In many studies, the occurrence
of hot flashes is the most prominent symptom that appears
in various frequencies (41%–78%). This symptom
is particularly evident in women taking tamoxifen
(ATAC Trialists’ Group, 2006; Land et al., 2006; Wilkinson,
2004). The menopausal symptoms are interrelated
and can cause body-image problems, sexual dysfunction,
relationship issues, and coping difficulties