Menopausal Hormone Therapy and the Pharmacist's Responsibilities in Supporting Women's Health

Dragana Skokovic-Sunjic, PhC

Dragana Skokovic–Sunjic is a Clinical Pharmacist with Hamilton Family Health Team and NAMS Certified Menopause Practitioner. In addition to her collaborative clinical practice, she is a leader in knowledge mobilization for probiotics in Canada and United States. Translating scientific research in this field, she authored “Clinical Guide to Probiotic Supplements Available in Canada” and “Clinical Guide to Probiotic Products Available in the US”.  This practical clinical tool is independently reviewed and updated annually  in order to reflect the latest evidence and include new probiotic products on Canadian and US market. Her project had been recognized internationally, receiving a Scientific Frontiers Award at Probiota 2015 Conference in Amsterdam, February 3-5, 2015 and similar recognition at Probiota Americas conference in San Diego, June 2-5, 2015. Clinical Guide to Probiotics was presented at Probiota World Congress in Barcelona in February 2018. She was invited speaker at International Probiotic Conference in Budapest, June 2018.

 In 2003, Dragana attained certification as Menopause Practitioner with North American Menopause Society (NAMS).  In 2008 she received Wyeth Apothecary Award for Specialty Practice, awarded by the Ontario Pharmacists Association to a pharmacist who has completed specialty education or training and as a result has successfully expanded his or her professional practice. She is actively involved as a Board Member with the Canadian Menopause Society (SIGMA). Her work in the field of women’s health and probiotic influence on microbiome has been presented at two International Menopause Society World Congress (Prague, Czech Republic, Sept 2016 and June 2018, Vancouver) and North American Menopause Society Annual Meeting (Orlando, FL, Oct 2016), and published in their respective scientific journals.


In Canada, the median age of menopause is 51. With the aging demographic, a large cohort of women will reach this age during the next decade. Menopausal symptoms can have a significant impact on women’s lives, as they often develop at a time when women may be supporting extended family, working fulltime and making other important contributions to society at large. Pharmacists are ideally positioned and have the responsibility to offer evidence-based information on managing menopausal symptoms.

Learning Objectives:

After listening this presentation, pharmacists will be able to:

  • Understand the effects of menopausal symptoms on overall health
  • Appreciate latest recommendations for menopausal hormone therapy (MHT) and correlation between benefits and risks
  • Dispel common misconceptions associated with MHT and provide evidence-based advice to patients and prescribers
  • Adopt the pharmacist’s role in advising patients deciding on appropriate approaches in menopausal symptom management