Hierarchy of Treatment Recommendations For Common Menopausal Symptoms (Percentages)
| Irregular Menses | Vaginal Dryness | Vasomotor Symptoms | Sleep Disturbance | Decreased Libido | Emotional Lability | Fatigue | |
|---|---|---|---|---|---|---|---|
| Higher | HRT (50.9) | HRT (68.4) | HRT (50.9) | Lifestyle changes (58.5) | HRT (39.2) | Psych meds (68.4) | Lifestyle changes (67.5) |
| Wait and see (50) | CAM (12.7) | CAM (39.6) | Psych meds (33) | Lifestyle changes (33.5) | Lifestyle changes (41) | Wait and see (25.9) | |
| CAM (8) | Lifestyle changes (11.3) | Wait and see (27.4) | Wait and see (22.2) | Wait and see (24.1) | HRT (18.4) | Psych meds (20.8) | |
| Lifestyle changes (6.1) | Wait and see (8.5) | Psych. Meds (17.5) | CAM (15.6) | Psych meds (17.5) | Wait and see (16.5) | CAM (19.8) | |
| Lower | Psych.meds (1.9) | Psych.meds (0.5) | Lifestyle changes (14.6) | HRT (10.4) | CAM (15.1) | CAM (14.2) | HRT (13.2) |
HRT, hormone replacement therapy; CAM, complementary and alternative medicine.