Treating Menopause: Are We Going Loco?

Charles P. Vega, MD


August 06, 2013

In This Article

Best Evidence Review of Recommendations on Hormone Therapy

The Study

Panay N, Hamoda H, Arya R, et al. The 2013 British Menopause Society & Women's Health Concern recommendations on hormone replacement therapy. Menopause Int. 2013;19:59-68.


Results from the Women's Health Initiative (WHI) trial changed the indications and even the name of hormone therapy, which led to a severe pullback in the treatment of menopausal symptoms. Reflection on the limitations of the WHI and results from newer research suggest that hormone therapy is safer than previously believed for symptomatic treatment, but new recommendations from the British Menopause Society and Women's Health Concern once again address hormone therapy as a preventive intervention. Meanwhile, a new form of paroxetine has been approved by the US Food and Drug Administration to treat hot flashes, but what role should nonhormonal therapy play in the management of menopausal symptoms?


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