The recent draft menopause guidelines announced by NICE on 17 November 2023, recommended cognitive behavioural therapy (CBT) alongside or as an alternative to hormone replacement therapy (HRT) for menopause symptoms. It has sparked a range of reactions. While some see it as a positive step, offering more choice, others are concerned about potential delays in accessing HRT. In this blog, I’ll explore why this development can be seen as a step forward, offering women more choices in managing their menopause.
Understanding the NICE Guidelines
NICE’s updated draft guidelines, highlight evidence that CBT can significantly reduce menopause symptoms such as hot flushes, night sweats, depressive symptoms and sleep problems. This is an important addition, bringing about more choice and offering insight into the supportive role of holistic therapies.
The Concerns
Understandably, many women are concerned. Many have had struggles to access HRT, including ongoing shortages and varying levels of support from healthcare professionals. They fear that this could lead to longer waits for HRT and that healthcare professionals might push CBT as a mandatory step before HRT. These concerns stem from a history of having to fight for proper menopause care and support.
A Holistic Approach
However, I feel it’s important to view this as an expansion of options, not a restriction. Menopause is a complex experience, and what works for one may not work for another. While HRT can be incredibly effective, it’s not a one-size-fits-all solution. For some women, HRT might be the key, while others might find relief in CBT or a combination of both.
The Role of Lifestyle & Stress Management
In my practice as a menopause coach, I emphasise the critical role of stress management in alleviating menopause symptoms. Many women continue to struggle with weight gain, low motivation, mood fluctuations, anxiety, and stress even with HRT. Gentle coaching and support play a significant role in this holistic approach. By helping women change behaviours and habits that exacerbate their symptoms, we can create lasting, positive changes and manage these challenges effectively.
Offering CBT alongside HRT can be seen as a positive development in providing comprehensive menopause care. It acknowledges the multi-faceted nature of menopause and the need for varied approaches. As we advocate for better menopause support, let’s also include more choice and the potential for holistic care.
If you would like to explore working with me 1-2-1 in 2024 to get personalised support with your perimenopause and menopause and gain long term relief from your symptoms, I am here for you, just use the contact button below.