Interventions for Menopause

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Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
School based education programs (comprehensive sexual education) Sensitization of religious leaders and other stakeholder on sexual health Services to increase physical activity Education on avoiding the use of drugs for sexuality			Provision of menstrual care products
Primary Care
Counselling on menarche Counselling on menstruation Sensitization of religious leaders and other stakeholder on sexual health Services for recreation (Sex) Education on avoiding the use of drugs for sexuality			History and physical examination for menstrual health problems Counselling on menstrual disorders Management of anaemia related to heavy menstrual bleeding Counselling on respectful and equal gender relations and rights Counselling on sexuality and sexual health, including consent and age of maturation Clinical assessment for sexual dysfunction and other sexual health complications Referral for severe menstrual disorders
Referral Facility: General
Counselling on menarche Counselling on menstruation Sensitization of religious leaders and other stakeholder on sexual health Services for recreation (Sex) Education on avoiding the use of drugs for sexuality			History and physical examination for menstrual health problems Counselling on menstrual disorders Management of menstrual disorders Management of anaemia related to heavy menstrual bleeding Counselling on respectful and equal gender relations and rights Counselling on sexuality and sexual health, including consent and age of maturation Clinical assessment for sexual dysfunction and other sexual health complications Referral for severe menstrual disorders Topical vaginal lubricants (for use during sexual activity)
Referral Facility: Specialist

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Sensitization of religious leaders and other stakeholder on sexual health Services to increase physical activity Education on avoiding the use of drugs for sexuality			Provision of menstrual care products
Primary Care
Counselling on menstruation and menopause Sensitization of religious leaders and other stakeholder on sexual health			History and physical examination for menstrual health problems Counselling on menstrual disorders including menopause Management of anaemia related to heavy menstrual bleeding Counselling on respectful and equal gender relations and rights Clinical assessment for sexual dysfunction and other sexual health complications Referral for severe menstrual disorders
Referral Facility: General
			History and physical examination for menstrual health problems Counselling on menstrual disorders Management of menstrual disorders including menopause symptoms Management of anaemia related to heavy menstrual bleeding Hormone therapy for relieving menopausal symptoms including hot flashes. Clinical assessment for sexual dysfunction and other sexual health complications Topical vaginal lubricants for vaginal dryness Referral for severe menstrual disorders
Referral Facility: Specialist
			History and physical examination for menstrual health problems Counselling on menstrual disorders Management of menstrual disorders including menopause symptoms Management of anaemia related to heavy menstrual bleeding Hormone therapy for relieving menopausal symptoms including hot flashes. Clinical assessment for sexual dysfunction and other sexual health complications Topical vaginal lubricants for vaginal dryness

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness on the need of regular exercise, eating a healthy diet, discontinuing smoking and maintain a healthy weight to reduce risk of CVDs Community awareness on the symptoms of menopause and mood changes.			Advice on lifestyles changes, that can assist with the management of symptoms Early identification severe menopausal symptoms for early referral
Primary Care
	Health education on the need of regular exercise, eating a healthy diet, discontinuing smoking and maintain a healthy weight to reduce risk of CVDs Health education on the symptoms of menopause and mood changes and its management		Counselling on menopause symptoms and management Advice on lifestyles changes, that can assist with the management of symptoms Topical vaginal lubricants for vaginal dryness Referral for severe menopausal symptoms
Referral Facility: General
			Management of menopause symptoms Management of anaemia related to heavy post-menopausal bleeding Hormone therapy for relieving menopausal symptoms Management of sexual dysfunction Topical vaginal lubricants for vaginal dryness Referral for severe menopausal symptoms
Referral Facility: Specialist
			Management of menopause symptoms Management of anaemia related to heavy post-menopausal bleeding Hormone therapy for relieving menopausal symptoms Management of sexual dysfunction Topical vaginal lubricants for vaginal dryness Referral for severe menstrual disorders