title: Managing menopause.
abstract: OBJECTIVE
  To provide updated guidelines for health care providers on the management of menopause in asymptomatic healthy women as well as in women presenting with vasomotor or urogenital symptoms and on considerations related to cardiovascular disease, breast cancer, urogynaecology, and sexuality.
  
  
  RESULTS
  Lifestyle interventions, prescription medications, and complementary and alternative therapies are presented according to their efficacy in the treatment of menopausal symptoms. Counselling and therapeutic strategies for sexuality concerns in the peri- and postmenopausal years are reviewed. Approaches to the identification and evaluation of women at high risk of osteoporosis, along with options for prevention and treatment, are presented in the companion osteoporosis guideline.
  
  
  METHODS
  Published literature was retrieved through searches of PubMed and The Cochrane Library in August and September 2012 with the use of appropriate controlled vocabulary (e.g., hormone therapy, menopause, cardiovascular diseases, and sexual function) and key words (e.g., hormone therapy, perimenopause, heart disease, and sexuality). Results were restricted to clinical practice guidelines, systematic reviews, randomized control trials/controlled clinical trials, and observational studies. Results were limited to publication dates of 2009 onwards and to material in English or French. Searches were updated on a regular basis and incorporated in the guideline until January 5, 2013. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, national and international medical specialty societies, and clinical practice guideline collections.
authors.affiliation: Kingston ON.
authors.forename: Robert
authors.initials: R
authors.lastname: Reid
authors.affiliation: Toronto ON.
authors.forename: Beth L
authors.initials: BL
authors.lastname: Abramson
authors.affiliation: Toronto ON.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Blake
authors.affiliation: Sherbrooke QC.
authors.forename: Sophie
authors.initials: S
authors.lastname: Desindes
authors.affiliation: Quebec QC.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Dodin
authors.affiliation: Kingston ON.
authors.forename: Shawna
authors.initials: S
authors.lastname: Johnston
authors.affiliation: Vancouver BC.
authors.forename: Timothy
authors.initials: T
authors.lastname: Rowe
authors.affiliation: Toronto ON.
authors.forename: Namrita
authors.initials: N
authors.lastname: Sodhi
authors.affiliation: Dundas ON.
authors.forename: Penny
authors.initials: P
authors.lastname: Wilks
authors.affiliation: Toronto ON.
authors.forename: Wendy
authors.initials: W
authors.lastname: Wolfman
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000628:therapy; D002318:Cardiovascular Diseases / Q000628:therapy; D005260:Female; D052776:Female Urogenital Diseases / Q000628:therapy; D006801:Humans; D008593:Menopause / Q000502:physiology / Q000523:psychology; D008875:Middle Aged; D010346:Patient Care Management / Q000379:methods*; D018570:Risk Assessment; D020018:Sexual Dysfunctions, Psychological / Q000628:therapy
keywords: androgen; antidepressants; breast cancer; cardiovascular diseases; complementary therapies; depression; estrogen; estrogen therapy; exercise; hormones; lifestyle; memory; menopausal hormone therapy; menopause; mood; nutrition; progestin; sexuality; testosterone; urogenital symptoms; vasomotor symptoms