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Postmenopausal women often present with persistent or new symptoms, questions about long-term MHT safety, or complicating medical histories that require individualised, evidence-based decision-making. This course provides General Practitioners with a practical framework for initiating and reviewing MHT, managing genitourinary and sexual symptoms, and coordinating care in women with additional risk factors or comorbidities.

1. Initiating MHT for classic vasomotor symptoms after natural menopause
2. Managing genitourinary syndrome of menopause in a woman in her 60s
3. Assessing new treatment options for persistent symptoms later in post-menopause
4. Managing vasomotor symptoms in a woman with a previous provoked VTE
5. Managing menopausal symptoms after hormone-sensitive breast cancer and aromatase inhibitor therapy
6. Initiating hormone therapy after surgical menopause and endometriosis
7. Assessing low libido, dyspareunia and the role of testosterone therapy
8. Reviewing long-term MHT, switching preparations, and managing coexisting osteoporosis.

Learners will develop practical skills in individualised risk-benefit assessment, safe prescribing and switching of hormonal and non-hormonal therapies, long-term MHT review, and coordinated, patient-centred care for postmenopausal women.

Learning Outcomes

1. Apply a structured, individualised assessment for women with menopause and post-menopause symptoms, including recognising key symptoms, screening for red flags, and evaluating personal risk factors
2. Determine when systemic MHT, vaginal oestrogen, testosterone or non-hormonal therapies are appropriate, contraindicated or require specialist input in menopause and post-menopause care.

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