Korean J Fam Pract 2020; 10(3): 158-163  https://doi.org/10.21215/kjfp.2020.10.3.158
Menopause
Hee Jeong Choi*, Han Jin Oh
Department of Family Medicine, Eulji University Hospital, Daejeon, Korea
Hee Jeong Choi
Tel: +82-42-611-3231, Fax: +82-42-611-3776
E-mail: ohinia@daum.net
ORCID: http://orcid.org/0000-0001-6085-5770
Received: April 13, 2020; Revised: April 16, 2020; Accepted: May 7, 2020; Published online: June 20, 2020.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Menopause can lead to poor quality of life and health problems and is associated with an increased risk of cardiovascular disease and osteoporosis. The health goals of postmenopausal women are to maintain optimal physical, psychological, and social well-being by treating short-term and long-term health problems related to menopause and correcting risk factors for chronic diseases related to aging. The menopausal transition is an excellent opportunity for a general health assessment including assessment of chronic diseases and cancer screening. Recommendations from scientific societies clarify that initiation of menopausal hormone therapy (MHT) is appropriate for symptomatic women without contraindications when they are in the early postmenopausal period (i.e., age <60 years or within 10 years of menopause onset). The decreasing rate of MHT use and/or its premature discontinuation may lead to an increased prevalence of chronic conditions, such as cardiovascular disease and osteoporosis. Primary care physicians should be able to provide symptomatic women with the right information about the benefits and risks of MHT and recommend MHT without any underlying fear.
Keywords: Menopause; Perimenopause; Hormone Replacement Therapy; Tibolone; Hot Flashes
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