[Organization and operation of special menopause clinics]

The authors summarized the special background information and practical experiences which helped them to organize the menopausal clinics for the patients in the peri- and postmenopausal age. The aim of the clinic was to to diagnose and manage the oestrogen deprivation in order to provide special care for the patients. The authors identified three key player; the general practitioners, the menopausal clinics and specialised centers in the field of the menopausal medicine. They emphasized the multidisciplinary features of the initial assessment and management plan of the hormone replacement therapy, the initiative role of the gynaecologist indicating and checking up the hormon replacement therapy and also undertaking the yearly oncogynaecologic screening. It was summarized the opportunities and limitations of the hormone replacement therapy to prevent, decrease or eradicate vasomotor, psychological and organic consequences of the menopause. They outlined the indications and contraindications and side-effects of the hormone replacement therapy. Finally, some theoretical and practical issues of the hormone replacement therapy were discussed.