New guidelines informing the care of perimenopausal and post-menopausal woman in Canada have been released, backed by new data to help physicians know when to prescribe menopausal hormone therapy — and when it might not be worth potential risks.
Post-menopause, women are at a higher risk for a number of health conditions, including cardiovascular disease. Doctors want to ensure any treatment a patient undergoes due to menopause doesn’t increase those risks even further.
Dr. Beth Abramson, a cardiologist, professor at the University of Toronto and one of the authors of the new guidelines, told CTVNews.ca in a phone interview that each individual patient has individual risks and circumstances to weigh, but that these guidelines help doctors have the tools to understand those.
While some women experience few symptoms during the years of menopausal transition or perimenopause, others can experience a range of symptoms, including hot flashes, vaginal dryness, sleep problems, trouble controlling one’s bladder, mood changes and chills, among others. It works by giving menopausal women estrogen, usually combined with progesterone, that the body is no longer producing.
They found that short-term menopausal hormone therapy treatment did not correlate with an increased cardiovascular risk in appropriately selected patients. These studies showed that “there is not an increased risk of heart attack or stroke in these women,” Abramson said.
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