Hormone Therapy Postmenopause

“The benefits of hormone therapy outweigh the risks for
most healthy symptomatic women who are aged younger
than 60 years and within 10 years of menopause onset”.1

Umbrella
What may the Hormone Therapy Postmenopause Umbrella include?

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

  • Hormone Replacement Therapy (HRT) After Menopause
  • Hormone Therapy (HT) After Menopause
  • Menopausal Hormone Therapy (MHT) After Menopause
  • Postmenopausal/Postmenopause Hormone Replacement Therapy (HRT)/Hormone Therapy (HT)

50 and 60 Years

What is the association between HT, age and time since menopause, for women between 50 and 60 years?

In Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

“A recent comprehensive review of evidence on MHT found it is an effective and safe treatment for the relief of menopausal symptoms for healthy women. The data showed that MHT had low risks for women aged between 50 and 60 years, but more research is needed to understand how MHT might affect other women’s health issues”.2

On page one in The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement, published 07 July 2022, the North American Menopause Society (NAMS) explain:

Hormone Therapy Postmenopause

  • “Risk stratification by age and time since menopause is recommended.
  • The benefits of hormone therapy outweigh the risks for most healthy symptomatic women who are aged younger than 60 years and within 10 years of menopause onset.
  • Transdermal routes of administration and lower doses of hormone therapy may decrease risk of venous thromboembolism and stroke”.3

Older Than 60 Years

What is the association between HT, age and time since menopause, for women older than 60 years?

In Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? the JH note:

“It is not recommended you start MHT if you are older than 60 years or if you’ve been postmenopausal for 10 years or more”.4

Bone Health

Does HT have an effective role in the prevention and treatment of osteoporosis?

On page two in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause, first published online 10 June 2022, one of the recommendations is:

  • “In addition, HRT has been shown to have an effective role in the prevention and treatment of osteoporosis. Bisphosphonates are considered as first-line options for most patients with postmenopausal osteoporosis due to their broad spectrum of anti-fracture efficacy. HRT may be considered as an additional alternative option, particularly in younger postmenopausal women with menopausal symptoms who are at increased risk of fractures”.5

Heart Health

Does HT have an effective role for health health?

On page one in Deciding About Hormone Therapy Use: Potential Risks the NAMS note:

“Some studies suggest that HT might be good for your heart if you start before age 60 or within 10 years of menopause. However, if you start HT further from menopause or after age 60, HT might slightly increase your risk of heart disease. Although there are risks associated with taking HT, they are not common, and most go away after you stop treatment”.6

Chronic Disease Prevention

Should HT be used for chronic disease prevention?

On page four in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause one of the recommendations is:

  • “HRT should not be recommended for the primary or secondary prevention of chronic disease in women experiencing the menopause in keeping with national and international guidelines”.7

Discontinued

Does HT need to be routinely discontinued?

In Menopause Management Options: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? the JH elaborate on:

“You can take MHT at low doses for as long as you need. Many women have symptoms for around eight years and one in four women have symptoms into their 60s and 70s. The benefits of MHT far outweigh the risks in healthy women within 10 years of reaching menopause”.8

In Starting and Stopping Hormone Therapy the European Menopause and Andropause Society explain:

“There are no arbitrary limits regarding how long MHT can be taken – it can be taken for as long as the woman feels the benefits outweigh the risks for her, and decisions must be made on an individual basis. Stopping routinely at the age of 65 is not recommended”.9

On page one in The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement the NAMS note:

  • “Hormone therapy does not need to be routinely discontinued in women aged older than 60 or 65 years and can be considered for continuation beyond age 65 for persistent VMS, quality-of-life issues, or prevention of osteoporosis after appropriate evaluation and counseling of benefits and risks”.10

Health Care Provider

What if I am postmenopausal and choose to use HT?

If you are postmenopausal and choose to use HT, it may be in your best interest to also choose to talk to your health care provider about this.

In Deciding About Hormone Therapy Use, published July 2022, the NAMS elaborate on:

“Every woman is different, and you will decide about whether to use HT based on the severity of your symptoms, your personal and family health history, and your own beliefs about menopause treatments. Your healthcare professional will be able to help you with your decision”.11

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy Postmenopause?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

Where may I find Links related to Hormone Therapy Postmenopause?

Your Country may have Links similar to:

