Skip to main content

Menopause

Nicole Monk and Lawrence M Gibbs, MD, MSEd Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Natural menopause: 12 consecutive months of amenorrhea in a nonpregnant woman ≥40 years of age; mean age of 51 years; resulting from loss of ovarian activity​​​​​​

  • Perimenopause/menop...

DIAGNOSIS

  • Clinical diagnosis—12 consecutive months of amenorrhea in a nonpregnant woman ≥40 years of age

HISTORY

  • Cessation of menses:

    • Generally preceded by a period of irregular cycles with heavy vaginal...

TREATMENT

MEDICATION

First Line

Hormone therapy (HT): HT is the most effective treatment for vasomotor symptoms and genitourinary symptoms of menopause and has been shown to prevent bone loss and fractu...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • A DEXA scan at age 65 years and younger women with risk equivalent to age 65 years.

  • If HRT initiated, consider decrease or discontinuation after ...

REFERENCES

1
North American Menopause Society. The 2017 hormone therapy position statement of the North American Menopause Society. Menopause. 2017;24(7):728–753. doi:10.1097/GME.0000000000000921.

ADDITIONAL READING

Manson JE, Ames JM, Gass MLS, et al. MenoPro: a mobile app for women bothered by menopause symptoms. http://www.menopause.org/for-women/-i-menopro-i-mobile-app....

CODES

ICD10

  • E28.310 Symptomatic premature menopause

  • N95.1 Menopausal and female climacteric states

  • Z78.0 Asymptomatic menopausal state

  • E89.40 Asymptomatic postprocedural ovarian failure

  • E28.319 Asymptomati...

CLINICAL PEARLS

  • Menopause is usually diagnosed by history alone.

  • HT can be used short term for relief of moderate to severe vasomotor symptoms but should not be used for long-term prevention of CVD.

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×