Comprehensive Management of Menopausal Symptoms

Nurs Womens Health. 2024 Oct;28(5):381-392. doi: 10.1016/j.nwh.2024.04.007. Epub 2024 Aug 27.

Abstract

Menopause is an inevitable physiologic process that typically occurs in women between the ages of 45 and 56 years old. It involves the permanent cessation of ovarian function and is recognized to have occurred when there has been no menstrual cycle for 12 consecutive months without another cause. Vasomotor symptoms, such as hot flushes and night sweats, and genitourinary syndrome of menopause, which includes symptoms of vaginal dryness, dyspareunia, and urinary incontinence, are common symptoms of menopause. Symptoms range from mild to severe, and for those interested in treating their symptoms, there are hormonal and nonhormonal options available. Choosing appropriate therapies is based on each individual's health history and personal preferences. Because menopause can affect mental, physical, and emotional health, it is critical for nurses to recognize the changes that occur in menopause so that they can make appropriate inquiries to elicit symptom information. Nurses play an important role in counseling and supporting individuals through the menopause transition with evidence-based guidance.

Keywords: genitourinary syndrome of menopause; hot flash; hot flush; menopausal symptoms; menopause; night sweats; vaginal dryness; vasomotor symptoms; women’s health.

MeSH terms

  • Dyspareunia / therapy
  • Estrogen Replacement Therapy / methods
  • Female
  • Hot Flashes* / therapy
  • Humans
  • Menopause* / physiology
  • Middle Aged
  • Urinary Incontinence / complications
  • Urinary Incontinence / nursing
  • Urinary Incontinence / therapy