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New guidance published this week from the American College of Obstetricians and Gynecologists provides for more flexibility in treating common menopausal symptoms. It also includes a wider range of hormone replacement therapy alternatives, which doctors recommend for treating hot flashes, night sweats, and other related sleep disturbance. The new guidance includes options for women who have a history of cancer, stroke and blood clots. Patients can now continue treatment for longer and choose a schedule that works best for them, rather than defaulting to the shortest amount of time possible, which was what previous guidance encouraged.

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