Vasomotor symptoms (VMS), commonly called hot flashes or flushes (HFs) and night sweats, are the menopausal symptoms for which women seek treatment during menopause most often. VMS are a form of temperature dysfunction that occurs due to changes in gonadal hormones.
The vasomotor centers in the medulla are responsible for central regulation of cardiac electrical activity, myocardial performance, and peripheral vascular tone.
They include hot flashes, night sweats, heart palpitations, and changes in blood pressure. The most likely reason why these symptoms can occur during menopause is that hormonal fluctuations affect the mechanisms that control blood pressure and temperature control.
Menopausal and female climacteric states N95. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N95. 1 became effective on October 1, 2021.
medulla oblongataThe vasomotor center is a collection of integrating neurons in the medulla oblongata of the middle brain stem.
Vasomotor episodes (VMEs), usually referred to as hot flushes or hot flashes, are the most common symptom reported by climacteric women and are the primary cause for seeking medical advice during this period.
Selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), clonidine (Catapres), and gabapentin (Neurontin) are effective nonhormonal medications for treating vasomotor symptoms, although paroxetine (Paxil) is the only nonhormonal medication approved by the U.S. Food and Drug ...
Selective serotonin reuptake inhibitors (SSRIs) and selective serotonin-norepinephrine reuptake inhibitors (SNRIs) are effective non-hormonal alternatives for vasomotor symptoms [15], reducing HFs intensity and frequency in percentages ranging from 20% to 65% [15–18].
Vasomotor symptoms are correlated with mood and sleep disturbances, neuroticism, anxiety, decreased cognitive function, and stress.
2013 ICD-9-CM Diagnosis Code 627.2 : Symptomatic menopausal or female climacteric states.
Z78.0ICD-10 code Z78. 0 for Asymptomatic menopausal state is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
627.2 — Symptomatic menopausal or female climacteric states and may include these symptoms: crisis, flushing, headache, insomnia/sleeplessness, lack of focus/concentration, neurosis, and psychoneurosis.
The vasomotor center controls vessel tone or contraction of the smooth muscle in the tunica media. Changes in diameter affect peripheral resistance, pressure, and flow, which in turn affect cardiac output. The majority of these neurons act via the release of the neurotransmitter norepinephrine from sympathetic neurons.
The reflex wave, after various somatosensory stimuli, manifests as a transient reduction in skin blood flow [1-4] and has been termed the skin vasomotor reflex (SVmR). The SVmR is a somatosympathetic reflex, and it involves afferent, central, and efferent pathways.