{"id":2871,"date":"2018-10-17T19:07:50","date_gmt":"2018-10-17T17:07:50","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/do-not-use-phytoestrogens-for-menopausal-related-sexual-symptoms\/"},"modified":"2019-10-01T15:51:42","modified_gmt":"2019-10-01T13:51:42","slug":"do-not-use-phytoestrogens-for-menopausal-related-sexual-symptoms","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/do-not-use-phytoestrogens-for-menopausal-related-sexual-symptoms\/","title":{"rendered":"Do not use phytoestrogens for menopausal-related sexual symptoms."},"content":{"rendered":"<p>There is no strong scientific evidence for the use of phytoestrogens in the treatment of menopausal-related sexual symptoms (e.g. hypoactive sexual desire disorder, excitement disorder, orgasmic disorder, dyspareunia, vaginismus) and\/or hot flushes. Biological actions of these molecules can be affected by: multiple action sites, relative number of subtypes of receptors, different distribution among target tissues of functional co-activators and co-repressors, potential non-genomic action of estrogens even in cells without specific receptors. Phytoestrogens have the same general contraindications of on-label estrogen compounds.<\/p>\n","protected":false},"featured_media":2387,"template":"","meta":{"_edit_lock":["1569937776:5"],"_edit_last":["5"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_thumbnail_id":["2387"],"_wpml_word_count":["{\"total\":219,\"to_translate\":{\"it\":219}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["119"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["SIAMS #1"],"wpcf-bibliografia":["1. Worsley R, Santoro N, Miller KK, Parish SJ, Davis SR. Hormones and Female Sexual Dysfunction: Beyond Estrogens and Androgens--Findings from the Fourth International Consultation on Sexual Medicine. J Sex Med 2016; 13: 283-90.\r\n2. Stuenkel CA, Davis SR, Gompel A, Lumsden MA, Murad MH, Pinkerton JV, Santen RJ. Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2015; 100: 3975-4011.\r\n3. Wierman ME, Arlt W, Basson R, Davis SR, Miller KK, Murad MH, Rosner W, Santoro N. Androgen therapy in women: a reappraisal: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2014; 99: 3489-510."],"wpcf-posizione-prof":["5"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-area-ordinamento":["Andrology and Sexuality Medicine"],"_yoast_wpseo_content_score":["90"],"_yoast_wpseo_focuskeywords":["[]"],"_yoast_wpseo_keywordsynonyms":["[\"\"]"],"_wpml_location_migration_done":["1"],"_layouts_template":["layout-for-raccomandazioni-professionista"],"_wp_page_template":["default"],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.8.5\",\"enable_all_character_sets\":\"false\"}\";}"]},"eta":[{"term_id":96,"name":"Adult","slug":"adult","term_group":0,"term_taxonomy_id":96,"taxonomy":"eta","description":"","parent":0,"count":272,"filter":"raw"}],"disciplina":[119],"tipologia":"Drugs","class_list":["post-2871","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-adult","disciplina-andrology-and-sexuality-medicine","tipologia-drugs"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/2871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/2387"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=2871"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=2871"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=2871"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=2871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}