Individualized HRT effective for menopause

Source：International Menopause Society Release Date：2013-03-18 198

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Global Consensus Statement on Menopausal Hormone Therapy (HRT)

SEVEN major international and US societies have published a brief consensus statement on the appropriate use of Menopausal Hormone Therapy (also known as HRT). This concludes that it is the most effective treatment for menopausal symptoms, but should be prescribed on an individual basis.

An international meeting of organisations working in menopause and women’s health has concluded Menopausal Hormone Therapy (MHT, sometimes called HRT) is the most effective treatment for symptoms of the menopause, and that benefits are likely to outweigh any risks for women going through the menopause. However it advises women to only take MHT after discussing her individual health circumstances with her doctor. These advice were simultaneously published in the peer-reviewed journals Climacteric and Maturitas on 15th March 2013.

The consensus meeting, which took place in Paris in November last year, brought together the major international and regional menopause societies, as well as other international organisations active in women’s health (including endocrinology, reproduction, and osteoporosis), to produce a simple, understandable summary of the state of the science on MHT use.

The key conclusions are:

(1) MHT is the most effective treatment for symptoms related to the hormonal changes of menopause, such as hot flushes and sleep deprivation. MHT is also beneficial for bone health and may decrease mortality and cardiovascular disease

(2) Risks associated with MHT are acknowledged, but benefits derived from MHT will generally outweigh the risks for women under 60, or within 10 years of the menopause. The risks are generally small.

(3) Taking MHT is a decision which needs to be individualised, according to a women’s symptoms, and her individual health status (such as age, time since menopause, family history, general health, has she had a hysterectomy or not, and other personal risk factors). This decision should be taken in consultation with a suitably qualified physician.

Commenting on the statement, International Menopause Society president Tobie de Villiers (Cape Town, South Africa, tobie@iafrica.com) said: “This is an important statement, because it shows that there is really pretty broad multi-disciplinary agreement on how MHT should be used, and what the risks and benefits are. The organisations which attended the meeting represent a very broad view of women’s health, and so we believe that these core recommendations representUltra Boost Laceless