Morning Report

NAMS Clarifies HRT Options for Menopausal Symptoms

Arefa Cassoobhoy, MD, MPH


July 28, 2017

Hello. I'm Dr Arefa Cassoobhoy, a practicing internist, Medscape advisor, and senior medical director for WebMD. Welcome to Morning Report, our 1-minute news story for primary care.

Hormone Therapy and Menopause

A new statement from the North American Menopause Society (NAMS) aims to increase confidence and reduce confusion around the use of hormone therapy for menopausal symptoms.

For healthy women under age 60 who are within 10 years of menopause, the benefits of treatment likely outweigh the risks. Systemic hormone therapy can reduce hot flashes and night sweats. Low-dose vaginal estrogen can help genitourinary symptoms like dryness, discomfort during sex, and recurrent urinary tract infections.

Women age 60 and over, or who are 10-20 years post-menopause, also have options, but the benefits may not outweigh the higher risk for heart disease, stroke, deep vein thrombosis, and even dementia.

The NAMS position statement provides many more details for individualized evaluation, so you and your patients can decide on the most appropriate therapy.

For Medscape and WebMD, I'm Dr Arefa Cassoobhoy.

Follow Dr Cassoobhoy on Twitter at @ArefaMD


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