New statement on good practice recommendations for the care of women in menopause

Good practice recommendations for healthcare professionals providing help and support to postmenopausal women have been published in a joint position statement by the British Menopause Society (BMS), the Royal College of Obstetricians and Gynecologists (RCOG) and the Society for Endocrinology (SfE).

The statement responds to growing concerns about hormone replacement therapy (HRT) shortages and provides expert consensus on best practices for menopause care and treatment, incorporating evidence-based national and international information. The guidelines advise an individualized approach, considering the risks and benefits of therapies as well as lifestyle choices so that women can make informed decisions about their treatment and care.

It is estimated that menopausal symptoms affect more than 75% of women, and that more than 25% of women experience severe symptoms. These can include hot flashes and night sweats, vaginal dryness, mood swings and memory problems, many of which can last for years. These symptoms can negatively impact a woman’s quality of life and well-being, as well as pose more serious risks to her bone and cardiovascular health. Menopause for many women has been shrouded in stigma and taboos, but over the past two years we have seen an increase in awareness of menopause and its symptoms through the media. Recent shortages of HRT, along with a plethora of misinformation about menopause in the mainstream media prompted the preparation of this statement.

As a group of medical organizations, the BMS, RCOG and SfE aim to provide evidence-based advice to healthcare practitioners who work with women going through menopause, to ensure they have access to accurate information and can help women make informed decisions about their treatment. and care. It is important not only to consider HRT, but also to offer lifestyle advice, such as exercise, weight optimization, smoking cessation, alcohol reduction, as well as the advantages and disadvantages of alternative therapies. The statement advises considering the individual needs of each woman, rather than taking a “one size fits all” approach. It also examines the risks and benefits of hormone therapies in the context of age, cardiovascular health, cancer status and body weight.

While women can access a lot of information on the internet and social media, unfortunately there is still misinformation. The importance of applying a holistic and individualized approach in the care of women going through menopause transition was recognized in NICE guidance in 2015, as well as other national and international guidance documents. It is essential that women are informed that help and support is available to them and that they have access to accurate information.”

Haitham Hamoda, President, British Menopause Society

Professor Stephanie Baldeweg, Consultant Endocrinologist and Chair of the SfE Clinical Committee, said: “In recent years there has been a lot of positive discussion in the mainstream media about the treatments available and what more could be done to help women going through menopause.Some reports and headlines have been conflicting, so advice from independent expert governing bodies, through careful consideration of peer-reviewed data from a wide range of high-quality sources, is essential to enable patients, doctors, practitioners and women to make informed choices.

Dr Edward Morris, President of the Royal College of Obstetricians and Gynecologists (RCOG), said: “It has clearly been a very trying time for many women who have tried to access their usual form of HRT and have not could not accordingly shortages.

“The purpose of this statement is to provide clear best practice recommendations for healthcare professionals caring for women and people of all ages who experience symptoms of menopause. All women will experience menopause in different ways and that’s why it’s important that they receive appropriate care. it’s good for them.”

Menopause is a major life event that can affect women in different ways. An individualized approach in the assessment of women going through menopause is essential and it is important that women are made aware of the help and support available to them, and that they feel able to consult their GP for reliable advice. This position statement aims to provide useful and specific recommendations for professionals to guide women in finding what is best for them.


Journal reference:

Hamoda, H. et al. (2022) Optimizing the menopausal transition: a joint position statement from the British Menopause Society, the Royal College of Obstetricians and Gynecologists and the Society for Endocrinology on good practice recommendations for the care of women going through menopause. Post-reproductive health.

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