New statement on best practice recommendations for the care of postmenopausal women

Best practice recommendations for healthcare professionals providing help and support to women going through menopause were released in a joint position statement from the British Menopause Society (BMS), the Royal College of Obstetricians and Gynecologists (RCOG) and the Endocrine Society (SfE).

The statement is a response to growing concerns about a lack of hormone replacement therapy (HRT) and provides expert consensus on best practices for menopausal care and treatment, incorporating national and international evidence-based information. Recommendations advise an individual approach, taking into account the risks and benefits of treatments as well as lifestyle choices so that women can make informed decisions about treatment and care.

It is estimated that menopausal symptoms affect more than 75% of women, and more than 25% of women have severe symptoms. These can include hot flashes and night sweats, vaginal dryness, mood changes and memory problems, many of which can last for several years. These symptoms can have a detrimental effect on a woman’s quality of life and well-being, as well as pose more serious risks to bone and cardiovascular health. For many women, menopause is shrouded in stigma and taboos, but in the past couple of years we have seen a rise in awareness of menopause and its symptoms through the media. The lack of HRT in recent times, as well as a large number of misinformation about menopause in the mainstream media prompted the preparation of this statement.

As a group of medical organizations, BMS, RCOG, and SfE aim to provide evidence-based guidance for healthcare practitioners working with women going through menopause, to ensure they have accurate information and can help women make informed decisions about their treatment. and care. It is important that you not only consider HRT, but also offer lifestyle advice, such as exercise, weight improvement, smoking cessation, cutting back on alcohol, as well as the advantages and disadvantages of alternative therapies. The statement advises taking into account the individual needs of each woman, rather than a “one size fits all” approach. It also takes into account the risks and benefits of hormonal treatments in the context of age, cardiovascular health, cancer status, and body weight.

While women can access a lot of information on the internet and social media, there is unfortunately still some misinformation out there. The importance of applying a comprehensive and individualized approach to the care of women experiencing menopause was recognized in NICE guidelines in 2015, as well as other national and international guidance documents. It is essential that women are made aware that help and support is available to them and that they are provided with access to accurate information.”

Haitham Hammouda, Chairman of the British Menopause Society

Professor Stephanie Baldwig, Consultant Endocrinologist and Chair of the Clinical Committee for SFE, says, “In recent years, the mainstream media has generated much positive discussion about available treatments and what more can be done to support menopausal women. Some of the reports and headlines have conflicting, So guidance from the governing bodies of independent experts, through careful study of peer-reviewed data from a wide range of high-quality sources, is absolutely essential to enable patients, clinicians, practitioners and women to make informed choices.”

Dr Edward Morris, President of the Royal College of Obstetricians and Gynecologists (RCOG), says: “It was clearly a really distressing time for many women who tried and couldn’t reach their usual form of HRT due to the shortage.

“The goal of this statement is to provide clear best practice recommendations for healthcare professionals who care for women and people of all ages experiencing menopausal symptoms. All women will experience menopause in different ways and that is why it is important that they are provided with personalized care that is right for them.”

Menopause is a major life event that can affect women in different ways. An individualized approach in evaluating women going through menopause is essential and it is important that women are made aware of the help and support available to them, and that they feel able to consult your doctor for reliable advice. This position statement is intended to provide useful and accurate recommendations for professionals to guide women in finding what is best for them.


Endocrine Society

Journal reference:

Hammouda, h. et al. (2022) Improving the transition to menopause: a joint position statement by the British Menopause Society, the Royal College of Obstetricians and Gynecologists, and the Endocrine Society on best practice recommendations for the care of women experiencing menopause. Health after childbirth.


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