If adequate cycle control is not achieved on a cyclic regimen (and after assessing whether further investigation is needed), the dose of progestogen can be increased or intrauterine progestogen administration can be considered.Once the formulation and dose of MHT is established, reviews should occur at least annually to check symptom control and for the emergence of contraindications. Women need clear information to make decisions that are appropriate for their circumstances.Menopause is caused by cessation of ovulation and is defined as the final menstrual period.Menopause results in a number of physiological changes affecting the cardiovascular, musculoskeletal, urogenital and central nervous systems. Originally published in the Society's journal Menopause , these statements are available below for … The Endocrine Society recommends that women with a uterus who decide to undergo menopausal hormone therapy with estrogen and progestogen be informed about risks and benefits, including the possible increased risk of breast cancer during and after discontinuing treatment. Many studies of vaginal oestrogen administration did not assess endometrial response, and most were short term. If desired, this can be changed to continuous combined MHT after 12 months.

There is an increase in incidence of cardiovascular disease and osteoporosis after menopause.During the perimenopausal and postmenopausal years, women often have a variety of symptoms including vasomotor symptoms (hot flushes and night sweats), muscle and joint pains, sleep disturbance, mood changes and anxiety, and genitourinary symptoms. 2018 May 15;5(5):CD008830. London: National Institute for Health and Care Excellence (UK); 2015 Nov 12. The Australasian Menopause Society (AMS) provides information about available MHT preparations, along with guidance about other aspects of menopause management.MHT comprises continuous oestrogen for symptom management and other physiological effects, with a progestogen added for endometrial protection for women who have not had a hysterectomy. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Early menopause Menopause occurring between ages 40-44. For women to make an informed choice about whether to use MHT, it is important for them to receive balanced and accurate information about the benefits and risks. Join One goal of The North American Menopause Society (NAMS) is to develop position statements and other reports about clinical issues pertinent to women at midlife and beyond. It covers the diagnosis and optimal clinical management of menopause-related symptoms, including hormonal and non-hormonal therapies. ESGMs will materially participate in the guideline development process and thus will be guideline authors, and will also gain valuable career development experience in the process. Most women expect menopause and recognize the symptoms when it begins. Choices relating to the timing and types of treatments are important to optimise benefit and minimise risk. Climacteric . Please enable it to take advantage of the complete set of features! Community Connect is Endocrine Society’s exclusive online community where you can network, talk to experts, join a conversation with people who share your interests, and find what you need throughout your membership journey. ... 2019… It can occur naturally or as a result of medical or surgical treatment.

Menopause is caused by cessation of ovulation and is defined as the final menstrual period. Urogenital atrophy Thinning and shrinking of the tissues of the vulva, vagina, urethra and bladder caused by In December 2019, in response to an MHRA safety alert on hormone replacement therapy (HRT) and the risk of breast cancer, we replaced the table in the recommendation on breast cancer risk with a link to the MHRA's advice on HRT risks and benefits.

Menopause, hormone replacement therapy.

National Collaborating Centre for Women's and Children's Health (UK)Fertil Steril. Published date:

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