Asia-Pacific Menopause Federation Consensus Statement on the Management of Menopause 2024
Seng Bin Ang1, Stella Rizalina Sasha Sugianto2, Felicia Clara Jun Hui Tan3
1Family Medicine Service, KK Women's and Children's Hospital, Singapore.
Expert consensus was reached on menopause management for diverse Asia-Pacific women. Menopausal hormone therapy (MHT) is recommended for vasomotor, somatic, or psychological symptoms and osteoporosis prevention.
Area of Science:
- Reproductive Medicine
- Endocrinology
- Public Health
Background:
- Menopause management requires updated guidelines considering Asia-Pacific's diverse population.
- Previous consensus statements need revision based on new evidence and treatment options.
Purpose of the Study:
- To achieve expert consensus on menopause management in the Asia-Pacific region.
- To develop an evidence-based algorithm for clinical practice.
Main Methods:
- Modified Delphi methodology with iterative anonymous surveys.
- Literature search for clinical practice statements on menopause.
- Consensus defined as ≥70% agreement among experts.
Main Results:
- 39 experts from 14 societies participated.
- 85 clinical practice statements achieved consensus.
- Menopausal hormone therapy (MHT) recommended for vasomotor, somatic, and psychological symptoms.
- MHT also recommended for osteoporosis prevention in asymptomatic women.
Conclusions:
- The new consensus statement supersedes the 2008 version.
- Provides guidance for healthcare professionals in the Asia-Pacific region.
- Aims to optimize care for diverse menopausal women.
More Related Videos
06:18An In Vivo Estrogen Deficiency Mouse Model for Screening Exogenous Estrogen Treatments of Cardiovascular Dysfunction After Menopause
Published on: August 13, 2019
08:46Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
Published on: September 16, 2021
Related Concept Videos
Menopause
Hormonal Regulation of the Menstrual Cycle
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
Hypothalamic-Pituitary Axis
Menses Phase
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
The Menstrual Cycle
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
Hormonal Control of the Ovarian Cycle
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
