Changes made to the NICE Menopause guidelines
You may have seen recently that updates have been made to the UK’s NICE guidelines. Their updated guidelines on menopause, published on 7th November, emphasises the importance of an individualised approach and shared decision-making when making choices about treatment for menopause symptoms.
These updates expand treatment options, emphasise individualised care and address both the benefits and risks associated with Hormone Replacement Therapy (HRT) along with non-hormonal options.
One of the key changes in the guidelines is the recommendation to consider cognitive behavioural therapy (CBT) for managing symptoms such as hot flushes, night sweats, sleep problems and depression related to the menopause.
This non-hormonal approach can be used on its own or alongside HRT offering a broader choice for women who may prefer or require alternatives to hormone therapy.
The updated guidelines also present clearer information on HRT outlining its benefits and risks more explicitly. They discuss the HRT’s effectiveness in reducing vasomotor symptoms such as hot flushes and its role in improving the quality of life for women with severe symptoms. However they also address the nuanced risks to linked to HRT, including its association with breast cancer, cardiovascular issues and other conditions, especially over long-term use. This detailed information aims to help women make informed decisions with their GP or Health Practitioner taking into account individualised health profiles and preferences.
Additionally, the guidelines recommend options for managing genitourinary symptoms such as vaginal dryness and discomfort during intercourse. Various forms of vaginal estrogen are suggested with the flexibility for long term use based on individual needs.
These changes reflect a more tailored, holistic approach to menopause care, highlighting the importance of an informed choice and the availability of both options for symptom relief to enable women to better navigate their menopausal journey.
To read a detailed version of the updated guidelines visit NICE.org
