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Soy once was relegated to an obscure corner of most supermarkets, if it was there at all. In most communities, if you really wanted to take a taste of tofu or other soy products, you had to venture instead into a health-food store, searching for soy somewhere between the bean sprouts and the herbal remedies.

But these days, the soy fad has gone mainstream. Faster than you can say tempeh or edamame, more Americans than ever have become convinced that there might be some substance to the 5, years of Asian reliance on the simple soybean and the foods derived from it. Moreover, particularly as many menopausal women have become concerned about the safety of using prescription hormone replacement therapy HRT to cool down their hot flashes and related symptoms, soy just might be a sensible alternative worth trying. The simplest definition of menopause is "the end of menstruation. But for the remainder, at times they may feel like a 9.

Hot flashes. Night sweats. Sleep disruptions.

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Vaginal dryness. Mood swings. And while HRT once was seen as the best hope for dousing those hot flashes, a major new study -- the Women's Health Initiative WHI -- has sent a chill down the spines of many health-conscious women and their doctors.

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In JulyWHI researchers reported that long-term use of the most commonly used hormone replacement preparation of estrogen and progestin, Premprocould increase a woman's risk of heart disease, stroke, and invasive breast cancer. More recently, the second arm of that same study, in which women who had hysterectomies received estrogen only Premarin -- was stopped one year ahead of schedule. The main goal of this study was also to see if starting menopausal hormone therapy might lower a woman's risk of heart disease.

It did not. In the estrogen-only group, there was no increase or decrease in heart disease. However, women taking estrogen-only hormone therapy had a slightly increased risk of strokea risk similar to that seen in the estrogen and progestin study. As a result, the search for a non-drug approach to managing menopausal symptoms has accelerated, with many women looking toward soy for deliverance from the raging heat within. And, in fact, they're finding many soy products that are being marketed as nutritional fire extinguishers. In Asian countries where soy is a dietary staple, women tend to get fewer hot flashes than women in the U.

But when studies have looked closely at soy's effects on menopausal symptoms, the have been mixed. But for every positive study, he adds, there has been another showing no soy-related benefits. These women experienced a ificant decline in their menopausal symptoms, including hot flashes, mood swings, and sleep difficulties. But in another study in at Tufts University, researchers found that after three months of soy supplementation, women had no more relief from hot flashes than another group taking a placebo dummy pill.

In the heat of the debate, doctors like Machelle Seibel, MD, remain persuaded by the positive findings, and urge women to give soy a try. But if it can reduce hot flashes sufficiently enough so a woman can get a good night's sleepthat may allow her to cope better. Mary Hardy, MD, medical director of the Integrative Medicine Program at Cedars-Sinai Medical Center in Los Angeles, believes that even the positive findings for soy in some studies have shown only a modest impact on menopausal symptoms.

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At the same time, she says, "some individual women say that soy has had a tremendous effect on managing their hot flashes. However, I wonder if it's the soy per se, or did these women also reduce the fat in their diet, or restrict their caffeine or alcohol intake? But as part of moving to an overall healthier diet, I think that soy can be an important component of those changes. While Messina tells women that soy may have a modest benefit on menopausal symptoms, he says, "it's not the most important reason to take soy.

I think the heart benefits and the possible bone-strengthening benefits of soy foods are more important reasons. If you want to give soy a try, most experts suggest consuming one to two servings per day, which translates to an intake of about 25 to 50 mg. You'll find soy in foods such as tofu, soy milk, whole soybeans like edamamemiso, soy yogurt, and tempeh -- although some women report that it takes a little time to develop a taste for soy.

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But many might be agreeable to eating soybeans, she says, even as a snack food, or drinking a shake prepared with soy powder, or adding "soy crumble" to sauces. Soy supplements -- most containing 25 mg. Messina agrees, noting that as a nutritionist, he always prefers food rather than pills.

But he adds, "this is a country where most people don't eat any soy, so consuming even two servings can be a challenge for them. For that reason, I don't have a problem with someone saying, 'On the days that I don't eat two servings per day, I'll take a pill to bring my level up to the recommended amount. If you were eating soy nuts instead of potato chips, for example, that would be wonderful.

Women's Health Feature Stories. Calming the Fire Within The simplest definition of menopause is "the end of menstruation. Heating Up the Soy Debate In Asian countries where soy is a dietary staple, women tend to get fewer hot flashes than women in the U. Could I have CAD? Missing Teeth?

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