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 Hormones: Are They Safer?
  13. British Menopause Society Statement Published In Response To the BBC One Panorama Programme 30 September 2024
  14. Cognitive Behaviour Therapy (CBT) for Menopausal Symptoms
  15. Compounded Bioidentical Hormone Therapy [Video]
  16. Consumer Video and Podcast Series: 2023 Consumer Videos and Podcasts – Lifestyle Modification and Prevention of Breast Cancer
  17. Consumer Video and Podcast Series: 2023 Consumer Videos and Podcasts – Premature and Early Menopause
  18. Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
  19. Deciding About Hormone Therapy Use
  20. Find A Menopause Practitioner [United States and Other]
  21. Find An AMS Doctor [Australasian Menopause Society i.e. Australia and New Zealand]
  22. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  23. Guidance on Menopausal Hormone Therapy
  24. HRT
  25. HRT & Menopause Extra
  26. HRT Questions Answered
  27. HRT – Types, Doses and Regimens
  28. HRT: Benefits and Risks
  29. Hormone Replacement Therapy (HRT)
  30. Hormone Replacement Therapy (HRT) With Dr Nicky Peel & Prof. David Armstrong
  31. Hormone Replacement Therapy (HRT): Benefits and Risks of Hormone Replacement Therapy (HRT)
  32. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT)
  33. Hormone Replacement Therapy (HRT): Types of Hormone Replacement Therapy (HRT)
  34. Hormone Replacement Therapy (HRT): Vaginal Oestrogen
  35. Hormone Replacement Therapy (HRT): When To Take Hormone Replacement Therapy (HRT)
  36. Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions
  37. Hormone Therapy and Biological Aging In Postmenopausal Women
  38. Hormone Therapy: Four Things A Mayo Clinic Women’s Health Specialist Wants You To Know [+ Video Courtesy: Mayo Clinic News Network. Name Super/CG: Taryn Smith, M.D./Internal Medicine/Mayo Clinic]
  39. Hormone Therapy: Is It Right for You?
  40. Hot Flashes
  41. Hot Flashes
  42. Hot Flashes: What Can I Do? [+ Video: What Are the Signs and Symptoms of Menopause?]
  43. How To Find Relief for Hot Flashes At Night
  44. How To Prevent Osteoporosis After Menopause
  45. Is It Too Late To Start HRT?
  46. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – After the Menopause [Other Languages and Formats]
  47. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Hormone Replacement Therapy (HRT) [+ Video: Is HRT Bad for You?] [Other Languages and Formats]
  48. 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] [Other Languages and Formats]
  49. Managing Your Symptoms
  50. Mayo Clinic Minute: Help With Hot Flashes Due To Menopause [+ Video Courtesy: Mayo Clinic News Network]
  51. Mayo Clinic Minute: How Lifestyle Changes May Help Manage Menopause Symptoms [+ Video]
  52. Mayo Clinic Q and A: Coping With Menopause: Can Hormone Therapy Help?
  53. Menopausal Hormone Therapy
  54. Menopausal Hormone Therapy Use Among Postmenopausal Women
  55. Menopausal Hormone Therapy and Breast Cancer Risk
  56. Menopausal Hormone Therapy and Venous Thromboembolism
  57. Menopausal Hormone Therapy, Heart Disease and Stroke
  58. Menopause
  59. Menopause Management Options: Menopausal Hormone Therapy (MHT)
  60. Menopause Map: Downloadable Resources – Stages of Menopause: Postmenopause
  61. Menopause Patient Information [Videos] 3. The Risks & Benefits of HRT
  62. Menopause Patient Information [Videos] 4. The Different Types of HRT
  63. Menopause Symptoms: Mayo Clinic Expert Outlines Hormone and Nonhormonal Therapies
  64. Menopause Treatments: What Works, What Doesn’t
  65. Menopause and HRT
  66. Menopause and HRT: Fact and Fiction
  67. Menopause, Perimenopause, Hormone Therapy and Other Treatments With Madelyn Butler, MD [Podcast]
  68. Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause [NICE Guideline]
  69. Menopause: Hormone Therapy – What Is Hormone Therapy for Menopause?
  70. Menopause: Understanding the Changes and Finding Relief | Dr Susan Davis | The Proof Podcast EP 256
  71. Navigating Menopause: Expert Insights and Solutions | Dr Susan Davis | The Proof Podcast EP 245
  72. Navigating Menopause: Honest Answers To All Your Questions [+ Video: What To Expect in Menopause]
  73. Postmenopause
  74. Q&A: At 20 Years, WHI Emphasizes Personalized Postmenopausal Care, Shared Decision-Making
  75. Risks and Benefits of MHT
  76. SERMs – Their Role In Menopause Management
  77. Shedding Light on the Menopause Experience and Demystifying Treatment
  78. Starting and Stopping Hormone Therapy
  79. The Benefits and Risks of Menopause Hormone Therapy for the Cardiovascular System In Postmenopausal Women: A Systematic Review and Meta-Analysis
  80. The Menopause Society Statement on Misinformation Surrounding Hormone Therapy
  81. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement
  82. The Truth About Menopause Supplements | Dr Sarah Berry
  83. The Women’s Health Initiative Randomized Trials and Clinical Practice
  84. The Women’s Health Initiative Trials: Clinical Messages
  85. Therapy for the Effects of Menopause
  86. Types of Hormone Therapy
  87. Update on Hormone Therapy for the Management of Postmenopausal Women
  88. Use of Menopausal Hormone Therapy Beyond Age 65 Years and Its Effects on Women’s Health Outcomes By Types, Routes, and Doses
  89. Vaginal Dryness
  90. Vaginal Dryness After Menopause: How To Treat It?
  91. Video: Leslie Cho, MD, Discusses CV Risks, Benefits of Menopausal Hormone Therapy
  92. Videos & Podcasts: Videos – Interviews: Preventing Bone Loss At Menopause [March 2024]
  93. Webinars: Previous – Approach To Bone Health In the Perimenopause and Postmenopause? [16 January 2024]
  94. Webinars: Previous – Hormones and Stroke: An Update on Treatment and Risk
  95. Webinars: Previous – Non-Hormonal Pharmacological Interventions For VMS
  96. Webinars: Previous – Non-Pharmacological Interventions For VMS
  97. World Menopause Day [18 October 2024]

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://menopause.org/wp-content/uploads/press-release/ht-position-statement-release.pdf Accessed: 04 October 2024
  2. Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 20 September 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 04 October 2024
  3. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1. North American Menopause Society https://menopause.org/wp-content/uploads/press-release/ht-position-statement-release.pdf Accessed: 04 October 2024
  4. Menopause Management Options: Menopausal Hormone Therapy (MHT) – What Are the Risks of MHT? Last Updated: 20 September 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 04 October 2024
  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: 04 October 2024
  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: 04 October 2024
  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: 04 October 2024
  8. Menopause Management Options: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Last Updated: 20 September 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 04 October 2024
  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: 04 October 2024
  10. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:2. North American Menopause Society https://menopause.org/wp-content/uploads/press-release/ht-position-statement-release.pdf Accessed: 04 October 2024
  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: 04 October 2024
Topic Last Updated: 04 October 2024 – Topic Last Reviewed: 04 October 2024

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