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An app to help women and clinicians manage menopausal symptoms: This menopause app facilitates personalized treatment decisions.

In North America, women experience menopause (the permanent cessation of menstruation due to loss of ovarian activity) at a median age of 51 years. They may experience symptoms of perimenopause, or the menopause transition, for several years before menstruation ceases. Menopausal symptoms include vasomotor symptoms, such as hot flushes, and vaginal symptoms, such as vaginal dryness and pain during intercourse. (1)

Women may have questions about treating menopausal symptoms, maintaining their health, and preventing such age-related diseases as osteoporosis and cardiovascular disease. The decision to treat menopausal symptoms is challenging for women as well as their clinicians given that recommendations have changed over the past few years.

A free app with multiple features. The North American Menopause Society (NAMS) has developed a no-cost mobile health application called MenoPro for menopausal symptom management based on the organization's 2017 recommendations. (2) The app has 2 modes: one for clinicians and one for women/ patients to support shared decision making.

For clinicians, the app helps identify which patients with menopausal symptoms are candidates for pharmacologic treatment and the options for optimal therapy. The app also can be used to calculate a 10-year cardiovascular disease (heart disease and stroke) risk assessment. In addition, it contains links to a breast cancer risk assessment as well as an osteoporosis/bone fracture risk assessment tool (FRAX model calculator). Finally, MenoPro includes NAMS's educational materials and information pages on lifestyle modifications to reduce hot flushes, contraindications and cautions to hormone therapy, pros and cons of hormonal versus nonhormonal options, a comparison of oral (pills) and transdermal (patches, gels, sprays) therapies, treatment options for vaginal dryness and pain with sexual activities, and direct links to tables with the various formulations and doses of medications.

The table details the features of the MenoPro app based on a shortened version of the APPLICATIONS scoring system, APPLI (app comprehensiveness, price, platform, literature used, and important special features). (3) I hope that the app described here will assist you in caring for women in the menopausal transition.

Dr. Chen is Professor of Obstetrics, Gynecology, and Reproductive Science and Medical Education, Vice-Chair of Ob-Gyn Education for the Mount Sinai Health System, Icahn School of Medicine, Mount Sinai, New York, New York. She is an OBG Management Contributing Editor.

The author reports being an advisory board member and receiving royalties from UpToDate, Inc.

References

(1.) American College of Obstetricians and Gynecologists. Practice bulletin no. 141: Management of menopausal symptoms. Obstet Gynecol. 2014;123:202-216.

(2.) The 2017 hormone therapy position statement of The North American Menopause Society. Menopause. 2018;25:13621387.

(3.) Chyjek K, Farag S, Chen KT. Rating pregnancy wheel applications using the APPLICATIONS scoring system. Obstet Gynecol. 2015;125:1478-1483.
TABLE Recommended menopause app

App                 App compre-
                    hensiveness           Price    Platform

                    Clinical decision     Free     iTunes and
                    making (clinical               Google Play
                    decision support               store
                    systems, clinical
MenoPro by          treatment
NAMS                guidelines,
                    medical
                    calculators)

iTunes:
https://itunes.
apple.com/us/app
/menopro/
id922540237?mt=8

Google Play:
https://play.
google.com/store
/apps/details?
id=org.menopause.
menopro&hl=en_US

                    Literature    Important
                    used          special features

MenoPro by          2017 NAMS     * Uses patient
NAMS                hormone       data to decide
                    therapy       on candidates
                    position      for pharmacologic
                    statement     treatment of
                                  menopausal
                                  symptoms and
                                  optimal therapy

iTunes:                           * Calculates a
https://itunes.                   cardiovascular
apple.com/us/app                  disease risk score
/menopro/
id922540237?mt=8

Google Play:                      * Includes links
https://play.                     to a breast cancer
google.com/store                  risk score assessment
/apps/details?                    and an osteoporosis/
id=org.menopause.                 bone fracture risk
menopro&hl=en_US                  assessment

Abbreviation: NAMS, The North American Menopause Society.
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Title Annotation:App REVIEW
Author:Chen, Katherine T.
Publication:OBG Management
Article Type:Medical condition overview
Date:Jun 1, 2019
Words:591
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