ACOG Strongly Recommends Hormone Therapy for Menopause Symptoms

The ACOG released updated recommendations for the management of various menopause symptoms. MoMo Productions · DigitalVision/Getty The American College of Obstetricians and Gynecologists (ACOG) released expanded menopause management guidelines strongly recommending menopause hormone therapy (MHT) for vasomotor symptoms (VMS) and related sleep disturbances in eligible individuals. For individuals who can’t or don’t want to use MHT, ACOG strongly recommends nonhormonal options, including selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and neurokinin receptor antagonists, to manage VMS. The guidelines also conditionally recommend nonpharmacologic approaches like cognitive behavioral therapy (CBT), mindfulness-based interventions, regular exercise, clinical hypnosis, and acupuncture, typically used alongside medications to manage menopause symptoms. The American College of Obstetricians and Gynecologists (ACOG) published updated recommendations for menopause management in Obstetrics & Gynecology on October 15. These expanded recommendations are the most comprehensive guidance to date. They include new clinical guidelines for m…

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