Menopause: A Time for Wellness and Well-Being

• Dr. Kanika Batra Modi — Fellow in Gynaecologic Oncology from RGCIRC and IGCS, Royal Hospital for Women, Sydney, IARC, IFCPC, WHO, ESGO (KEM, Germany), Senior Consultant and Fellowship Director in Gynaecologic Oncology at Max Hospital, Saket
• Dr. Amol M Gadgil — Visiting Consultant at Kokilaben Dhirubhai Ambani Hospital (Navi Mumbai) and Bethany Hospital (Thane). He is a Member of the Obstetrics and Gynaecology Society, Mumbai, the Indian Association of Gynaecological Endoscopists (IAGE), and the Indian Menopause Society

Obstetrics & Gynaecology

Menopause is a significant life transition that brings about various physical and emotional changes. While often associated with discomforts like vasomotor and genitourinary symptoms, it also offers an opportunity to focus on wellness and well-being. The advanced management of these symptoms, including the use of hormonal and non-hormonal therapies, plays a pivotal role in improving quality of life. Clinicians must be adept at diagnosing conditions like genitourinary syndrome and vasomotor symptoms, with treatment options ranging from vaginal moisturisers and lubricants to laser therapy and systemic hormone replacement therapy. Moreover, understanding the complexities of early onset menopause, its associated risks, and the impact of menopausse on cardiovascular, cognitive, and metabolic health is essential. Management strategies should address these health risks and incorporate treatments like Menopausal Hormone Therapy (MHT), stress management techniques, and interventions for osteoporosis and other comorbidities. Postmenopausal health requires a comprehensive approach, including the assessment of cardiovascular risk, management of sleep disorders, and addressing sexual dysfunction, urinary incontinence, and pelvic organ prolapse. By utilising evidence-based guidelines and personalised care strategies, healthcare providers can empower postmenopausal women to maintain optimal health and well-being throughout this life stage. Learning Objectives: • Understand the advanced management strategies for genitourinary and vasomotor symptoms in menopause, including pharmacological and non-pharmacological treatment options. • Explore the clinical approaches to early onset menopause and its associated health risks, including treatment of related conditions like osteoporosis and cognitive impairment. • Gain insights into the management of postmenopausal health concerns, focusing on cardiovascular risk, sleep disorders, sexual dysfunction, and urinary incontinence. • Apply current evidence-based guidelines for hormone therapy and other interventions in menopausal women, including considerations for special populations such as those with a history of cancer. • Enhance clinical decision-making through case-based learning, focusing on complex menopausal scenarios and individualised treatment approaches.