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Practitioner’s Toolkit for the Management of the Menopause

Developed by the Women’s Health Research Program in the Monash University School of Public Health and Preventive Medicine, 2023.
The supporting notes for the Practitioner’s Toolkit for Managing Menopause are published, with free access, in Climacteric, the journal of the International Menopause Society

Download the algorithms pdfA Practitioner’s Toolkit for Managing Menopause556.09 KB

A practitioners toolkit for managing menopause A practitioners toolkit for managing menopause 2

The 2023 Practitioner’s Toolkit for Managing Menopause

Available online - open access to download.


Objective: The Practitioner’s Toolkit for Managing the Menopause, developed in 2014, provided an accessible desk-top tool for health-care practitioners caring for women at midlife. To ensure the Toolkit algorithms and supporting information reflect current best practice, the Toolkit has been revised in accordance with the published literature.

Methods: A systematic search for guidelines, position and consensus statements pertaining to the menopause and published after 2014 was undertaken, and key recommendations extracted from the Clinical Practice Guidelines determined to be the most robust by formal evaluation. The peer-reviewed literature was further searched for identified information gaps.

Results: The revised Toolkit provides algorithms that guide the clinical assessment and care of women relevant to menopause. Included are the reasons why women present, information that should be ascertained, issues that may influence shared decision-making and algorithms that assist with determination of menopausal status, menopause hormone therapy (MHT) and non-hormonal treatment options for symptom relief. As clear guidelines regarding when MHT might be indicated to prevent bone loss and subsequent osteoporosis in asymptomatic women were found to be lacking, the Toolkit has been expanded to support shared decision-making regarding bone health.

Conclusions: The 2023 Toolkit and supporting document provide accessible desk-top information to support health-care providers caring for women at midlife.The Toolkit has been endorsed by the International Menopause Society, Australasian Menopause Society, British Menopause Society, Endocrine Society of Australia and Jean Hailes for Women’s Health


This is an Open access article distributed under the terms of the Creative Commons attribution-NonCommercial-NoDerivatives license (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. the terms on which this article has been published allow the posting of the accepted manuscript in a repository by the author(s) or with their consent.

2023 Practitioners Toolkit for the Menopause


Download PDF for algorithms and supporting documentation here

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Content updated November 2023