“Hormone therapy is approved for the relief of moderate to severe menopausal symptoms, such as hot flushes, night sweats and vaginal dryness, and…”.1

Umbrella
What may the Hormone Therapy and Menopause Symptoms Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Hot Flushes
  • Menopausal Hormone Therapy (MHT)
  • Menopausal/Menopause Symptoms
  • Night Sweats
  • Osteoporosis
  • Perimenopausal/Perimenopause Symptoms
  • Vaginal Dryness

Symptoms

What menopause symptoms is hormone therapy (HT) approved for the relief of?

The International Menopause Society (IMS) explain:

“Hormone therapy is approved for the relief of moderate to severe menopausal symptoms, such as hot flushes, night sweats and vaginal dryness, and the prevention of postmenopausal osteoporosis”.2

The North American Menopause Society (NAMS) also note:

“Each woman will experience menopause in her own unique way. Some women may not experience any symptoms affecting their quality of life. However, for many women, the most common bothersome symptoms are hot flashes, night sweats, and vaginal dryness”.3

Effective or Not

How effective is HT for menopause symptoms?

On page one in Deciding About Hormone Therapy: Potential Risks published in June 2017, the NAMS elaborate on:

“Hormone therapy is one of the most effective treatments available for bothersome hot flashes and night sweats. If night sweats are waking you throughout the night, HT may improve sleep and fatigue, mood, ability to concentrate, and overall quality of life. Treatment of bothersome hot flashes and night sweats is the principal reason women use HT. Hormone therapy also treats vaginal dryness and painful sex associated with menopause. Hormone therapy keeps your bones strong by preserving bone density and decreasing your risk of osteoporosis and fractures. If preserving bone density is your only concern, and you do not have bothersome hot flashes, other treatments may be recommended instead of HT”.4

Revised Global Consensus Statement

What is one of the points of consensus about menopausal hormone therapy (MHT) and vasomotor symptoms?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

Hormone Therapy and Menopause Symptoms

  • “MHT, including tibolone and the combination of conjugated equine estrogens and bazedoxifene (CE/BZA), is the most effective treatment for vasomotor symptoms (VMS) associated with menopause at any age, but benefits are more likely to outweigh risks if initiated for symptomatic women before the age of 60 years or within 10 years after menopause”.5

Health Care Provider

What if I choose to use HT for my menopause symptoms?

If you choose to use HT for your menopause symptoms, it may be in your best interest to also choose to talk to your health care provider about this.

One of the points of consensus in the Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT is:

  • “The option of MHT is an individual decision in terms of quality of life and health priorities as well as personal risk factors such as age, time since menopause and the risk of VTE, stroke, ischemic heart disease and breast cancer. MHT should not be recommended without a clear indication for its use”.6

What is VTE?

VTE can be an abbreviation for Venous Thromboembolism.

Health Topics A-Z

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Links

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Women and Menopause: Facts. October 2012. International Menopause Society https://www.imsociety.org/downloads/world_menopause_day_2012/wmd_general_menopause_backgrounder.pdf Accessed: 28 August 2020
  2. Women and Menopause: Facts. October 2012. International Menopause Society https://www.imsociety.org/downloads/world_menopause_day_2012/wmd_general_menopause_backgrounder.pdf Accessed: 28 August 2020
  3. Hormone Therapy for Women In 2012. 2012:1. North American Menopause Society https://www.menopause.org/docs/default-document-library/psht12patient.pdf?sfvrsn=2 Accessed: 28 August 2020
  4. Deciding About Hormone Therapy Use: Potential Risks. 2017:1. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 28 August 2020
  5. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020
  6. De Villiers, T. J., Hall, J. E., Pinkerton, J. V., Pérez, S. C., Rees, M., Yang, C. and Pierroz, D. D. Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT. Climacteric, 2016;19:4:314 https://www.imsociety.org/manage/images/pdf/ba6379e868044bec13015ac2b84f2753.pdf Accessed: 28 August 2020

Topic Last Updated: 28 August 2020 – Topic Last Reviewed: 28 August 2020
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