title: South African Menopause Society revised consensus position statement on menopausal hormone therapy, 2014.
abstract: The South African Menopause Society (SAMS) consensus position statement on menopausal hormone therapy (HT) 2014 is a revision of the SAMS Council consensus statement on menopausal HT published in the SAMJ in May 2007. Information presented in the previous statement has been re-evaluated and new evidence has been incorporated. While the recommendations pertaining to HT remain similar to those in the previous statement, the 2014 revision includes a wider range of clinical benefits for HT, the inclusion of non-hormonal alternatives such as selective serotonin reuptake inhibitors and serotonin noradrenaline reuptake inhibitors for the management of vasomotor symptoms, and an appraisal of bioidentical hormones and complementary medicines used for treatment of menopausal symptoms. New preparations that are likely to be more commonly used in the future are also mentioned. The revised statement emphasises that commencing HT during the 'therapeutic window of opportunity' maximises the benefit-to-risk profile of therapy in symptomatic menopausal women.
authors.affiliation: President, South African Menopause Society; Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. franco.guidozzi@wits.ac.za.
authors.forename: Franco
authors.initials: F
authors.lastname: Guidozzi
authors.forename: A
authors.initials: A
authors.lastname: Alperstein
authors.forename: J S
authors.initials: JS
authors.lastname: Bagratee
authors.forename: P
authors.initials: P
authors.lastname: Dalmeyer
authors.forename: M
authors.initials: M
authors.lastname: Davey
authors.forename: T J
authors.initials: TJ
authors.lastname: de Villiers
authors.forename: S
authors.initials: S
authors.lastname: Hirschowitz
authors.forename: T
authors.initials: T
authors.lastname: Kopenhager
authors.forename: S P
authors.initials: SP
authors.lastname: Moodley
authors.forename: P
authors.initials: P
authors.lastname: Roos
authors.forename: A
authors.initials: A
authors.lastname: Shaw
authors.forename: O
authors.initials: O
authors.lastname: Shimange
authors.forename: T
authors.initials: T
authors.lastname: Smith
authors.forename: C
authors.initials: C
authors.lastname: Thomas
authors.forename: J
authors.initials: J
authors.lastname: Titus
authors.forename: Z
authors.initials: Z
authors.lastname: van der Spuy
authors.forename: J
authors.initials: J
authors.lastname: van Waart
mesh_terms: D005260:Female; D006728:Hormones / Q000627:therapeutic use*; D006801:Humans; D008593:Menopause; D017698:Postmenopause; D017410:Practice Guidelines as Topic; D012955:Societies, Medical; D013019:South Africa
chemical_list: D006728:Hormones