Evamist.com – Talking to your doctor about menopause

Making the most of your
doctor visit

As if menopause wasn’t frustrating enough, it seems to make the smallest

things impossible to remember! And when you’re sitting in that paper gown in the doctor’s office, all the symptoms you wanted to discuss with your doctor may seem to vanish from your memory.

Whether you’re forgetful or not, it’s a good idea to take a few moments to plan for your doctor visit by jotting down your symptoms. Tracking them for a week or more may provide your doctor with even better information. You can download a symptom tracker to make it easy.

Here is a list of questions that will help you start your discussion with your doctor. Take this checklist with you to your doctor and together you can discuss all the treatment options available, as well as what may be appropriate for you.* » Print checklist

	Are you in your mid 40s or 50s?

	Has your menstrual cycle changed? Is it irregular and are you bleeding more or less than normal?

	Do you feel warmth in your face and upper body, sometimes heavy sweating, followed by cold shivering?

	Do you have trouble sleeping?

	Do you wake up in the middle of the night, kicking off the covers and sweating?

	Are you experiencing vaginal dryness?

	Is having sex uncomfortable?

	Do you get easily irritated and moody?

	Have you had surgery to remove your ovaries, or have you had a hysterectomy?

	Have you tried over-the-counter treatments to manage your menopausal symptoms?

	Are you interested in hormone therapy?

	Are you worried about taking a pill to manage your symptoms?

	Do you prefer something easy to use and discreet?

	Is convenience important to you?

» Print checklist

Evamist is approved by the FDA for use after menopause to reduce moderate-to-severe hot flashes. The effectiveness of Evamist in treating other menopausal symptoms has not been demonstrated.

Important Safety Information

What is the most important information I should know about Evamist (an estrogen hormone)?

•	Using estrogen alone may increase your chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using Evamist. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find the cause.
•	Do not use estrogen alone to prevent heart disease, heart attacks, strokes or dementia (decline of brain function)
•	Using estrogen alone may increase your chances of getting strokes or blood clots
•	Using estrogen alone may increase your chance of getting dementia, based on a study of women 65 years or older
•	Do not use estrogens with progestins to prevent heart disease, heart attack or dementia
•	Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots
•	Using estrogens with progestins may increase your chance of getting dementia, based on a study of women 65 years and older
•	You and your healthcare provider should talk regularly about whether you still need treatment with Evamist
•	The estrogen in Evamist spray can transfer from the area of skin where it was sprayed to other people. Do not allow others, especially children, to come into contact with the area of your skin where you sprayed Evamist. Young children who are accidentally exposed to estrogen through contact with women using Evamist may show signs of puberty that are not expected (for example, breast budding)

Evamist is an estrogen hormone used after menopause to reduce moderate to severe hot flashes.

Evamist should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the past year; currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.

The most common side effects that may occur with Evamist are headache, breast tenderness, the common cold, nipple pain, back pain, nausea, and joint pain.

Please see full patient information for Evamist.

Please see full prescribing information for Evamist, including boxed warnings.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.