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Evidence to Practice
Health Care Reform
August 2016

Diagnosis and Management of MenopauseThe National Institute of Health and Care Excellence (NICE) Guideline

Mary Ann Lumsden, MD, MB, BS, BSc, FRCOG1,2; Melanie Davies, MB, BS, MA, MRCP, FRCOG3; Grammati Sarri, PhD3; et al for the Guideline Development Group for Menopause: Diagnosis and Management (NICE Clinical Guideline No. 23)
Author Affiliations
  • 1University of Glasgow, Glasgow, Scotland
  • 2Chair, Guidelines Development Group, National Collaborating Centre for Women’s And Children’s Health, London, England
  • 3The National Collaborating Centre for Women and Children’s Health, London, England
JAMA Intern Med. 2016;176(8):1205-1206. doi:10.1001/jamainternmed.2016.2761

Menopause is a natural process that occurs in all women who live long enough. Many women experience no menopausal symptoms or only mild ones that do not require active medical management. However, a substantial proportion of women (about 20%) experience bothersome symptoms, such as hot flushes, night sweats, and trouble sleeping.1 The National Institute of Health and Care Excellence (NICE), based in the United Kingdom, has recently published guidelines for diagnosis and management of menopause. These guidelines provide clear and evidence-based advice to support both primary care physicians and those specializing in the care of women in midlife.

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