This joint guideline has been prepared on behalf of the British Menopause Society, in partnership with the British Gynaecological Cancer Society.
The guideline has been developed to provide information for all healthcare professionals managing women treated for gynaecological cancer.
Menopausal symptoms can have a significant impact on quality of life for women. Cancer therapies, including surgery, pelvic radiotherapy, chemotherapy and endocrine therapy, can all affect ovarian function. The benefits and risks of using hormone replacement therapy are considered by cancer type with guidance on the type of HRT and optimal time of commencement after cancer treatment. Vaginal estrogens can be very effective for improving urogenital symptoms and are safe for the majority of women, including those for whom systemic HRT is contra-indicated, with rare exceptions. Alternative options to HRT are reviewed including pharmacological and non-pharmacological approaches.
Authors
| Alexandra Taylor | The Royal Marsden NHS Foundation Trust |
| Kathryn Clement | The Newcastle upon Tyne Hospitals NHS Foundation Trust |
| Tim Hillard | University Hospitals Dorset NHS Foundation Trust |
| Jenifer Sassarini | NHS Greater Glasgow and Clyde |
| Nithya Ratnavelu | Gateshead Health NHS Foundation Trust |
| Holly Baker-Rand | GRACE Centre, Musgrove Park Hospital, Somerset NHS Foundation Trust |
| Rebecca Bowen | Royal United Hospitals Bath NHS Foundation Trust and University of Bath |
| Melanie C Davies | University College London Hospitals |
| Katharine Edey | Royal Devon University NHS FoundationTrust |
| Andreia Fernandes | The Royal Marsden NHS Foundation Trust |
| Sadaf Ghaem-Maghami | Imperial College |
| Nana Gomes | The Royal Marsden NHS Foundation Trust |
| Sarah Gray | GP Specialist, St Erme Medical, Truro |
| Eluned Hughes | Jo’s Trust Charity |
| Anna Hudson | Ovacome Ovarian Cancer charity |
| Ranjit Manchanda | Queen Mary University of London; Barts Health NHS Trust |
| Kristyn Manley | University Hospitals Bristol NHS Foundation Trust |
| Shibani Nicum | University College London and University College Hospital |
| Andrew Phillips | University Hospitals of Derby and Burton NHS Foundation Trust |
| Alison Richardson | Care Fertility; University Hospitals of Derby and Burton NHS Foundation Trust |
| Jo Morrison | GRACE Centre, Musgrove Park Hospital, Somerset NHS Foundation Trust and University of Exeter |