I thought it might be helpful to pick out the main points because some posts here do show that the message hasn't got through, to GPs or women in peri or post meno.
1 Blood tests are not recommended for women over 45 as they are unreliable (under 45 yes as that would be a premature menopause.)
2 Anti depressants are not recommended for low mood and anxiety unless there is also a diagnosis of depression. ADs are also not recommended for hot flushes and sweats unless HRT in contraindicated.
3 There is no time limit on the use of HRT. It should be prescribed for each woman according to her medical history, symptoms and wishes. (no 5 year 'rule ' any more)
4 Complementary treatments (herbs etc) can be tried but women need to be aware these are not regulated or quality controlled, and there is little evidence they work (and those which do may have serious side effects like a prescribed drug.)
5 Transdermal oestrogen should be used in a woman where there is any risk of stroke or if the woman is obese.
6 Migraine is not a reason to avoid HRT. Neither is high BP. But both should be treated anyway.
7 HRT can be started after 60 but it should be transdermal.
8 HRT started within 10 years of the final period has a better safety profile and also protects against heart disease if used early.
9 Lifestyle measures such as weight loss, exercise, healthy eating and stress reduction should be part of the management of menopause along with HRT or other meds if necessary.
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Menopause
The new NICE Guidelines
11 replies
PollyPerky · 06/06/2016 08:23
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