To assess whether a patient is a suitable candidate for hormone replacement therapy (HRT), first evaluate the presence of menopausal symptoms such as vasomotor or genitourinary symptoms, and consider if lifestyle measures or non-hormonal treatments have been ineffective NICE CKS.
Assess the patient's medical history, including any contraindications such as personal or family history of breast cancer, thromboembolic disease, or other significant health risks NICE CKS.
Review the patient's co-morbidities, such as cardiovascular disease, diabetes, or hypothyroidism, and manage these risk factors appropriately before considering HRT NICE CKS.
Discuss the potential benefits and risks of HRT with the patient, including the importance of individual choice, and consider offering the lowest effective dose for the shortest duration necessary NICE CKS.
Evaluate the patient's age and specific circumstances, such as premature ovarian insufficiency or early menopause, and tailor the assessment accordingly NICE CKS.
If there is uncertainty about safety or appropriateness, liaise with relevant specialists or seek advice from a healthcare professional with expertise in menopause NICE CKS.