12/2/2023 0 Comments Icd 10 hot flashes24 Daytime hot flashes are reported more often than night sweats, 24– 27 although this may reflect difficulty in perceiving or recording nighttime symptoms. 26 One in four women report having VMS every day. On average, women report 4–5 hot flashes per day, 24, 25 although some women have as many as 20 per day. Vasomotor symptoms occur during the MT for up to 80% of US women, 16, 23 but the daily frequency varies. 19 This was later confirmed in a follow-up consensus workshop referred to as STRAW+10 ( Table 1). 18, 20, 21 Further, the Stages of Reproductive Aging Workshop (STRAW) also concluded that these other symptoms do not track closely with menstrual cycle or endocrine changes during the menopausal transition. 18, 19 Research using large lists of symptoms to look at how symptoms aggregate has found that hot flashes and night sweats do not “track” with these other symptoms. 17 SWAN further found that neither hormone levels nor bleeding changes entirely explained VMS prevalence or frequency, thus suggesting the importance of other factors such as lifestyle and psychosocial characteristics.Īlthough symptoms such as depression, difficulty concentrating, and moodiness are often thought to be associated with menopause, VMS are the only symptom clearly and directly associated with menopause. 16 Longitudinal analyses from SWAN found that FSH is more strongly associated with VMS than E2. Although lower levels of estrogen and higher FSH are associated with VMS reporting, not all women who experience hormonal changes have VMS. 15 Reproductive hormones play an important role in this narrowing, given that the onset of VMS corresponds to changes in reproductive hormones at the menopausal transition and the therapeutic effect of exogenous estrogen. It is generally thought that hot flashes result from a narrowing of the thermoneutral zone in perimenopausal women. The cause of hot flashes is not fully understood and is likely multifactorial. 10, 11 VMS are also independently associated with multiple indicators of elevated cardiovascular risk, 12, 13 greater bone loss, 14 and higher bone turnover. 9 VMS are one of the chief menopause-related complaints for which US women seek medical treatment. 8 The Penn Ovarian Aging Study has shown that the mean duration for any VMS is about 10 years. 7 Recent research from the Study of Women’s Health Across the Nation (SWAN) found that frequent VMS last a median of 7.4 years, which is longer than previously thought. 1– 4 Up to 80% of women experience VMS during menopause 5, 6 and a majority of women rate them as moderate-to-severe. Vasomotor symptoms (VMS) or hot flashes and night sweats, are hallmarks of the menopausal transition (MT) and can significantly affect quality of life. VMS: Primary Symptoms Associated with Menopause
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