Learning objectives

• Understand the indications for prescribing Menopause Hormone Therapy (MHT)
• Know the basic starting doses for estrogen and progestogens in prescribing
• Understand risks and contraindications to hormone therapy

Perimenopause can be a confusing time — not only for patients, but for prescribers and caregivers as well. Standard menopausal hormone therapy does not always meet the needs of perimenopausal patients due to persistent bleeding, the need for contraception, and other factors. This lecture covers the ins and outs of perimenopause management, from early symptoms and associated health risks to the variety of prescription options available.