Links

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New or Updated

  1. ACOG Explains: Managing Menopause Symptoms [American College of Obstetricians and Gynecologists]
  2. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  3. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  4. BMS TV: Bioidentical Hormones
  5. BMS TV: Coronary Heart Disease (CHD)
  6. BMS TV: HRT and Bleeding
  7. BMS TV: HRT and Breast Cancer: Overall Risks and Benefits
  8. BMS TV: HRT and the Risk of Breast Cancer
  9. BMS TV: Hormone Replacement Therapy (HRT)
  10. BMS TV: Testosterone Explained
  11. BMS TV: Urogenital Atrophy
  12. Bioidentical Hormone Therapy
  13. Bioidentical Hormones: Are They Safer?
  14. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  15. Compounded Bioidentical Hormone Therapy [Video]
  16. Continuous Combined Hormone Replacement Therapy (HRT) Tablets, Capsules and Patches
  17. Deciding About Hormone Therapy Use
  18. Find A Menopause Practitioner [United States and Other]
  19. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  20. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  21. Guidance on Menopausal Hormone Therapy
  22. HRT
  23. HRT & Menopause Extra
  24. HRT – Types, Doses and Regimens
  25. HRT: Benefits and Risks
  26. Hormone Replacement Therapy (HRT)
  27. Hormone Replacement Therapy (HRT) With Dr Nicky Peel & Prof. David Armstrong
  28. Hormone Replacement Therapy (HRT): Benefits and Risks of Hormone Replacement Therapy (HRT)
  29. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT)
  30. Hormone Replacement Therapy (HRT): Types of Hormone Replacement Therapy (HRT)
  31. Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions
  32. Hormone Therapy: Is It Right for You?
  33. Hot Flashes
  34. Hot Flashes
  35. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  36. How To Find Relief for Hot Flashes At Night
  37. How To Prevent Osteoporosis After Menopause
  38. I Forgot To Ask the Doctor – E9: The Menopause. Can Every Woman That Wants It Have HRT?
  39. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – After the Menopause
  40. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Sexual Wellbeing, Intimacy and Menopause [+ Video: Menopause Is the End of Your Sex Life]
  41. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – The Menopause: Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  42. Managing Your Symptoms
  43. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video Courtesy: Mayo Clinic News Network]
  44. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms [+ Video]
  45. Menopausal Hormone Therapy
  46. Menopausal Hormone Therapy and Breast Cancer Risk
  47. Menopausal Hormone Therapy and Venous Thromboembolism
  48. Menopausal Hormone Therapy, Heart Disease and Stroke
  49. Menopause
  50. Menopause Management Options: Menopausal Hormone Therapy (MHT)
  51. Menopause Map: Downloadable Resources – Stages of Menopause: Postmenopause
  52. Menopause Mindfulness: Embracing the Change of My Midlife
  53. Menopause Patient Information [Videos] 2. Talking To Your GP About Menopause
  54. Menopause Patient Information [Videos] 3. The Risks & Benefits of HRT
  55. Menopause Patient Information [Videos] 4. The Different Types of HRT
  56. Menopause Preparedness Toolkit Video Series: Common Conditions Associated With Menopause and Midlife
  57. Menopause Preparedness Toolkit Video Series: Treating Vasomotor Symptoms of Menopause
  58. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  59. Menopause Treatments: What Works, What Doesn’t
  60. Menopause and HRT
  61. Menopause, Perimenopause, Hormone Therapy and Other Treatments With Madelyn Butler, MD [Podcast]
  62. Menopause: Diagnosis & Treatment
  63. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  64. Menopause: Understanding the Changes and Finding Relief | Dr Susan Davis | The Proof Podcast EP 256
  65. National Center for Complementary and Integrative Health: Herbs At A Glance
  66. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  67. Navigating Menopause: Expert Insights and Solutions | Dr Susan Davis | The Proof Podcast EP 245
  68. Oestrogen Tablets, Patches, Gel and Spray
  69. Postmenopause
  70. Risks and Benefits of MHT
  71. SERMs – Their Role In Menopause Management
  72. Sequential Combined Hormone Replacement Therapy (HRT) Tablets and Patches
  73. Starting and Stopping Hormone Therapy
  74. Stronger Than Sticks and Stones: Promoting Women’s Bone Health Through Preventive Care
  75. The Benefits and Risks of Menopause Hormone Therapy for the Cardiovascular System In Postmenopausal Women: A Systematic Review and Meta-Analysis
  76. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement
  77. The Truth About Menopause Supplements | Dr Sarah Berry
  78. Therapy for the Effects of Menopause
  79. Tibolone
  80. Tips To Help Manage Menopause Symptoms
  81. Top 4 Tips To Prevent Chronic Diseases
  82. Types of Hormone Therapy
  83. Update on Hormone Therapy for the Management of Postmenopausal Women
  84. Utrogestan (Micronised Progesterone)
  85. Using Natural Therapies In the Menopause Transition – Webinar
  86. Vaginal Dryness
  87. Vaginal Dryness After Menopause: How To Treat It?
  88. Vaginal Oestrogen
  89. Video Series-2022: Hormone Therapy: Understanding the Risks and Benefits
  90. Video Series-2023: Lifestyle Modification and Prevention of Breast Cancer
  91. Video Series-2023: NAMS 2023 Nonhormone Therapies Position Statement for Bothersome Menopause Symptoms
  92. Video Series-2023: New FDA-Approved Nonhormone Option for the Treatment of Hot Flashes
  93. Video Series-2023: Premature and Early Menopause
  94. Video: Leslie Cho, MD, Discusses CV Risks, Benefits of Menopausal Hormone Therapy
  95. Videos and Podcasts: Videos – Interviews: Bone Health What Why and How
  96. Videos and Podcasts: Videos – Interviews: Heart Disease, Risk Factors of Developing Heart Disease, and Can I Take Hormones?
  97. Videos and Podcasts: Videos – Interviews: Prevention of Chronic Diseases In Women: Where Does MHT Fit In?
  98. Webinars: Previous – Approach To Bone Health In the Perimenopause and Postmenopause?
  99. Webinars: Previous – Osteoporosis for Midlife Women and Beyond
  100. Webinars: Previous – Cardiovascular Disease

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 17 December 2023
  2. Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 07 December 2023 | Last reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 17 December 2023
  3. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 17 December 2023
  4. Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 07 December 2023 | Last reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 17 December 2023
  5. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:3-4. https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 17 December 2023
  6. Deciding About Hormone Therapy Use: Potential Benefits. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 17 December 2023
  7. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:4. https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 17 December 2023
  8. Menopause Management Options: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Last Updated: 07 December 2023 | Last reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 17 December 2023
  9. Starting and Stopping Hormone Therapy. 2022. European Menopause and Andropause Society https://emas-online.org/wp-content/uploads/2022/05/Starting-and-stopping-hormone-therapy.pdf Accessed: 17 December 2023
  10. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 17 December 2023
  11. Deciding About Hormone Therapy Use. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 17 December 2023
Topic Last Updated: 26 January 2024 – Topic Last Reviewed: 17 December 2023

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