Hi Dr Currie
Thank you for this. I think it will be very useful for doctors to have NICE guidelines to refer to on the menopause, and I hope these will be developed to apply to GPs as well as hospital consultants, as GPs are often the first port of call for women in peri-menopause and menopause.
It seems to me from reading this forum that there is a lot of disparity over the prescribing of various treatments, and it would be good to have clearer guidance, for issues like the length of time recommended for taking HRT, and guidance for various doses, both for oral and local treatments. For example the recent Vagifem dose changes which just seem to have been imposed on women by the pharmaceutical company - without reference (it would seem) to guidance from doctors and health professionals about what individual patients with VA actually need. It seems that we are all different and have different health needs - so some flexibility in the guidelines would also be required ...maybe a big ask!.
Good luck with the meeting next month and please keep us up to date with the guideline developments on your excellent website.
Best wishes
English Rose