Joint position statement by the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on best practice recommendations for the care of women experiencing the menopause

Hamoda, Haitham; Mukherjee, Annice; Morris, Edward; Baldeweg, Stephanie E; Jayasena, Channa N.; Briggs, Paula; Moger, Sara

doi:10.1177/20533691221104879

Cited by 5 publications

(6 citation statements)

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“…13 • HRT prescribing for women with family history of breast cancer, or cardiovascular risk. Answered based on international menopause expert committee joint statements 14,15 • HRT and migraine. Prof Anne McGregor advice sheets and publications are frequently quoted 16 • HRT post-gynaecological malignancies useful infographic on HRT use post-cancer available from the Irish Society of Gynaecological Oncology.…”

Section: Methodsmentioning

confidence: 99%

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Novel method of breaking down barriers in the provision of menopause care in Ireland

Kennedy,

Lundy,

Mackey

et al. 2023

Post Reprod Health

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There is a surge in demand for menopause care and hormone replacement therapy (HRT) in Ireland on a background of neglect of a generation of healthcare professionals’ (HCPs) education in this area. Lack of knowledge of evidence regarding the benefit/risk ratio of personalised HRT is a barrier to providing menopause care. Education of undergraduates and HCP takes investment of time and money. A more immediate solution was required. Aim A novel method of providing education and support to GP’s was developed. The goal was to create a rapidly accessed peer advisory community to empower GP HRT prescribing. Method A core group of doctors with special expertise in HRT were assembled on a GP interest group on the Telegram messaging platform. It is called ‘HRT prescribers’, an educational community with entrance by peer invitation. Most are GPs and number between 800 and 1000. Members post clinical questions and receive evidence-based responses to their dilemmas. Results A survey of members was overwhelmingly positive. 98% agreed the group empowered them to be confident and feel supported in their HRT prescribing. 90% agreed the group helped improve access to HRT for women who needed it in their practice. Conclusion This project developed, with the cooperation of specialists, a cost-effective rapid method of educating and empowering GP’s to be supported to safely treat their patients in their menopause transition. With further support and development, we believe it is the model that could be adopted in many countries.

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Section: Methodsmentioning

confidence: 99%

“…• HRT prescribing for women with family history of breast cancer, or cardiovascular risk. Answered based on international menopause expert committee joint statements 14,15…”

Section: Methodsmentioning

confidence: 99%

Novel method of breaking down barriers in the provision of menopause care in Ireland

Kennedy,

Lundy,

Mackey

et al. 2023

Post Reprod Health

View full text Add to dashboard Cite

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“…It is important that women have the right information and are supported by appropriate clinicians when making decisions about their treatment and care. 1 Alongside this, the National Institute for Health and Clinical Excellence (NICE) published helpful guidance that provides a framework for shared decision-making and advocates the use of clinical decision aids to support a collaborative approach between the clinician and the patient. 2 In these tales, two cases are presented, relating to women with a history of pelvic cancer (endometrial and bladder cancer).…”

Section: Introductionmentioning

confidence: 99%

Managing menopausal symptoms in women who have a history of pelvic cancer: Is hormone replacement therapy appropriate?

2023

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“…International medical organisations including the British Menopause Society, International Menopause Society and the Menopause Society have published best practice recommendations for menopause care. [1][2][3][4][5] These provide evidence-based guidance for healthcare practitioners to refer to and are perhaps more accessible to those with a menopause interest. There are currently no guidelines available that provide specific recommendations on the prescription of HRT according to a medical co-morbidity.…”

Section: Introductionmentioning

confidence: 99%

Exploring the potential for a set of UK hormone replacement therapy eligibility guidelines: A suggested proposal on the topic of venous thromboembolism

Laing,

Thomas,

Hillard

et al. 2023

Post Reprod Health

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Objective To explore the feasibility for a set of hormone replacement therapy (HRT) eligibility guidelines that follow a similar structure and appearance to the UKMEC guidance for contraception. To enable non-specialists to feel confident in safely prescribing HRT and to aid selection of the most appropriate first line treatment. Methods A literature review was undertaken with evidence summarised on the topic of venous thromboembolism (VTE) which is an area frequently considered a barrier to prescribing. Medical eligibility tables which separated HRT by type were then produced for a set of VTE-related topics. Results The literature search confirmed the importance of distinguishing between different types and routes of administration when considering the suitability of HRT. Much of the evidence has been based on older synthetic types of HRT and whilst they still have a role in management, these medications carry different risks to the now more accepted use of body identical types. The search also highlighted the nuances involved, increasing the complexity of forming guidelines, with the need for consideration to be given to an individual’s own perception of risks and benefits. Conclusion The demand for HRT has risen in recent years and there is a need for this to be managed effectively, particularly for patients in primary care. The production of this type of guidance will enable the non-specialist to feel confident in safe and evidence-based prescribing. The guidelines are also designed to demonstrate to prescribers which complex patients should be referred onto menopause specialists.

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Joint position statement by the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on best practice recommendations for the care of women experiencing the menopause

Cited by 5 publications

References 0 publications

Novel method of breaking down barriers in the provision of menopause care in Ireland

Novel method of breaking down barriers in the provision of menopause care in Ireland

Managing menopausal symptoms in women who have a history of pelvic cancer: Is hormone replacement therapy appropriate?

Exploring the potential for a set of UK hormone replacement therapy eligibility guidelines: A suggested proposal on the topic of venous thromboembolism

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