Nondrug therapy for vasomotor symptoms of menopause

Placebo-controlled clinical trials of nondrug therapy for vasomotor symptoms of menopause indicate:

• cognitive behavioural therapy (either self-guided or in a group) reduces vasomotor symptoms and improves mood, quality of life, sleep and sexual function. For patient information on cognitive behavioural therapy, see the Women’s Health Concern website
• hypnosis weekly for 5 weeks reduces vasomotor symptoms
• weight loss in overweight or obese postmenopausal individuals reduces vasomotor symptoms
• mindfulness-based stress reduction is potentially beneficial
• stellate ganglion block reduces vasomotor symptoms for 6 months
• acupuncture, chiropractic intervention, paced respiration, relaxation therapy, yoga, exercise and magnetic therapy are of no benefit.