“To see whether treatment is helping you should be offered review appointments every 3 months to start with. If you are not having any problems you should then…”.1

Umbrella
What may the Hormone Therapy Follow Up Umbrella include?

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

  • Hormone Replacement Therapy (HRT) Follow Up/Review
  • Hormone Therapy (HT) Follow Up/Review
  • Menopausal Hormone Therapy (MHT) Follow Up/Review

Review

If menopausal women choose to use menopausal hormone therapy (MHT), how often should they review their reasons to continue MHT (or not)?

The (Australian) Jean Hailes for Women’s Health (JH) explain:

“Research and best-practice guidelines suggest that menopausal women review their reasons to continue MHT (or not) with their doctor once per year, or more regularly if they have any concerns”.2

In Menopause: Hormone Treatments the (United States) Food and Drug Administration (FDA) note, current as of 22 August 2019:

“Menopause Hormone Therapy should always be used at the lowest dose that helps and for the shortest time that you need it”.3

Revised Global Consensus Statement

What is one of the points of consensus about menopausal hormone therapy (MHT) follow up?

One of the points of consensus in the Revised Global Consensus Statement on Menopausal Hormone Therapy: Section B: General Principles Governing the Use of MHT – endorsed by seven menopause-related organizations – published online 20 June 2016, is:

  • “Duration of treatment should be consistent with the treatment goals of the individual, and the benefit/risk profile needs to be individually reassessed annually. This is important in view of new data indicating longer duration of VMS in some women”.4

What is VMS?

VMS can be an abbreviation for Vasomotor Symptoms such as hot flushes and night sweats.

IMS Recommendations

What is one of the governing principles about MHT?

One of the governing principles in the 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy: IMS Governing Principles on MHT published online 12 February 2016, is:

  • “Women taking MHT should have at least an annual consultation to include a physical examination, update of medical and family history, relevant laboratory and imaging investigations, a discussion on lifestyle, and strategies to prevent or reduce chronic disease. There is currently no indication for increased mammographic or cervical smear screening”.5

What is IMS?

IMS can be an abbreviation for International Menopause Society.

NICE Guideline

What does the NICE Guideline note about Reviewing Your Care?

In Menopause: Diagnosis and Management – Information for the Public: Reviewing Your Care the (British) National Institute for Health and Care Excellence (NICE) elaborate on:

“You may be having different treatments or therapies to help your menopausal symptoms. To see whether treatment is helping you should be offered review appointments every 3 months to start with. If you are not having any problems you should then have appointments once a year. You should be offered an earlier review if you need it, for example if treatment no longer seems to be working or is causing side effects.

It is also important to keep going to all your routine health screening appointments (for example, breast and cervical screening)”.6

Hormone Help Desk

What is the North American Menopause Society’s (NAMS) Hormone Help Desk?

In Hormone Help Desk: ET, EPT, and More the NAMS explain:

“Before you have your annual checkup, the Hormone Help Desk offers a refresher course on menopause terminology including ovarian hormones (estrogens, progesterone, and androgens) and the various hormone therapies (HT) to relieve menopause-related symptoms and/or to decrease long-term risks for diseases such as osteoporosis. This checkup can help determine whether or what kind of hormones might be appropriate for you”.7

Health Care Provider

How do I decided whether or not to continue HT?

To decide whether or not to continue using HT it may be in your best interest to choose to talk to your health care provider about this.

One of the governing principles in the 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy: IMS Governing Principles on MHT is:

Hormone Therapy Follow Up

  • “Whether or not to continue therapy should be decided at the discretion of the well-informed woman and her health professional, dependent upon the specific goals and an objective estimation of ongoing individual benefits and risks”.8

In Menopause Hormone Therapy: Follow-Up Appointments? I take hormone therapy to help with my menopause symptoms. When should I plan follow-up visits to my doctor? the (United States) Mayo Clinic elaborate on:

“But, you may need reevaluation sooner than your next yearly checkup if you experience changes in your health, such as:

  • Unexpected vaginal bleeding
  • Persistent menopausal symptoms
  • A blood-clotting disorder
  • Symptoms of heart and blood vessel (cardiovascular) disease
  • Hormone-dependent breast cancer or another hormone-dependent cancer

Developing any one of these conditions could mean that hormone therapy is no longer recommended for you”.9

Health Topics A-Z

Where may I find Health Topics related to Hormone Therapy Follow Up?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Hormone Therapy Follow Up?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Menopause: Diagnosis and Management – Information for the Public: Reviewing Your Care. Published Date: 12 November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/NG23/ifp/chapter/Reviewing-your-care Accessed: 29 October 2020
  2. Menopause Management: Menopausal Hormone Therapy (MHT) – Breast Cancer & MHT. Last Updated: 22 October 2020 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management# Accessed: 29 October 2020
  3. Menopause: Hormone Treatments. Content Current As of: 22 August 2019. Food and Drug Administration https://www.fda.gov/ForConsumers/ByAudience/ForWomen/WomensHealthTopics/ucm117978.htm Accessed: 29 October 2020
  4. 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: 29 October 2020
  5. Baber, R. J., Panay N. and Fenton, A., the IMS Writing Group (2016). 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy: IMS Governing Principles on MHT. Climacteric, 2016;19:2:111 https://www.imsociety.org/manage/images/pdf/4429e3dd302aac259ad68c3be7f60599.pdf Accessed: 29 October 2020
  6. Menopause: Diagnosis and Management – Information for the Public: Reviewing Your Care. Published Date: 12 November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/NG23/ifp/chapter/Reviewing-your-care Accessed: 29 October 2020
  7. Hormone Therapy Help Desk: ET, EPT, and More. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/hormone-help-desk-et-ept-and-more Accessed: 29 October 2020
  8. Baber, R. J., Panay N. and Fenton, A., the IMS Writing Group (2016). 2016 IMS Recommendations on Women’s Midlife Health and Menopause Hormone Therapy: IMS Governing Principles on MHT. Climacteric, 2016;19:2:111 https://www.imsociety.org/manage/images/pdf/4429e3dd302aac259ad68c3be7f60599.pdf Accessed: 29 October 2020
  9. Menopause Hormone Therapy: Follow-Up Appointments? I take hormone therapy to help with my menopause symptoms. When should I plan follow-up visits to my doctor? 10 July 2020. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/menopause-hormone-therapy/faq-20115079 Accessed: 29 October 2020

Topic Last Updated: 29 October 2020 – Topic Last Reviewed: 29 October 2020
Print Friendly, PDF & Email