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Menopause

Terminology note
What is menopause?
The importance of recognising and treating menopause
Symptoms of menopause
Talking about menopause
Diagnosis
Self-care symptom management
Overview of treatment options
The socioeconomic divide in accessing menopause care
HRT Myths
HRT
When to refer to secondary care
Summary
References
Menopause Quiz

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module menu icon Talking about menopause

Managing Menopause Conversations

Community pharmacies are in a unique position to support women at various stages of their menopause journey. By initiating open and empathetic conversations, colleagues can provide valuable information and guidance tailored to each individual's needs. 

Whether a woman is just beginning to experience symptoms, is in the midst of menopause, or is navigating post-menopausal health, pharmacies can offer personalised advice and support.

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When engaging in conversations with patients, it's important to adhere to GPhC standards . Recognising that some women may find discussing menopause symptoms embarrassing, it's crucial to create a supportive and understanding environment. Our training module, 'Managing Difficult Customers'  offers valuable insights on how to handle situations where customers may feel uncomfortable.

Community pharmacy should be prepared for a variety of conversations regarding menopause. Women may be at different stages in their menopause experience so getting the conversation right is key. It is important that we are not dismissive and that we provide reassurance with constructive advice and support.

When to refer patients to other healthcare professionals.

Women may not actively be seeking help for menopause but may mention their symptoms in passing. In this case the NICE guideline NG23  provides comprehensive recommendations on the information to include in this conversation. Any patient that presents with the following should be referred to a healthcare professional such as a GP.
  • Suspected premature (before age 40) or early menopause (before age 45)
  • Unexplained vaginal bleeding
  • Significant upset with vasomotor symptoms
  • Suspected depression
  • Significant urogenital symptoms

Community pharmacies are perfectly placed to have conversations regarding HRT prescriptons. Patients may ask questions directly or we could initiate the conversation by asking them how they are finding the treatment.