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Phone: 02 8217 8700 | Fax: 02 9211 7578 | email: info@nps.org.au | web: www.nps.org.au
MEDIA RELEASE
15 October 2009
Take action to manage your symptoms on World Menopause Day
Menopause is an inevitable fact of life for women, yet many arent aware of the impacts it can have on
their health, or the treatment options available.
On World Menopause Day, 18 October 2009, the National Prescribing Service (NPS) is encouraging
women who may be entering this phase of life to speak to their doctor about what symptoms they may
experience and how symptoms can be managed.
Women may not realise they are going through menopause, and put symptoms of tiredness,
irritability and hot flushes down to stress, NPS senior clinical adviser, Judith Mackson said.
As women enter midlife, the production of oestrogen by the ovaries slows down, and eventually
periods cease. The final menstrual period generally happens when women are between 40 and 58
years old; in Australia the average age is 51-52 years. During the slow-down of oestrogen production
the change in hormone levels can cause symptoms such as hot flushes and/or night sweats, trouble
sleeping and vaginal dryness. The severity of these symptoms varies from person to person.
Being prepared for menopause is important but many women dont feel confident discussing their
options with a doctor.
NPS has determined that Hormone Replacement Therapy (HRT) is the most effective treatment if a
woman decides to use a medicine to manage menopause symptoms. Research indicates that it can
result in 75 per cent reduction in hot flush frequency per week compared to placebo, Ms Mackson
said.
However the decision to use HRT should be made jointly between the woman and her doctor, and
should take into consideration the severity of symptoms, the individuals medical history, their family
medical history and preference of treatment methods, she advised.
Negative media reports about HRT have led to an increased interest in alternate therapies such as
vitamins and herbs, but be aware these therapies are still medicines; they can have side effects and
interact with other medicines.
Even though complementary medicines such as black cohosh, dong quai, and wild yam may appear
safer, there is little clinical evidence supporting their efficacy. There have been reports of severe side
effects from black cohosh. If youre thinking about using an alternate therapy to manage the
symptoms of menopause speak to your doctor or pharmacist first, Ms Mackson said.
What to do if you think youre beginning menopause:
Discuss any symptoms with your doctor, and give them your personal and family history relating to
menopause and cardiovascular health
Talk to your doctor about the harms and benefits of HRT
Ask your doctor about how lifestyle changes can help relieve symptoms
Tell your doctor about any medicines, including over-the-counter and vitamins or herbs, you are
taking or thinking about taking
Keep a record of any symptoms to discuss at your next appointment with your doctor
For further resources and to read other womens experiences with menopause visit
To find out more about NPS including prescribing information about HRT visit
Media enquiries to Katie Butt, NPS Media Adviser, 0419 618 365 or kbutt@nps.org.au