Hot flashes from hormonal treatment
of prostate cancer are reduced with acupuncture
Acupuncture provides long-lasting relief to hot flashes,
heart palpitations and anxiety due to side effects of the hormone given to counteract
testosterone, the hormone that induces prostate cancer, according to a study published
in the April issue of the International Journal of Radiation Oncology*Biology*Physics,
an official journal of the American Society for Radiation Oncology (ASTRO).
The main treatments for men with metastatic prostate cancer are either surgery
or hormone therapy to significantly reduce the level of testosterone in the body.
Eliminating testosterone has been proven to keep the cancer in check by starving
the cancer of hormones it needs to grow and spread. However, about half of the
time, this therapy also causes very uncomfortable hot flashes similar to those
women experience during menopause. The main way to combat hot flashes is to take
antidepressants, but these drugs can cause side effects of their own, including
nausea, dry mouth, sleeplessness, altered appetite and sexual changes.
In a prospective study conducted in the department of radiation oncology and
the acupuncture section of New York Methodist Hospital and Weill Cornell Medical
College of Cornell University, both in New York, researchers evaluated 14 men
who were experiencing hot flashes due to hormone therapy for prostate cancer.
Upon enrolling in the study, the men were given a hot flash score (HFS) to evaluate
their discomfort from daily hot flashes. The mean initial HFS was 28.3.
Participants then received acupuncture twice a week for 30 minutes at a time
for four weeks. Two weeks after receiving acupuncture, their HFS was measured
again and had dropped more than half to 10.3. At six weeks post-treatment, their
HFS was 7.5. After eight months, the men were evaluated again and their mean HFS
was 7. "Our study shows that physicians and patients have an additional treatment
for something that affects many men undergoing prostate cancer treatment and actually
has long-term benefits, as opposed to more side effects," Hani Ashamalla,
M.D., lead author of the study and a radiation oncologist at New York Methodist
Hospital, said. "We are now designing a randomized clinical trial to further
evaluate acupuncture after prostate cancer treatment. I encourage men suffering
this symptom to talk to their doctors about enrolling."
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