Approach to Managing a Postmenopausal Patient

Richard J Santen; Daniel F Heitjan; Anne Gompel; Mary Ann Lumsden; JoAnn V Pinkerton; Susan R Davis; Cynthia A Stuenkel

doi:10.1210/clinem/dgaa623

Approach to Managing a Postmenopausal Patient

J Clin Endocrinol Metab. 2020 Dec 1;105(12):dgaa623. doi: 10.1210/clinem/dgaa623.

Authors

Richard J Santen¹, Daniel F Heitjan², Anne Gompel³, Mary Ann Lumsden⁴, JoAnn V Pinkerton¹, Susan R Davis⁵, Cynthia A Stuenkel⁶

Affiliations

¹ University of Virginia Health System, Division of Endocrinology & Metabolism and Obstetrics & Gynecology, Charlottesville, Virginia.
² Southern Methodist University Department of Statistical Science and University of Texas Southwestern Department of Population & Data Sciences, Dallas, Texas.
³ Université Paris Descartes, Gynecologie Endocrinienne, Paris, France.
⁴ University of Glasgow School of Medicine, Glasgow, Scotland.
⁵ Monash University, School of Public Health and Preventative Medicine, Melbourne, Australia.
⁶ University of California San Diego, School of Medicine, Division of Endocrinology and Metabolism, La Jolla, California.

PMID: 32882039
DOI: 10.1210/clinem/dgaa623

Abstract

The case of a symptomatic, postmenopausal woman is presented and a full discussion of the approach to her management is discussed. Pertinent guidelines and scientific evidence are emphasized as support for the recommendations.

Keywords: assessment; breast cancer risk assessment; cardiovascular risk; estrogen; menopause; personalized medicine; progesterone.

Publication types

Case Reports
Review

MeSH terms

Breast Neoplasms / diagnosis
Estrogen Replacement Therapy / methods
Estrogens / therapeutic use
Female
Hot Flashes / etiology
Hot Flashes / therapy
Humans
Middle Aged
Postmenopause / physiology*
Practice Guidelines as Topic*
Practice Patterns, Physicians' / standards*
Precision Medicine / methods
Precision Medicine / standards*
Risk Assessment

Substances

Estrogens