The 2023 Practitioner's Toolkit for Managing Menopause.

Area of Science:

• Women's Health
• Endocrinology
• Clinical Practice Guidelines

Background:

• The 2014 Practitioner's Toolkit for Managing the Menopause served as a desk-top resource for healthcare providers assisting women at midlife.
• A revision was necessary to ensure the Toolkit's algorithms and information align with current best practices in menopause management.

Purpose of the Study:

• To update the Practitioner's Toolkit for Managing the Menopause with current evidence-based information.
• To enhance clinical decision-making tools for healthcare providers caring for women experiencing menopause.

Main Methods:

• A systematic literature search was conducted for guidelines and statements on menopause published after 2014.
• Key recommendations from robust Clinical Practice Guidelines were extracted.
• The peer-reviewed literature was searched to address identified information gaps.

Main Results:

• The revised Toolkit features algorithms for clinical assessment and care of women relevant to menopause.
• It guides determination of menopausal status, menopause hormone therapy (MHT), and non-hormonal treatments.
• The Toolkit now includes expanded support for shared decision-making regarding bone health, addressing a previous lack of clear guidelines for asymptomatic women.

Conclusions:

• The 2023 Toolkit provides updated, accessible information for healthcare providers managing women at midlife.
• The revised Toolkit has received endorsements from major international and national menopause and endocrine societies.