy should differ from that in normal women. Several nonhormonal pharmacological therapies can be used to treat vasomotor symptoms. Cognitive-behavioral therapy can help alleviate psychophysiological symptoms, including depression and sleep disorders. Topical vaginal estrogen and moisturizers may aid in treating genitourinary symptoms. Additionally, chronic conditions must be individually managed. Prevention of osteoporosis should always be included in the management, and physicians should be alert to possible cardiovascular risk and cognitive function changes.

Keyword

Breast neoplasms; Cardiovascular diseases; Cognitive dysfunction; Hormone replacement therapy; Postmenopause
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