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The overwhelming majority of Australian women experiencing menopausal symptoms will be managed exclusively by their GP. Despite the findings of the Women’s Health Initiative of 2002 now being largely rebuffed for its design imperfections, the negative views of menopausal hormonal therapy (MHT) and overstated risks of adverse effects endure in many health practitioners.Without the proactive and clinically up-to-date treatment via general practitioners, many Australian women face the prospect of a peri-menopause experience with inadequate access to appropriate therapies. Moreover, while mood symptoms are listed on the Menopause Symptoms Checklist, there is poor recognition and acceptance of the emerging evidence that the menopause can cause depressive illness in its own right, including in women who have never before had a mood disorder.

Learning Outcomes

1. List the physical, cognitive and psychiatric symptoms of peri-menopause
2. Describe the hormonal, physiological and neuro-psychiatric bases for the symptoms of peri-menopause
3. Summarise current evidence regarding the efficacy and safety of MHT and non-hormonal therapies for peri-menopause symptoms
4. Outline the effects of menopause on women’s cognitive and psychological health, including its capacity to induce peri-menopausal depression
5. Demonstrate a framework for assessing peri-menopausal symptom severity and for providing advice to women on options for optimal management.

Details

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