n CME : Your SA Journal of CPD - Menopause and hormone replacement therapy : main topic




The menopause is an ideal time to make a comprehensive health review. <br>Decisions about HRT rest with each woman after consultation with her doctor. <br>Decision-making requires an individual 'medical judgement'. <br>The absolute and attributable risks and benefits of HRT as well as the relative risks must be considered. <br>Statistical significance does not always imply clinical significance. <br>Conclusions from relatively older groups of women in WHI trials do not necessarily apply to younger postmenopausal women. <br>Younger postmenopausal women have more distressing menopausal symptoms and much lower absolute risks. <br>For many women the immediate need for relief of menopausal symptoms outweighs consideration of both long-term risks and benefits. <br>Age, severity of symptoms, medical status and history are key factors in decision-making. <br>HRT is the most effective treatment for vasomotor symptoms and enables many women to live full and active lives without embarrassment or distress.


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