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. 2021 May 24;28(8):875–882. doi: 10.1097/GME.0000000000001793

TABLE 2.

Prevalence of moderate-to-severe VMS amongst women aged 40-65 yearsa

Europeb N = 2,035 US N = 676 Japan N = 760
Estimated prevalence of moderate-to-severe VMS in country/region, % 40c 34 16c
Prevalence by HT group, %d
 HT-willinge 24 25 11c
 HT-aversef 56 54 79c
 HT-contraindicatedg 12 9 8
 HT-stoppersh 9 11 5c
 HT-cautioni 70 69 52c

HT, hormone therapy; VMS, vasomotor symptoms.

a

Percentages estimated based on respondents’ self-assessment and perceptions.

b

Europe includes France, Germany, Italy, Spain, and UK. Prevalence by individual European country is shown in Supplementary Table 1.

c

Difference statistically significant vs both other regions at 95% CI level.

d

Groups are not mutually exclusive. Self-reported comorbidities do not indicate severity levels, associated treatments, etc.

e

HT-willing: women currently prescribed HT or bioidentical HT or who are willing to take HT.

f

HT-averse: women who are NOT currently treated with hormonal prescription therapies or prescribed bioidentical hormones and who are NOT willing to take HT.

g

HT-contraindicated: women who have been assessed by a physician and HT was deemed not appropriate due to certain conditions/circumstances: bleeding from the genital tract without a determined cause, acute liver failure/active liver disease, deep vein thrombosis, uterine cancer, ovarian cancer, heart attack/stroke/ angina/myocardial infarction (adapted from The North American Menopause Society Position Statement, 201721).

h

HT-stoppers: women who previously received hormonal prescription therapies or prescribed bioidentical “natural” hormones, but are NOT currently on treatment.

i

HT-caution: women with underlying medical conditions (eg, smoking, 1st degree relative with breast cancer, high cholesterol or triglycerides, migraine, diabetes) that warrant a cardiovascular or breast cancer risk assessment before prescribing HT (adapted from Reference 22).