What is your approach to the management of hot flashes in a patient who wants to use herbal medicine?  

Hot flashes are so bothersome to some postmenopausal women, especially those with breast cancer in whom we discourage the use of estrogen or potentially estrogenic, that we now have evidence from randomized trials to help guide treatment. With regard to nonprescription therapies, data thus far suppo...

I allow many supplements, even soy products which have not been shown in any way to increase breast cancer recurrence. I use Evening Primrose, 5 capsules a day, Black Cohosh, and red products such as roiboos tea or red clover. That helps with mood issues as well. Yoga and regular exercise can help w...