ACOG has issued a clinical practice guideline covering vasomotor, sleep and mood symptoms of spontaneous or induced menopause at or after age 40. A three-member writing team screened studies against set criteria, assessed quality, and used a modified GRADE evidence-to-decision framework.
Each recommendation carries a strength and an evidence-quality grade, and the guideline adds ungraded Good Practice Points where evidence was too thin for a formal recommendation. It covers both hormonal and non-hormonal drug options and non-drug approaches.
The abstract does not list the individual recommendations, so the specific advice should be read in the full guideline before it changes a protocol. Its value is a single graded reference for the symptoms that bring most midlife women to clinic.
- Read the full guideline before revising local menopause protocols.
- Check which recommendations are strong and which are Good Practice Points only.
- Use it alongside existing menopause guidance for women under 40, which it does not cover.
- Ask specifically about sleep and mood, not only hot flushes.
Why it matters
Graded recommendations let clinicians separate firm advice from expert opinion when patients arrive with conflicting online claims.
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