The 2017 Hormone Therapy Position Statement of The North American Menopause Society

The North American Menopause Society 2017 Hormone Therapy Position Statement Advisory Panel

Disclosures

The North American Menopause Society (NAMS). 2018;24(7):728-753. 

In This Article

Skin, Hair, and Special Senses

Estrogen therapy may benefit wound healing through modifying inflammation, stimulating granulation tissue formation, and accelerating re-epithelialization. In studies, ET increased epidermal and dermal thickness, increased collagen and elastin content, and improved skin moisture, with fewer wrinkles.[108]

Hormone therapy appears to increase the risk of dry eye symptoms[109] but may decrease the risk of cataracts[110] and primary open-angle glaucoma.[111] Hormone therapy may play a role in hearing loss[112] and olfactory changes.[113] In small trials, HT appears to decrease dizziness or vertigo[114] and improve postural balance.[115]

Key Points

  • Estrogen therapy appears to have beneficial effects on skin thickness and elasticity and collagen when given at menopause.

  • Changes in hair density and female pattern hair loss worsen after menopause, but no positive role has been identified for HT.

  • Hormone therapy appears to increase the risk of dry eye symptoms but may decrease the risk of cataracts and primary open-angle glaucoma.

  • Hormone therapy may play a role in hearing loss and olfactory changes.

  • In small trials, HT appears to decrease dizziness or vertigo and improve postural balance.

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