World Menopause Day is held every year on 18 October.
The purpose of the day is to raise awareness on the menopause and support options for improving health and wellbeing.
The theme of World Menopause Day in 2019 is “Testosterone for Women at Midlife”. The International Menopause Society (IMS) has developed a number of resources from the Global Consensus Position Statement on the Use of Testosterone Therapy for Women, launched by the IMS on 2 September 2019, to support women with hypoactive sexual desire disorder/dysfunction (HSDD) post-menopause.
For women there is a Patient Booklet - Testosterone and Women developed by the IMS which explains that testosterone can help to alleviate some health-related issues of menopause
For health professionals the white paper International consensus on testosterone treatment for women is available for download.
Links to these resources plus a link to the media release may be found at www.menopause.org.au/health-info/resources
Dr Sonia Davison, endocrinologist and AMS President, has developed a case study on testosterone therapy for HSSD.
Sue, 54 yr old lady, presents asking advice about lowered libido.
- Hashimoto’s thyroiditis
- Thyroxine 100mcg
- Rosuvastatin 10mg
- Estradot 50mcg
- Prometrium 100mg
Sue originally presented 2 years ago with a 12 month history of hot flushes and night sweats, sleep disruption, irregular periods, mood instability and weight gain. She was commenced on sequential hormone therapy (MHT) initially and changed to continuous MHT as withdrawal bleeds became scant and ceased altogether. Sue has no current vasomotor symptoms, sleeps well and has no side effects on MHT.
On further questioning Sue reveals that she is lacking in energy and motivation, her mood is flat at times, and libido has gradually been diminishing after the birth of her last child, 18 years ago. Her relationship is good, with an understanding partner, and there is no vaginal dryness or urinary symptoms. Intimacy within the relationship is important to her and Sue is distressed about the change in sexual function and worried that this will have an impact on her relationship. Although there is some stress associated with work and the health of her 78 year old mother, Sue otherwise feels that her mood is stable and does not have features suggestive of anxiety or depression.