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Menopause

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Key Points 2 Î Menopausal hormone therapy (MHT) is the most effective treatment for vasomotor symptoms and other symptoms of the climacteric. Î Benefits may exceed risks for the majority of symptomatic postmenopausal women who are under age 60 or less than 10 years since the onset of menopause. Î Health care professionals should individualize therapy based on clinical factors and patient preference. Î Before initiating MHT, clinicians should screen women for cardiovascular and breast cancer risk and recommend the most appropriate therapy depending on risk/benefit considerations. Î Current evidence does not justify the use of MHT to prevent coronary heart disease, breast cancer, or dementia. Î Other options are available for those with vasomotor symptoms who prefer not to use MHT or who have contraindications because these patients should not use MHT. Î Low-dose vaginal estrogen and ospemifene provide effective therapy for the genitourinary syndrome of menopause, and vaginal moisturizers and lubricants are available for those not choosing hormonal therapy. Î All postmenopausal women should embrace appropriate lifestyle measures.

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