MENOPAUSE (10): HORMONAL TREATMENT OF MENOPAUSE (THM): HOW LONG?

Dr. Claude Allouche MENOPAUSE (10): HORMONAL TREATMENT OF MENOPAUSE (THM): HOW LONG?
Ahuza Clinic, Raanana
058 726 02 64

  • No Maximum Duration:
    In theory, there is no set maximum duration for taking THM.

  • Recommendations in France (HAS):
    THM should be prescribed as long as symptoms persist, with adjustments to the minimum effective dose as needed over time.

  • Annual Reassessment:
    Each year, the benefit/risk balance should be reassessed, especially after 5 years due to a possible increased risk of breast cancer.

  • Therapeutic Window:
    It is recommended to have an annual "therapeutic window" — a temporary cessation of treatment once a year to check whether symptoms return. This helps to decide annually whether to continue treatment, particularly after 5 years.

  • Extended Treatment:
    Many gynecologists extend THM beyond 5 years, considering factors like quality of life, as well as the risks of osteoporosis and atherosclerosis.

Source: GEMVI