Menopause hormone therapy gets stronger endorsement from OB-GYNs in expanded guideline
Hormone therapy should be a first choice for easing hot flashes, night sweats and the sleep problems they cause, a leading U.S. doctors' group says.
The American College of Obstetricians and Gynecologists (ACOG) has released updated guidance on menopause hormone therapy, endorsing it as the first-line treatment for hot flashes, night sweats, and sleep problems. This marks a shift from their 2014 advice which recommended lower doses for shorter durations. The new guidelines give hormone therapy a strong rating, meaning the benefits are believed to outweigh the risks for most women experiencing these symptoms during menopause, which affect 50% to 92% of women.
They advise starting hormone therapy before age 60 or within 10 years of menopause beginning, but individualized risk assessment and regular follow-ups are recommended instead of strict duration limits. Non-hormonal drug options are presented as alternatives, with cognitive behavioral therapy, mindfulness, exercise, hypnosis, and acupuncture also mentioned as potential aids.
ACOG emphasizes that race, culture, and income can influence how women experience menopause and the care they receive.
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