In breast cancer survivors, it is recommended to first consider non-hormonal options for menopausal effects, such as bisphosphonates or selective estrogen receptor modulators ( SERMs ) for osteoporosis, and vaginal estrogen for local symptoms.
12.
In some cases, death may occur following several bites and a large amount of venom injection; however, a wasp sting typically will not produce a reaction more severe than local symptoms that affect only the skin.
13.
For women who previously have had breast cancer, it is recommended to first consider non-hormonal options for menopausal effects, such as bisphosphonates or selective estrogen receptor modulators ( SERMs ) for steoporosis, cholesterol lowering agents and aspirin for cardiovascular disease and vaginal estrogen for local symptoms.