Determinants of treatment choice for menopausal hot flushes: hormonal versus psychological versus no treatment

Sixty-one women, reporting hot flushes once a week or more frequently, completed questionnaires eliciting information about demographic details, health, mood and health beliefs. They were interviewed and asked to choose between no treatment, hormone treatment (HRT), psychological treatment (cognitive-relaxation therapy (CRT) and no preference for either CRT or HRT. Seventy-five per cent wanted treatment, with approximately 40% of these women preferring HRT and 60% CRT. Women who wanted treatment for hot flushes were significantly more anxious, coped less well with stress, had lower internal locus of control scores and lower self-esteem, compared with those not seeking treatment. Hot flush frequency was the same for both groups, but those wanting treatment viewed flushes as being more problematic. Few differences emerged between those preferring hormonal or psychological treatment. However, particular reasons were given based upon past experience, views about medication and practical considerations. This study highlights the need for the development of alternative treatment regimens for women seeking help for menopausal problems.