When treating women around menopause, consideration of each woman's reproductive status and subsequent effects to her health, as well as clinical history and assessment findings, is important. Lifestyle changes are first-line approaches to management, regardless of menopausal status. Menopausal hormone therapy (MHT) is effective in managing menopause symptoms in women, but GPs should be aware of the risks of long-term use and manage patients accordingly. Women in whom MHT is contraindicated should be offered nonhormonal therapy.
Menopause is a clinical diagnosis in older women, defined by an absence of menstrual periods for 12 consecutive months. After this, women are considered postmenopausal. In young women who experience amenorrhoea, premature ovarian insufficiency should be considered a possible diagnosis for her symptoms, and biochemical assessment is needed to confirm a diagnosis.