Chapter 11 – Menopause

Menopausal Hormone Therapy (MHT)

Systemic menopausal hormone therapy

Women with an intact uterus

After hysterectomy (with ovaries retained)

Systemic MHT preparations and delivery systems

Tibolone

Selective estrogen receptor modulators

Contraindications to systemic MHT including Tibolone and SERMs (consider referral to menopause specialist):

Side effects and adverse events of systemic MHT

Topical vaginal estrogen and genitourinary symptoms of menopause (vulvovaginal atrophy)