The Comparison of Two Method Effectiveness on Postmenopausal Hot Flash Therapy: Acupuncture versus Hormone Therapy
AbstractBackground: Postmenopausal hot flash is a common disease amongst women with high prevalence of 75%. Hormone Replacement Therapy (HRT) is a well-known relief of symptoms which has disadvantages such as side effects and contraindication for certain types of hormone related diseases and breast or Estrogen related cancers. One of the alternatives is acupuncture which is an East Asian and more specifically Chinese method. In this study hormone therapy and acupuncture effectiveness have been compared in postmenopausal hot flash treatment. Materials and Methods: This study is aimed to initially diagnose vasomotor symptoms such as elevated body temperature, palpitation, headache and perspiration. Afterwards, assessment and finally comparing the efficacy of two methods for each symptom treatment have been carried out. In this clinical trial study, 20 climacteric female samples participated. Two study and control groups have been formed and each method efficacy has been evaluated on each of four major vasomotor symptoms. Results: For all postmenopausal vasomotor symptoms, acupuncture and HRT had similar notably high relief of symptoms effectively; namely in hot flash 90% and 85%, in palpitation 65% and 70%, in perspiration 77.77% and 81.25%, and in headache 50% and 81.3%, respectively. Although in all fields except hot flashes, HRT had slightly better success. Conclusion: This survey pointed out that acupuncture is as effective as hormone therapy in relief of symptoms hot flash for postmenopausal women. Further researches are needed to assess the clear side effects of acupuncture method. [GMJ.2015;4(2):83-89]
World Health Organization (WHO). Research on the menopause. Geneva, Switzerland. 1999. Report No.: WHO technical report series 680.
Breck JC. Gynecology Novaks, Altimore. Willianse Wilkins Co., 2006.
Mohammad K, SadatHashemi SM, Farahani KA. Age of menopause in Iran. Maturitas 2004;49:321-6.
Ashrafi M, Ashtiani SK, Eshrati B et al. Average Menopause Age and effective parameters on tehran female citizens. Kowsar Med J 2007;12(1):75-82.
Andrikoula M, Prelevic G. Menopausal hot flushes revisited. Climacteric 2009;12:3-15.
Staropoli CA, Flaws JA, Bush TL, Moulton AW. Predictors of menopausal hot flashes. J Womens Health 1998;7:1149-55.
Williams RE, Kalilani L, Dibenedetti DB, et al. Frequency and severity of vasomotor symptoms among peri- and postmenopasual women in the United States. Climacteric 2008;11:32-43.
Jahanfar S, Tehrani FR, SadatHashemi SM. Side Effects of Premature Menopause in Tehran Female Citizens. Fertility and Infertility 2002;3(2):31-40.
Boulet MJ, Oddens BJ, Lehert P, Verner HM, Visser A. Climacteric and menopause in seven south-east Asian countries. Maturitas 1994;19:205-9.
Freeman EW, Sherif K. Prevalence of hot flushes and night sweats around the world: a systematic review. Climacteric 2007;10:197-214.
Loprinzi CL, Barton DL. On hot flash mechanism, measurement, and treatment. Menopause 2009;16(4):621-3.
Daly E, Gray A, Barlow D, McPherson K, Roche M, Vessey M. Measuring the impact of menopausal symptoms on quality of life. BMJ 1993;(307):836-40.
Parry BL, Meliska CJ, Fernando Martinez L et al. Menopause: Neuroendocrine Changes and Hormone Replacement Therapy. JAMWA 2004;59:135-45.
Umland EM. Treatment Strategies for Reducing the Burden of Menopause-Associated Vasomotor Symptoms. J Manag Care Pharm 2008;14(3(suppl S)):S14-S19.
North American Menopause Society. Estrogen and progestogen use in peri- and postmenopausal women: March 2007 position statement of The North American Menopause Society. Menopause 2007;14:168-82.
AACE Menopause Guidelines Revision Task Force. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of menopause. Endocr Pract 2006;12:315-7.
Kronenberg F, Fugh-Berman A. Complementary and Alternative Medicine for Menopausal Symptoms: A Review of Randomized, Controlled Trials. Ann Intern Med 2002;137:805-13.
Soares CN. Searching for effective, nonhormonal treatments for vasomotor symptoms: is there a needle in the haystack? Menopause 2009;16(3):434-5.
Newton KM, Reed SD, LaCroix AZ, Grothaus LC, Ehrlich K, Guiltinan K. Treatment of vasomotor symptoms of menopause with black cohosh, multibotanicals, soy, hormone therapy, or placebo: a randomized trial. Ann Intern Med 2006;145:1070-8.
Borud EK, Alraek T, White A, Fonnebo V, Grimsgaard S. The effect of TCM acupuncture on hot flushes among menopausal women (ACUFLASH) study: A study protocol of an ongoing multi-centre randomised controlled clinical trial. BMC Complementary and Alternative Medicine 2007;7:6-14.
Park J, Lee MS, Jung S, et al. Moxibustion for treating menopausal hot flashes: a randomized clinical trial. Menopause 2009;16:660-5.
Zaborowska E, Brynhildsen J, Damberg S, et al. Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies. Climacteric 2007;10:38-45.
Nir Y, Huang MI, Schnyer R, et al. Acupuncture for postmenopausal hot flashes. Maturitas 2007;56:383-95.
Kim KH, Kang KW, Jung HJ et al. Study Protocol: effects of acupuncture on hot flushes in perimenopausal and postmenopausal women – a multicenter randomized clinical trial. Trials 2008;9:70-8.
Borud EK, Alraek T, White A et al. The Acupuncture on Hot Flushes Among Menopausal Women (ACUFLASH) study, a randomized controlled trial. Menopause 2009;16(3):484-93.
Cho SH, Whang WW. Acupuncture for vasomotor menopausal symptoms:a systematic review. Menopause 2009;16(5):1065-73.
Lee MS, Shin BC, Ernst E. Acupuncture for treating menopausal hot flushes: a systematic review. Climacteric 2009;12:16-25.
Borud EK, Alraek T, White A, Grimsgaard S. The Acupuncture on Hot Flashes Among Menopausal Women study:observational follow-up results at 6 and 12 months. Menopause 2010;17(2):000.
Chen P. Modern Chinese Ear Acupuncture. illustrated edition ed. Paridigm Publications, 2003.
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