Statement 1 Women over 45 years presenting with menopausal symptoms are diagnosed with perimenopause or menopause based on their symptoms alone, without confirmatory laboratory tests.
Statement 2 Women under 40 years presenting with menopausal symptoms have their levels of follicle-stimulating hormone measured.
Statement 3 Women with premature ovarian insufficiency are offered hormone replacement therapy or a combined hormonal contraceptive.
Statement 4 Women having treatment for menopausal symptoms have a review 3 months after starting each treatment and then at least annually.
Statement 5 Women who are likely to go through menopause as a result of medical or surgical treatment are given information about menopause and fertility before they have their treatment.
NICE has developed guidance and a quality standard on patient experience in adult NHS services (see the NICE pathway on patient experience in adult NHS services), which should be considered alongside these quality statements.
Other quality standards that should be considered when commissioning or providing menopause services include:
A full list of NICE quality standards is available from the quality standards topic library.