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Easing the transition
By Nancy Ferrari; Leslee Kagan, N.P.;
Bruce Kessel, M.D.,
and Herbert Benson, M.D.
Newsweek
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Some
women glide through menopause without breaking a sweat.
For others,
hot flashes,
mood swings, insomnia and
PMS become a constant burden. Short-term hormone therapy
can temper severe symptoms, but it carries risks as well
as benefits.
And though other treatments abound, none of them is a cure-all.
A few studies have found that soy and black cohosh (an
herbal remedy sold as Remifemin) can help relieve symptoms,
though
not as reliably as hormones. For women who want relief
without risk, mind-body techniques offer another valuable
option.
These techniques can ease all the core symptoms of menopause — and
in our experience, most women get at least some relief
from them.
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Sept. 27, 2004
At
the heart of the mind-body approach is the relaxation response,
a state of calm achieved
through exercises such as yoga, meditation,
biofeedback, progressive muscle relaxation or a breathing technique
called paced respiration. In two clinical studies, researchers
trained menopausal women in paced respiration and encouraged
them to practice it for 15 to 20 minutes once or twice a day.
The participants experienced a 50 percent reduction in hot
flashes — as measured objectively by skin temperature — compared
with women who didn't receive the training. In these studies,
paced respiration improved hot flashes better than progressive
muscle relaxation or biofeedback. Some women who learn this
breathing technique find that it can even short-circuit an
oncoming hot flash. Other studies suggest it may be equally
helpful in controlling symptoms of PMS.
In addition to the
relaxation response, most mind-body programs use exercise,
good nutrition and cognitive behavioral therapy to counter
the mood changes menopause can bring. Studies have yet to compare
mind-body interventions with hormone therapy. And because every
woman is different, we can't tell in advance who will benefit
most from a given approach. Finding the right combination often
requires some trial and error.
But in our experience, most
women can learn the techniques, incorporate them into their
daily lives and feel better as a result.
Adapted
from "Mind Over Menopause:
The Complete Mind/Body Approach to Coping With Menopause" (Free Press. 2004).
For more information go to health.harvard.edu/NEWSWEEK.
© 2004 Newsweek, Inc.
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