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Editorial| Volume 89, P3-4, July 2016

Stopping systemic menopausal hormone therapy: Why, when and how

      Helping women make sound decisions regarding discontinuation of systemic menopausal hormone therapy (MHT) represents a challenge for clinicians. The goal of striving for the lowest dose of MHT for the shortest amount of time would seem disconnected from the reality that many women experience vasomotor symptoms (VMS) for a decade or more [
      • Kaunitz A.M.
      Extended duration use of menopausal hormone therapy.
      ,
      • Kaunitz A.M.
      • Manson J.E.
      Management of menopausal symptoms.
      ]. Thus, determining why, when and how to discontinue the use of MHT represent important clinical considerations.
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      References

        • Kaunitz A.M.
        Extended duration use of menopausal hormone therapy.
        Menopause. 2014; 21: 679-681
        • Kaunitz A.M.
        • Manson J.E.
        Management of menopausal symptoms.
        Obstet. Gynecol. 2015; 126: 859-876
        • ACOG
        Practice bulletin No. 141: management of menopausal symptoms.
        Obstet. Gynecol. 2014; 123: 202-216
        • Gass M.L.
        • Maki P.M.
        • Shifren J.L.
        • et al.
        NAMS supports judicious use of systemic hormone therapy for women aged 65 years and older.
        Menopause. 2015; 22: 685-686
        • North American Menopause Society
        The 2012 hormone therapy position statement of The North American Menopause Society.
        Menopause. 2012; 19: 257-271