There are many treatments that have been shown to be effective in randomized trials. I usually suggest patients first try vitamin e or acupuncture and if that is not effective to consider Effexor. Gabapentin can be effective and help with sleep, without as many sexual side effects as the antidepress...

There are multiple ways to treat vasomotor symptoms due to estrogen deprivation in breast cancer patients. I usually start with Vitamin E as the most simple treatment since many patients don't want to take more medicine. If they don't respond to Vitamin E and don't want to take any medicine, I rec...