www.obgmanagement.com/article_pages.asp?AID=5477&UID= -
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Published on: 11/1/2007
Last Visited: 6/16/2008
" For women to be scared unfairly…and to have to suffer with vasomotor and emotional problems is really a disservice"-Joanna Shulman, MD
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Joanna Shulman, MD, agrees.She is associate professor and director of the medical student clerkship in obstetrics and gynecology at Mount Sinai School of Medicine in New York City.
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"We talk about that," says Dr. Shulman."If they're miserable and they don't think they're appropriate candidates for estrogen, we talk about other things.Or some people will come in and say, 'I don't want to take estrogen.Is there anything else?'"
In these cases, Dr. Shulman recommends a number of options."Effexor has shown some benefit, apparently, in the literature," she says."And I mention black cohosh, which is in a lot of popular over-the-counter type remedies and which, apparently, recently was shown to have possibly some benefit."Of course, "there's a tremendous placebo effect with all of these," she observes.