Management of menopausal symptoms in women with a history of breast cancer

This guideline includes Evidence Summaries and Recommendations based on available evidence about the effectiveness and safety of different therapies for managing menopausal symptoms in women after breast cancer. The guideline provides health professionals and breast cancer patients with information to support decisions regarding the choice of particular therapies for the management of menopausal symptoms in the context of past or ongoing treatment for breast cancer.

Dec 2016 | Incorporates published evidence to Nov 2015

Document Satus: Greater than 5 years. This resource was developed, reviewed or revised more than 5 years ago and may no longer reflect current evidence or best practice.

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Background
Grading of Clinical Practice Recommendations
Clinical Practice Recommendations and Practice Points
Summary of Evidence - Methodology
Summary of Evidence - Introduction
Summary of Evidence - Vasomotor symptoms
- Vasomotor symptoms: Pharmacological interventions
- Vasomotor symptoms: Hormonal interventions
- Vasomotor symptoms: Psychological and physical interventions
- Vasomotor symptoms: Complementary therapies
Summary of Evidence - Sleep disturbance
- Sleep disturbance: Pharmacological interventions
- Sleep disturbance: Hormonal interventions
- Sleep disturbance: Psychological and physical interventions
- Sleep disturbance: Complementary therapies
Summary of Evidence - Vulvovaginal symptoms and sexual function
- Vulvovaginal symptoms and sexual function: Pharmacological interventions
- Vulvovaginal symptoms and sexual function: Hormonal interventions
- Vulvovaginal symptoms and sexual function: Psychological and physical interventions
- Vulvovaginal symptoms and sexual function: Complementary therapies
Summary of Evidence - Depression and anxiety
- Depression and anxiety: Pharmacological interventions
- Depression and anxiety: Hormonal interventions
- Depression and anxiety: Psychological and physical interventions
- Depression and anxiety: Complementary therapies
Summary of Evidence - Mood and emotional wellbeing
- Mood and emotional wellbeing: Pharmacological interventions
- Mood and emotional wellbeing: Hormonal interventions
- Mood and emotional wellbeing: Psychological and physical interventions
Summary of Evidence - Mental health
- Mental health: Pharmacological interventions
- Mental health: Psychological and physical interventions
Summary of Evidence - Global quality of life
- Global quality of life: Pharmacological interventions
- Global quality of life: Hormonal interventions
- Global quality of life: Psychological and physical interventions
- Global quality of life: Complementary therapies
Summary of Evidence - Breast cancer recurrence
Strengths and Weaknesses of the Evidence
Unanswered Questions Regarding Treatments of Interest
International Guidelines
Ongoing and Additional Trials of Interest
Drug Contraindications and Side Effects
Evidence Matrix
References
Acknowledgements
Additional Information
Appendix 1: Grading Methodology
Appendix 2: Evidence Summaries
Appendix 3: Recommendation Grading Forms

Management of menopausal symptoms in women with a history of breast cancer