by Digumarti Leela, Agarwal Neelam, Vaze Nirmala
The Clinical Practice Guidelines on Menopause helps the busy clinician in extending optimal care to the aging woman. Effort has been directed to tailor the recommendations to the diverse Indian scenario with the best available evidence. Developing management of menopause as a medical specialty within obstetrics and gynecology care lies with the government and nongovernment organizations. Recommendations are based on strong evidence and, suggestions on experience-based evidence. The specific issues pertaining to Indian women include an early age of natural menopause, genetic, and environmental influences, nutritional deficiencies and excesses resulting in physiological differences. These factors contribute significantly to an increased incidence of diabetes, cardiovascular disease, osteoporosis, and thyroid dysfunction. Attention needs to be directed toward implementation of programs that will help to sensitize and increase awareness of menopause among women in India.
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