Psychohormonal treatment during the menopause.

Today the physician who treats women with emotional problems during menopause cannot function solely as a psychotherapist; he must deal with both their soma and psyche. The interaction between the endocrine and emotional states has long been known. When the equilibrium of an essentially normal state--menopause--is disturbed, a multifaceted approach is essential to restore homeostasis. Hormone replacement, psychotherapy and psychotropic drugs may all be necessary. Serial vaginal smears are useful in monitoring therapy.