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Published on: August 13, 2019
[Russian Eligibility Criteria for Prescribing Menopausal Hormone Therapy to Patients With Cardiovascular and
E V Shlyakhto1, G T Sukhikh2, V N Serov2
1Almazov National Medical Research Center.
Insights
Menopausal hormone therapy (MHT) can safely manage symptoms for women with cardiovascular and metabolic diseases. This consensus provides criteria and an algorithm for physicians to prescribe MHT appropriately, improving quality of life.
Area of Science:
- Endocrinology and Women's Health
- Cardiovascular Medicine
- Metabolic Disorders
Context:
- Menopausal symptoms significantly impact women's careers and family life.
- Menopausal Hormone Therapy (MHT) is the most effective treatment for these symptoms.
- Concurrent cardiovascular and metabolic diseases often pose a barrier to MHT prescription due to physician concerns.
Purpose:
- To analyze existing clinical trial data on MHT safety in women with cardiovascular and metabolic diseases.
- To establish criteria for the appropriate use of MHT in this patient population.
- To provide physicians with a practical algorithm for prescribing MHT to menopausal women with comorbidities.
Summary:
- A consensus review of clinical trial data was conducted to assess MHT safety in women with cardiovascular and metabolic diseases.
- Criteria were developed to guide the appropriate prescription of MHT, addressing physician concerns about potential harm.
- The analysis resulted in an accessible algorithm for physicians to safely manage menopausal symptoms with MHT in women with comorbidities.
Impact:
- Facilitates informed decision-making for prescribing MHT in women with cardiovascular and metabolic diseases.
- Aims to improve the quality of life for menopausal women by enabling safe and effective symptom management.
- Reduces physician hesitancy in prescribing MHT by providing clear guidelines and a decision-making tool.
Abstract:
Menopausal symptoms can impair the life of women at the peak of their career and family life. At the present time, the most effective treatment for these manifestations is menopausal hormone therapy (MHT). The presence of cardiovascular and metabolic diseases in itself does not exclude the possibility of prescribing MHT to relieve menopausal symptoms and improve quality of life. However, often an obstacle to the use of this type of hormone therapy is the fear of physicians to do more harm to patients than good. Caution is especially important when it comes to women with concurrent diseases. Moreover, it should be recognized that there is a shortage of high-quality research on the safety of MHT for underlying chronic non-infectious diseases and common comorbidities. The presented consensus analyzed all currently available data from clinical trials of various designs and created a set of criteria for the appropriateness of prescribing MHT to women with concomitant cardiovascular and metabolic diseases. Based on the presented document, physicians of various specialties who advise menopausal women will receive an accessible algorithm that will allow them to avoid potentially dangerous situations and reasonably prescribe MHT in real-life practice.
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