6.4.1.1 Hormone replacement therapy (HRT) for menopausal symptoms

General Advice

  • See NICE NG23 Menopause: diagnosis and management.
  • See CKS Menopause for practical guidance on best practice.
  • In most women with troublesome symptoms the benefits of HRT outweigh the risks. Discuss risks and benefits prior to starting (refer to links above).
  • Women with a premature menopause (<40 years of age) should be referred to a specialist HRT clinic. HRT is normally recommended until the average age of the natural menopause (52 years of age).
  • HRT preparations should be brand prescribed to aid product identification.
  • For use of HRT in osteoporosis prophylaxis refer to  6.6.1 (c).
  • Tibolone is a synthetic steroidal compound with oestrogenic, progestogenic, and androgenic activity. It is licensed for the treatment of oestrogen deficiency symptoms in postmenopausal women, more than one year after menopause.

 

 

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