Menopause: A Transition, Not a Disease
Hormone therapy has a renewed, well-defined place.
Dr. Mathilde Carron
Gynecologist
Hot flushes, night sweats, sleep disturbance, mood changes, vaginal dryness, joint aches, brain fog.
Hormone therapy
Most effective treatment for vasomotor symptoms; transdermal oestrogen reduces venous thrombosis risk versus oral. Add progesterone if uterus present.
Non-hormonal options
SSRIs, SNRIs, gabapentin, fezolinetant (NK3-receptor antagonist). CBT for hot flushes is effective.
Long-term health
Address cardiovascular risk, bone health, sexual health and pelvic floor — menopause is a moment to optimise these for the next decades.
Vaginal oestrogen treats genitourinary symptoms safely, even decades after menopause, with negligible systemic absorption.
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