American College of Physicians

Rule Changes

Published a related first-line treatment guideline in October 2026

For the first time since 2014, the American College of Obstetricians and Gynecologists (ACOG) has rewritten how doctors should treat menopause symptoms. Its October 15 update makes hormone replacement therapy the first-line option for most recently menopausal women and adds nonhormonal medications plus behavioral therapies to the toolkit.

Updated Yesterday