Case 28. Some (Don’t) Like It Hot: Menopause in Women with HIV

A 53-yr-old woman has a long history of HIV and a fully suppressed viral load. She feels irritable, does not feel rested in the mornings, and wakes up with sweats at night. Listen as Eileen Scully of Johns Hopkins and guest Sara Looby, from Massachusetts General Hospital, assess her symptoms and history, diagnose her stage of menopause, and evaluate the risks and benefits of menopausal hormonal treatment.

References:

• Santoro N. 2004. Expert view: Menopause misinformation is everywhere. Here’s how to detect it. ACOG.org.
• Women's Health Initiative: Changing the future of women’s health.
• Manson JE, et al. Menopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women's Health Initiative randomized trials. JAMA. 2013;310(13):1353-68. 

Related Guidelines and Resources:

• DHHS: Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents With HIV → Considerations for Antiretroviral Use in Special Populations → Women With HIV → HIV and Menopause
• International Menopause Society (IMS): IMS Recommendations and Key Messages on Women’s Midlife Health and Menopause
• The Menopause Society
• Her & Now