HRT: New Guidelines 2013

Posted: Published on May 25th, 2013

This post was added by Dr Simmons

The British Menopause Society and Women's Health Concern have released updated guidelines on Hormone Replacement Therapy (HRT) to provide clarity around the role of HRT, the benefits and the risks. The new guidelines appear in the society's flagship title, Menopause International.

The key points are:

*The decision whether to use HRT should be made by each woman having been given sufficient information by her health professional to make a fully informed choice.

*The HRT dosage, regimen, and duration should be individualized, with annual evaluation of pros and cons.

*Arbitrary limits should not be placed on the duration of usage of HRT; if symptoms persist, the benefits of hormone therapy usually outweigh the risks.

*HRT prescribed before the age of 60 has a favorable benefit/risk profile.

*It is imperative that women with primary ovarian insufficiency (POI) are encouraged to use HRT at least until the average age of the menopause.

*If HRT is to be used in women over 60 years of age, lower doses should be started, preferably with a transdermal route of administration.

*It is imperative that in our aging population, research and development of increasingly sophisticated hormonal preparations should continue to maximize benefits and minimize side effects and risks. This will optimize quality of life and facilitate the primary prevention of long-term conditions, which create a personal, social and economic burden.

More here:
HRT: New Guidelines 2013

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