Menopause Therapy Center
300 Essjay Road, Williamsville, NY
Hot Flashes? Night Sweats? Trouble Sleeping?
If you are a woman over 35 years old bothered by hot flashes, night sweats, or sleeping problems and interested in finding relief without taking hormones, the Menopause Therapy Center is the place for you.
Dr. Thomas Guttuso, Jr., MD is the Director of the Menopause Therapy Center. Dr. Guttuso has been successfully treating women with these menopausal symptoms since 1997 using safe, non-hormonal medications that are truly effective.
“I had my hysterectomy and, due to a blood disorder, I cannot take estrogen. Surgical menopause started kicking my butt several weeks after I got out of the hospital... night sweats approximately every 20-30 minutes each night that left me a zombie with no energy to care for my family - it was awful.
I went to an appointment with my Gynecologist armed with all my internet findings about your research. I discussed trying the medication and she was open to it (thank God). I started with one pill that very night. I had NO night sweats that night! I was so excited... and so well-rested. What a relief.
And just in case you haven't realized how very thankful I am for what you have done, for all of your hard work... THANK YOU!!!!! Words could not adequately express how your work changed my life.”
“The night sweats were killing me. The lack of sleep night after night started really interfering with my work. I could hardly stay awake. Now, I can sleep beautifully without any night sweats! It’s a miracle. Thank you!"
Hot Flashes & Night Sweats: Hot Flashes affect about 75% of women after going through menopause and last for about 5 years, on average. For many women, hot flashes start years before they stop menstruating (stop having a menstrual period) but then get worse after they fully stop menstruating. Hot flashes are often triggered by stress, anxiety or drinking alcohol but most hot flashes occur without any precipitator.
When a hot flash strikes, there’s no mistaking it: a women suddenly feels extremely hot inside and often her face flushes and she starts to sweat. The whole episode usually lasts 3-5 minutes before resolving. Often, a woman will then feel cold after the resolution of the hot flash.
Hot flashes that occur at night are called night sweats and are very bothersome for women because of the associated sleep disruption. Women repetitively will throw the bed sheets off and then back on with each night sweat. Because night sweats often lead to very poor sleep quality, women with night sweats often feel sleepy during the day and experience impaired concentration and irritability of mood.
Hot flashes and night sweats are natural neurological symptoms triggered by the low estrogen levels that occur during the menopausal transition.
Treatments for Hot Flashes & Night Sweats: Hormone replacement therapy (HRT), made up of estrogen and progesterone medications, is currently the only treatment that has been approved by the US Food & Drug Administration (FDA) specifically for treating hot flashes. In 2002, a landmark study called the Women's Health Initiative showed HRT to be associated with higher rates of breast cancer, heart disease, and stroke.
Because of these significant risks, many women have decided not to take HRT for their menopausal symptoms. Unfortunately, this means that women are left to suffer with their hot flashes, night sweats, and sleeping problems.
Women don't need to suffer. There are safe, non-hormonal medications that have been shown in well-designed medical research studies to be effective for treating hot flashes and night sweats. They are gabapentin and oxybutynin.
At the Menopause Therapy Center, Dr. Guttuso practices what’s known as “evidence-based medicine” for treating hot flashes and night sweats. This means that only therapies that have demonstrated effectiveness in well-designed medical research studies are prescribed.
For most women with hot flashes, the over-the-counter hot flash therapies are ineffective. Some women may experience a few weeks or months of benefit from over-the-counter therapies like soy/isoflavones (eg, Estroven) or black cohosh (eg, Estroven and Remifemin); however, few experience significant, long-term relief from their hot flashes and night sweats.
In general, the Menopause Therapy Center does not recommend the use of these over-the-counter hot flash treatments mostly because there is no good evidence that they are effective. It simply doesn't make sense to spend your money and time on false hope.
About Dr. Guttuso: Dr. Guttuso is a native of Western New York. He is a board-certified, Associate Professor of Neurology at the University at Buffalo and an active member of the North American Menopause Society. He received his bachelor's degree in 1988 in psychology from Cornell University, his master's degree in 1992 in psychology from the University at Buffalo and his medical degree (MD) in 1996 from the University at Buffalo. He performed his residency and fellowship at the University of Rochester and then joined the faculty at the University at Buffalo in 2003.
Dr. Guttuso became interested in hot flashes in 1997 when a patient reported that her hot flashes and night sweats resolved when starting a medication that Dr. Guttuso prescribed for her migraine headaches. Since then, Dr. Guttuso has performed several research studies on non-hormonal treatments for hot flashes and has successfully treated hundreds of women with hot flashes and night sweats with these treatments.
Dr. Guttuso has presented his research findings internationally and has authored 13 research papers on this subject published in medical journals including Lancet, Obstetrics & Gynecology, Menopause, and Neurology. Most of his research has been funded by the National Institutes of Health (NIH). His research has also been featured in Reader's Digest, Time Magazine, and on CBS Evening News with Dan Rather.
Conclusion: If you are tired of being tired or fed up with being hot and sweaty, you deserve to learn the facts about how you can be helped safely, without the use of hormones.
300 Essjay Road, Suite 100; Williamsville, NY 14221
Call 716- for an appointment
If you live too far from Buffalo, NY to make a visit to the Menopause Therapy Center, click here to access a document that Dr. Guttuso prepared specifically for patients to print and provide to their health care practitioner. This will provide all of the information needed for your practitioner to decide if he or she would like to prescribe one of these medications for you.