Guideline comparison
The S3 guideline, applied to her
Hormone therapy is the most effective treatment of vasomotor symptoms; the route and the preparation are chosen by the patient's risk profile, and the decision is shared with her.
S3-Leitlinie Peri- und Postmenopause, DGGG, AWMF 015-062, 2020AppliesTransdermal estradiolMigraine with aura and a rising LDL favor the transdermal route; no increase in venous thrombosis risk at standard doses
AppliesMicronized progesteroneUterus in place; oral progesterone in the evening, also helps sleep
CaveatA hip fracture in the familyMother at 68; not a contraindication, and a reason to repeat the bone density (DXA) of January 2025 in the usual interval
Ruled outOral combined preparationsMigraine with aura in the history
The society's sentence is quoted, not paraphrased. What follows is this chart checked against it.