Menopause

noreply@blogger.com (Jon Brassey) — Fri, 27 Apr 2007 11:38:00 +0000

This review is a pragmatic attempt to highlight recent research and some backround reading in menopause. It should not be considered exhaustive, simply a way of reviewing some of the major developments and current thinking in the area.

TRIP have created another review on HRT. This has a different focus, but may be of interest.

Click here to see all the TRIP Evidence Reviews.

Evidence-Based Reports

SSRIs ineffective for hot flushes. POEMs, 2005
Acupuncture for menopausal hot flushes. Bandolier, 2005
Review: plant based oestrogens do not relieve hot flushes or other menopausal symptoms. Evidence-Based Nursing (Requires free registration). 2005

Clinical Guidelines

Menopause. PRODIGY, 2005
Women's health and the menopause - RCN guidance for nurses, midwives and health visitors. Royal College of Nursing, 2005
Complementary approaches to menopausal symptoms. Royal College of Nursing, 2006
Canadian Consensus Conference on Menopause, 2006
Menopause: a guide to management. Brigham and Women's Hospital, 2005
Menopause and hormone therapy (HT): collaborative decision-making and management. Institute for Clinical Systems Improvement, 2006
American Association of Clinical Endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of menopause, 2006

Systematic Reviews

Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis. DARE, 2006
Strontium ranelate for preventing and treating postmenopausal osteoporosis. Cochrane Database of Systematic Reviews, 2006
Local oestrogen for vaginal atrophy in postmenopausal women. Cochrane Database of Systematic Reviews, 2006
Menopause-Related Symptoms, Management. Agency for Healthcare Research and Quality, 2005

Recent articles in core journals

Vasomotor symptoms in menopause: physiologic condition and central nervous system approaches to treatment. Am J Obstet Gynecol, 2007
Postmenopausal hormone therapy and risk of cardiovascular disease by age and years since menopause. JAMA, 2007
Complementary and alternative therapies for the management of menopause-related symptoms: a systematic evidence review. Arch Intern Med, 2006
Hormonal therapy for menopause and breast-cancer risk by histological type: a cohort study and meta-analysis. Lancet Oncol, 2006
Treatment of vasomotor symptoms of menopause with black cohosh, multibotanicals, soy, hormone therapy, or placebo: a randomized trial. Annals of Internal Medicine, 2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis. JAMA, 2006

eTextbooks

Clinical queries

For women showing signs of the menopause, when is contraception no longer required? FFPRHC, 2007
Should patients on HRT for premature menopause have mammmograms before 50 years of age and if so when should they be offered? NLH Q&A Service, 2007
A 26 year old patient wants to delay starting her family until she is 30 years old. Her mother had menopause at age 40yrs and sister at mid 30s. What is the likelyhood of her having premature menopause? NLH Q&A Service, 2006
What is the evidence for using ssri's for the treatment of menopausal flushing? NLH Q&A Service, 2006
What is an normal endometrial thickness and is it different during the menopause? NLH Q&A Service, 2006
How reliable are the fsh tests while on the pill for confirming menopause? NLH Q&A Service, 2006
What is the evidence for the use of venlafaxine for treating menopausal sweats / flushes? NLH Q&A Service, 2006

Patient Information

TRIP Evidence Reviews: Menopause

Menopause