Treatment

• HRT
  • Estrogen treats it, Progesterone-related drugs to prevent endometrial hyperplasia

First Line

• PO HRT (E + P, or E + SERM) (Requires systemic tm. IUD/Top estrogen doesn’t help)

• Requirement

• Risk vs Benefit

Second Line

• SSRI/SNRI

• GABA Analog

  • Gabapentin, Pregabalin

• Clonidine *Risk of hypotention

• Neurokinin 3 receptor antagonist

  

• Other Options