When menopausal hormone therapy is not appropriate for or not desired by women who seek help with menopausal symptoms, a variety of nonhormonal pharmacotherapies and nonpharmacological treatments are available. Flexibility and shared decision making are key in finding effective, acceptable therapy for each woman.
Menopause is a normal hormonal transition occurring around the time of a woman’s last period. It may occur naturally, on average at around 50 years of age, or it may occur as a result of surgical removal of the ovaries or chemotherapy and radiotherapy treatment for some cancers. Given the prevalence of menopausal symptoms and their potential to have a significant impact on daily functioning, it is important for clinicians to be comfortable and confident in discussing menopausal symptoms, their impact on quality of life and the available treatment options.