Relaxation for perimenopausal and postmenopausal symptoms

Saensak, Suprawita; Vutyavanich, Teraporn; Somboonporn, Woraluk; Srisurapanont, Manit

doi:10.1002/14651858.cd008582

Cited by 11 publications

(13 citation statements)

References 36 publications

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“…Reducing potentially stressful working conditions and relaxation may help. However the evidence is insufficient to show the effectiveness of relaxation techniques as treatment for menopausal vasomotor symptoms [15]. Sometimes menopause attracts workplace 'banter' from colleagues; women can find this embarrassing and stressful [4,16].…”

Section: Reduce Work-related Stressmentioning

confidence: 99%

EMAS recommendations for conditions in the workplace for menopausal women

Griffiths

Ceaușu

Depypere³

et al. 2016

Maturitas

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.uk Contributors: Amanda Griffiths and Margaret Rees prepared the initial draft, which was circulated to EMAS board members for comment and approval, production was coordinated by Amanda Griffiths, Irene Lambrinoudaki and Margaret Rees. Conflict of interest: None declared.Funding: None. Provenance and peer review: EMAS position statement.Highlights *Many women in today's workforces will be working throughout their menopausal years.*While the menopause may cause no significant problems for some women, for others it may present considerable difficulties in both their personal and working lives. *Greater awareness among employers, together with sensitive and flexible management can be helpful for women at this time.* Working conditions should be assessed to consider the specific needs of menopausal women and ensure that the working environment will not make their symptoms worse. AbstractWomen form a large part of many workforces throughout Europe. Many will be working throughout their menopausal years. Whilst the menopause may cause no significant problems for some, for others it is known to present considerable difficulties in both their personal and working lives. During the menopausal transition women report that fatigue and difficulties with memory and concentration can have a negative impact on their working lives. Furthermore, hot flushes can be a source of embarrassment and distress. Some consider that these symptoms can impact on their performance. Greater awareness among employers, together with sensitive and flexible management can be helpful for women at this time. Particular strategies might include: fostering a culture whereby employees feel comfortable disclosing health problems, allowing flexible working, reducing sources of work-related stress, providing easy access to cold drinking water and toilets, and reviewing workplace temperature and ventilation.

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Section: Reduce Work-related Stressmentioning

confidence: 99%

EMAS recommendations for conditions in the workplace for menopausal women

Griffiths

Ceaușu

Depypere³

et al. 2016

Maturitas

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“…Alternative Techniques Acupuncture, yoga, reflexology, homoeopathy and hypnosis have been described to be useful in managing menopausal symptoms but no strong data exists to support this [65,66]. As with the therapies mentioned above, whilst many women may find some of these techniques helpful, more research is required to fully understand their mechanism of action and effectiveness.…”

Section: Alternatives To Hrtmentioning

confidence: 99%

Management of Induced Menopause in Gynaecological Cancers and Their Challenges

Purohit

Sassarini

Lumsden

2019

Curr Obstet Gynecol Rep

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Purpose of Review The consequence of treatment for gynaecological cancers can cause sudden onset of intense menopausal symptoms, such as vasomotor symptoms, sexual dysfunction and emotional instability. Hormone replacement therapy (HRT) is often effective and can overcome these unpleasant and severe symptoms. However, data regarding its safety remains controversial. The big question therefore is whether HRT in gynaecological cancer survivors is possible. This is due to the fear of disease relapse. So, the purpose of this study was to review the evidence regarding cancer recurrence or death following use of HRT in survivors of gynaecological cancers. Recent Findings For endometroid endometrial cancer, most of the retrospective studies concluded that there was no increase in recurrence rate of endometrial cancers in HRT versus non-HRT users. HRT should be particularly avoided in epithelial ovarian tumours particularly serous cancers and serous borderline tumours due to expression of oestrogen receptors. Given the lack of evidence on the impact of HRT on recurrence and disease-free survival in survivors of cervical cancers, it would seem perfectly reasonable to prescribe HRT, particularly if they are premenopausal. Many clinical guidelines would consider the use of HRT to be contraindicated in breast cancer survivors based on limited RCT evidence. Summary Current scientific data, comprising mainly of retrospective studies, suggest that recurrence rates and survival are comparable between HRT users and non-users. Women should know the paucity of safety data regarding the use of HRT. Wherever possible, non-hormonal alternatives to HRT should be considered in all women. If non-hormonal alternatives fail to achieve adequate control of symptoms, then it is possible to consider the HRT after careful counselling of the patient as well as involvement of the oncology team in the decision-making process. However, more robust randomised controlled trials are needed to get convincing data regarding the safety of HRT in gynaecological cancer survivors.

