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Confronting the challenges of the menopausal transition
Robert L Reid1, Bryden A Magee1
1Division of Reproductive Endocrinology and Infertility, Queen's University, Kingston, Ontario K7L 4 V1 Canada.
Women'S Midlife Health
|February 16, 2019
Summary
Generation X women are entering menopause and seeking relief for vasomotor symptoms. Despite confusion, menopausal hormone therapy (MHT) is effective, and for most, its benefits outweigh the risks.
Area of Science:
- Reproductive Endocrinology
- Women's Health
- Menopause Management
Background:
- Generation X in Canada is approaching the menopausal transition.
- Vasomotor symptoms are common and bothersome during this phase.
- Significant confusion exists regarding the safety and appropriate use of menopausal hormone therapy (MHT).
Purpose of the Study:
- To review the physiology of the menopausal transition.
- To discuss symptoms associated with estrogen withdrawal.
- To evaluate the benefits and risks of MHT.
Main Methods:
- Literature review on menopausal transition and MHT.
- Analysis of current understanding of MHT benefits versus risks.
- Review of MHT dosage, formulation, and regimen selection.
Main Results:
- Menopausal hormone therapy (MHT) is the most effective treatment for vasomotor symptoms.
- Misinformation has led to unwarranted abandonment of MHT.
- For most recently menopausal women, MHT benefits exceed risks.
Conclusions:
- MHT remains a highly effective option for managing menopausal symptoms.
- Addressing confusion about MHT is crucial for appropriate patient care.
- Individualized MHT selection based on dosage, formulation, and regimen is recommended.
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