A milestone is defined as a significant stage or event in the development of something. NG23 is not a milestone document but another millstone around the neck of a profession that is trying to maintain the trust that patients have in it.. NICE needs to choose its words carefully. A 'sound bite' can often bite you back.
The term "Menopause" is frequently associated with thoughts of flushes, sweats and the dilemma of whether or not to take HRT. In addition, fluctuations in hormone levels during the peri-menopausal phase causes changes in messaging in the brain, which can lead to mood swings, irritability, loss of confidence and depression.