title: A practitioner's toolkit for managing the menopause.
abstract: OBJECTIVE
  A number of learned societies, including the International Menopause Society, have produced position statements pertaining to the use of postmenopausal hormone therapy. These documents are highly informative but are not designed for use by primary-care physicians and nurse practitioners during routine consultations. Our aim was to produce a toolkit for practitioners that could be used during office consultations to assist them in the assessment and management of the menopause.
  
  
  METHODS
  We used clinical experience in primary care, combined with published diagnostic algorithms, positions statements from learned medical societies and relevant peer-reviewed literature to develop assessment and management algorithms relevant to the primary care of women age 40 years and older.
  
  
  RESULTS
  The resultant 'Practitioner's Toolkit for Managing the Menopause' comprises algorithms for the reasons why a woman might present, determination of menopausal status, key information that should be ascertained, issues that may influence treatment decision-making, hormonal and non-hormonal treatment options, symptom management and patient review, and a brief supporting document.
  
  
  CONCLUSIONS
  We believe these algorithms and supporting document provide an accessible desktop tool for health-care practitioners caring for women at midlife. The toolkit has been endorsed by the International Menopause Society for global use.
authors.affiliation: The Women's Health Research Program, School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia.
authors.forename: F M
authors.initials: FM
authors.lastname: Jane
authors.forename: S R
authors.initials: SR
authors.lastname: Davis
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D003937:Diagnosis, Differential; D015914:Estrogen Replacement Therapy; D055317:Evidence-Based Practice; D005260:Female; D058005:General Practitioners; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D011320:Primary Health Care; D012955:Societies, Medical; D016387:Women's Health
keywords: MENOPAUSE; POSTMENOPAUSAL HORMONE THERAPY