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<p>The National Institute for Health and Care Excellence (NICE) guidelines for menopause
were updated in December 2019 and include criteria for the diagnosis, investigation
and treatment of early menopause. NHS England and NHS Improvement expect all providers
to give due regard to NICE’s guidance.</p><p>After diagnosis has been confirmed in
primary care, women with premature ovarian insufficiency (POI) or early menopause
are generally referred to a specialist menopause clinic. The clinic will conduct further
tests and, where appropriate, women will be offered treatment and fertility advice.
After the initial consultations, women with POI should be reviewed after three months
to assess the efficacy of their treatment. Further appointments should then be tailored
to the needs of the individual.</p>
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