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“…Most previous reviews did not meta‐analyse evidence on MBTs (Innes, Selfe, & Vishnu, ; Woods et al, ) and exercise‐based interventions (Daley, Stokes‐Lampard, & MacArthur, ) but evidence were qualitatively summarized. Reviews that conducted meta‐analysis on MBTs were too specific on a specific form of MBT—yoga (Cramer, Lauche, Langhorst, & Dobos, ; Cramer, Peng, & Lauche, ) or relaxation (Saensak, Vutyavanich, Somboonporn, & Srisurapanont, ). A systematic review and meta‐analysis of newly available evidence on both MBTs and exercise‐based interventions among Asian perimenopausal women is needed.…”

Section: Introductionmentioning

confidence: 99%

“…Yoga, a form of MBT, was widely studied and reviewed in current literature which revealed effectiveness on menopausal symptoms through meta‐analyses (Cramer et al, , ). Insufficient evidence was found in a systematic review and meta‐analysis on relaxation techniques for vasomotor symptoms (Saensak et al, ). Most of the previous reviews narratively summarized current evidence which lacks rigor.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of mind–body therapies and exercise‐based interventions on menopausal‐related outcomes among Asian perimenopause women: A systematic review, meta‐analysis, and synthesis without a meta‐analysis

Shorey

Ang

Lau

2020

Journal of Advanced Nursing

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Aims To evaluate the efficacy of exercise‐based interventions and mind–body therapies on quality of life, menopausal symptoms, and depression among Asian perimenopausal women. Design A systematic review, meta‐analysis, and synthesis without meta‐analysis (SWiM). Data sources Six electronic databases were systematically searched: PubMed, CINAHL, Embase, PsycINFO, Scopus, and ProQuest. Review methods The point of inception of each database to 15 November 2018 were systematically searched. A meta‐analysis and SWiM were used to present the results. Review Manager 5.3 and The Cochrane Risk of Bias tool were used for meta‐analyses and assessing of risk of bias, respectively. Results In all, 23 studies were reviewed. Significant effects in exercise‐based interventions and mind–body therapies were found for quality of life, menopausal symptoms, and depression but not for hot flashes. Limitations of this review include insufficient blinding of participants and/or researchers found in most of the included studies and high levels of heterogeneity in the meta‐analyses. Evidence found in this review is to be interpreted with caution. Conclusion Healthcare professionals can consider exercise‐based interventions or mind–body therapies to manage menopausal symptoms. Future trials of good quality can examine the cost‐effectiveness and optimal intervention duration. Intervention effects on specific menopausal symptoms such as sleeplessness in Asia can be examined in future. Impact Exercise‐based interventions and mind–body therapies suggest effectiveness on quality of life, menopausal symptoms, and depression among Asian perimenopausal women. Exercise‐based interventions and mind–body therapies improve quality of life, menopausal symptoms, and depression but not hot flashes. Long‐term exercise‐based interventions is effective in managing depression. Due to varied limitations in the review and included studies, firm conclusions cannot be reached. Healthcare professionals in Asia can consider implementing exercise‐based interventions and mind–body therapies for symptomatic perimenopausal Asian women.

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Relaxation for perimenopausal and postmenopausal symptoms

Cited by 11 publications

References 36 publications

EMAS recommendations for conditions in the workplace for menopausal women

EMAS recommendations for conditions in the workplace for menopausal women

Management of Induced Menopause in Gynaecological Cancers and Their Challenges

Efficacy of mind–body therapies and exercise‐based interventions on menopausal‐related outcomes among Asian perimenopause women: A systematic review, meta‐analysis, and synthesis without a meta‐analysis

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