Menopause

Canadian Menopause Society

• 2023 pocket guide for management of menopause including treatment recommendations and hormone therapy available on the market

Primary Care Management of Menopause

• Treatment algorithm for management of menopause including hormonal and non-hormonal agents, with tips for interviewing menopausal patients

Menopause Quick 6 Questionnaire 

• Scoring tool to help determine if an individual is experiencing menopausal symptoms

1. Which term best describes the 12 months after an individual's last menstrual cycle? 

a) Premature menopause 

b) Perimenopause 

c) Menopause 

d) Post-menopause 

2. Which of the following is NOT a core symptom of menopause? 

a) Vaginal atrophy

b) Anxiety

c) Night sweats

d) Joint and muscle pain 

3. Which of the following patients are candidates for hormone replacement therapy (HRT)? 

a) Patient with sleep disturbances secondary to night sweats 

b) Patient with anxiety and depression 

c) Patient with joint pain 

d) None of the above 

4. True or false: Vaginal atrophy improves without treatment? 

a) True

b) False

5. Your 55-year-old patient has not had a menstrual cycle for 2 years and is now experiencing night sweats. They classify their symptoms as very severe and would like to initiate therapy. Past medical history includes a hysterectomy. What would you recommend for this patient? 

a) Non-drug measures  

b) Non-hormonal therapy (ex. SSRI/SNRI/gabapentin)  

c) Estrogen only 

d) Estrogen + progesterone

6. Your patient has been taking oral estrogen therapy for their menopause symptoms. All their symptoms have improved except for vaginal dryness. What would you recommend for this patient? 

a) Switch to transdermal estrogen  

b) Add vaginal estrogen 

c) Add oral progesterone  

d) Switch to non-hormonal therapy