Hormone Therapy for Menopausal Women in the Primary Care Setting

Kyleen E. Swords, MS, FNP-BC


Journal for Nurse Practitioners. 2017;13(8):562-569. 

In This Article


An important factor in initiating and managing MHT in women is appropriate patient education. Menopause is a natural and normal change in women that can cause problematic symptoms and affect a woman's quality of life. After the publication of the WHI, the initiation of MHT to treat these problematic symptoms decreased because of the reaction to the initial analysis of the data. It is imperative that providers understand that these studies are not broadly generalizable to all women and that MHT can be safe and effective if used appropriately and monitored regularly in women who are identified as qualified candidates. Women should be counseled on the previously mentioned danger signs of treatment and that if these symptoms are ever experienced, they should follow up with their provider for further assessment.

The most important component of the initiation and management of MHT is the patient-provider relationship, and NPs are poised to take on this role in health care. A thorough evaluation and detailed discussion of the risks and benefits of MHT are crucial to appropriate implementation and management. The decision to initiate MHT should be individualized to each patient's symptoms and health status. Through working together, the appropriate medication and therapy can be chosen to provide relief to the patient in a safe and effective manner.