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 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?

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Links

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New or Updated

  1. Askearlymenopause.org [Ask EM] [+ Video: What Is Early Menopause?]
  2. BMS & WHC’s 2020 Recommendations on Hormone Replacement Therapy In Menopausal Women
  3. Bioidentical Hormone Therapy
  4. Bioidentical Hormones Explained – A British Menopause Society Video
  5. Bioidentical Hormones: Are They Safer?
  6. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  7. Combined Menopausal Hormone Therapy (MHT)
  8. Complementary and Alternative Therapies Explained – A British Menopause Society Video
  9. Compounded Bioidentical Hormone Therapy [Video]
  10. Consumer Health: Menopause, Hormone Replacement Therapy and Heart Health
  11. Coronary Heart Disease (CHD) Explained – A British Menopause Society Video
  12. Deciding About Hormone Therapy Use
  13. Find A Menopause Practitioner [United States and Other]
  14. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  15. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  16. HRT
  17. HRT & Menopause Extra
  18. HRT and Alternatives
  19. HRT and Breast Cancer: Overall Risks and Benefits Explained – A British Menopause Society Video
  20. HRT and the Risk of Breast Cancer Explained – A British Menopause Society Video
  21. HRT – Types, Doses and Regimens
  22. HRT: Benefits and Risks
  23. Hormone Replacement Therapy
  24. Hormone Replacement Therapy (HRT)
  25. Hormone Replacement Therapy (HRT) With Dr Nicky Peel & Prof. David Armstrong
  26. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
  27. Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions
  28. Hormone Therapy In the Postmenopausal Years: Considering Benefits and Risks In Clinical Practice
  29. Hormone Therapy: Is It Right for You?
  30. Hot Flashes
  31. Hot Flashes
  32. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  33. How To Find Relief for Hot Flashes At Night
  34. How To Prevent Osteoporosis After Menopause
  35. International Menopause Society Statement – Use of Postmenopausal Hormone Therapy and Risk of Alzheimer’s Disease In Finland: Nationwide Case-Control Study
  36. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – After the Menopause
  37. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Sexual Wellbeing and Intimacy During and After Menopause [+ Video: Menopause Is the End of Your Sex Life]
  38. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Signs and Symptoms [+ Video: Talking Menopause With Your GP]
  39. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – The Menopause: Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?]
  40. Learning To Cope With Hot Flashes
  41. Maintaining Your Weight and Health During and After Menopause
  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 – Fact Sheet
  49. Menopausal Hormone Therapy, Heart Disease and Stroke
  50. Menopause
  51. Menopause
  52. Menopause
  53. Menopause Explained – A British Menopause Society Video
  54. Menopause Management Options: Menopausal Hormone Therapy (MHT)
  55. Menopause Map: Downloadable Resources – Stages of Menopause: Postmenopause
  56. Menopause Mindfulness: Embracing the Change of My Midlife
  57. Menopause Patient Information [Videos] 2. Talking To Your GP About Menopause
  58. Menopause Patient Information [Videos] 3. The Risks & Benefits of HRT
  59. Menopause Patient Information [Videos] 4. The Different Types of HRT
  60. Menopause Preparedness Toolkit Video Series: Common Conditions Associated With Menopause and Midlife
  61. Menopause Preparedness Toolkit Video Series: Treating Vasomotor Symptoms of Menopause
  62. Menopause Symptoms and Relief
  63. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  64. Menopause Treatments: What Works, What Doesn’t
  65. Menopause: Diagnosis & Treatment
  66. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  67. National Center for Complementary and Integrative Health: Herbs At A Glance
  68. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  69. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  70. Navigating Menopause: Expert Insights and Solutions | Dr Susan Davis | The Proof Podcast EP 245
  71. Oestrogen Only Menopausal Hormone Therapy
  72. Postmenopause
  73. Prof. P. Schnatz – Heart Disease, Risk Factors of Developing Heart Disease, and Can I Take Hormones?
  74. Rethinking Menopausal Hormone Therapy: For Whom, What, When, and How Long?
  75. Risks and Benefits of MHT
  76. SERMs – Their Role In Menopause Management
  77. Starting and Stopping Hormone Therapy
  78. Starting and Stopping, Duration of Menopause Hormone Therapy Use
  79. Stronger Than Sticks and Stones: Promoting Women’s Bone Health Through Preventive Care
  80. The Menopause: After the Menopause
  81. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement
  82. Tibolone As Menopausal Hormone Therapy
  83. Tips To Help Manage Menopause Symptoms
  84. Top 4 Tips To Prevent Chronic Diseases
  85. Types of Hormone Therapy
  86. Update on Hormone Therapy for the Management of Postmenopausal Women
  87. Using Natural Therapies In the Menopause Transition – Webinar
  88. Vaginal Dryness
  89. Vaginal Dryness After Menopause: How To Treat It?
  90. Video Series-2022: Hormone Therapy: Understanding the Risks and Benefits
  91. Video Series-2023: Lifestyle Modification and Prevention of Breast Cancer
  92. Videos and Podcasts: Videos – Interviews: Bone Health What Why and How
  93. Videos and Podcasts: Videos – Interviews: Prevention of Chronic Diseases In Women: Where Does MHT Fit In?
  94. Webinars: Previous – Osteoporosis for Midlife Women and Beyond
  95. Webinars: Previous – Primary Prevention of Cardiovascular Disease With MHT: Where Are We Now?
  96. Webinars: Previous – The Early Menopausal Patient
  97. Webinars: Previous – The Heart of the Matter
  98. What Are the Benefits and Risks of HRT?
  99. What Can I Do To Help With Hot Flashes?
  100. What Everyone Should Know About Menopause Symptoms

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: 20 March 2023
  2. Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 02 March 2023 | Last reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 20 March 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: 20 March 2023
  4. Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 02 March 2023 | Last reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 20 March 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: 20 March 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: 20 March 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: 20 March 2023
  8. Menopause Management Options: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Last Updated: 02 March 2023 | Last reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 20 March 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: 20 March 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: 20 March 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: 20 March 2023
Topic Last Updated: 20 March 2023 – Topic Last Reviewed: 20 March 2023

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