Journal of Menopausal Medicine最新文献_第2页

Skin Rejuvenation in Women using Menopausal Hormone Therapy: A Systematic Review and Meta-Analysis 使用绝经期激素治疗的女性皮肤年轻化:系统回顾和荟萃分析

Journal of Menopausal Medicine Pub Date : 2023-01-01 DOI: 10.6118/jmm.22042

Laura Pivazyan, Julietta Avetisyan, Maria Loshkareva, Amina Abdurakhmanova

引用次数: 0

Pattern and Predictors of Sexual Activity among Postmenopausal Women Attending a Family Medicine Clinic in Ilorin, North-Central Nigeria. 在尼日利亚中北部伊洛林参加家庭医学诊所的绝经后妇女的性活动模式和预测因素。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22015

Ismaila Aberi Obalowu, Louis Okebunor Odeigah, Abdulkadir Mohammed, Christy Olanike Ademola, Adebayo Ramat Yusuf

{"title":"Pattern and Predictors of Sexual Activity among Postmenopausal Women Attending a Family Medicine Clinic in Ilorin, North-Central Nigeria.","authors":"Ismaila Aberi Obalowu, Louis Okebunor Odeigah, Abdulkadir Mohammed, Christy Olanike Ademola, Adebayo Ramat Yusuf","doi":"10.6118/jmm.22015","DOIUrl":"https://doi.org/10.6118/jmm.22015","url":null,"abstract":"Objectives: Sexual activity tends to decline with age and is greatly impacted in postmenopausal women. This study aimed to describe the sexual activity pattern among postmenopausal Nigerian women and also detect socio-demographic and menopause-related predictors of their sexual activity.Methods: In this hospital-based cross-sectional study, 357 postmenopausal women between 45-60 years participated. Data was collected using the sexual activity questionnaire and a socio-demographic questionnaire developed by the authors.Results: The prevalence of sexual inactivity among the participants was 60%. This was attributed mainly to the unavailability of male partners (50.5%) and negative menopause-related sociocultural beliefs (23.8%). Among sexually active participants, 83.2% of them reported having pleasurable experiences and 53.8% of them reported no associated sexual discomfort. Only being in a marital relationship was found to be a statistically significant predictor of sexual activity among the participants (regression coefficient = 3.125, degree of freedom = 1, P < 0.0001).Conclusions: We reported a high prevalence of sexual inactivity among the participants; the most important reasons given were the unavailability of their husbands and the belief that sexual intercourse was taboo during the postmenopausal period. The study also provided positive evidence for the importance of marriage for sexual activity among the participants.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"28 3","pages":"121-127"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/6d/jmm-28-121.PMC9843035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9149194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Levonorgestrel Releasing Intrauterine System in Perimenopausal Women with Heavy Menstrual Bleeding: A Prospective Study at a Teaching Hospital in India. 左炔诺孕酮释放宫内系统对围绝经期重度月经出血妇女的疗效:印度一家教学医院的前瞻性研究

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22025

Nidhi, Archana Kumari, Sarita Tirkey, Jay Prakash

{"title":"Effectiveness of Levonorgestrel Releasing Intrauterine System in Perimenopausal Women with Heavy Menstrual Bleeding: A Prospective Study at a Teaching Hospital in India.","authors":"Nidhi, Archana Kumari, Sarita Tirkey, Jay Prakash","doi":"10.6118/jmm.22025","DOIUrl":"https://doi.org/10.6118/jmm.22025","url":null,"abstract":"Objectives: To evaluate the effect of levonorgestrel-releasing intrauterine system (LNG-IUS) on heavy menstrual bleeding in perimenopausal women.Methods: This was a prospective, observational clinical study conducted on 42 perimenopausal women with heavy menstrual bleeding who met the study eligibility criteria. LNG-IUS was inserted in the postmenstrual phase following baseline evaluation. The patients were followed up at the 4, 12, and 24 weeks. Pictorial blood assessment chart (PBAC) score, hemoglobin and serum ferritin levels, and endometrial thickness were assessed before insertion and during the follow-up visits.Results: Two patients (4.8%) were lost to follow-up, three patients (7.1%) opted for hysterectomy, two women (4.8%) experienced spontaneous expulsion and 35 (83.3%) women continued the usage. Menstrual blood loss assessed using the median PBAC score (interquartile range) significantly reduced (P < 0.001) from the pre-insertion level of 280 (246-306) to 124 (60-200) at 4 weeks to 45 (34-76) at 12 weeks and further to 32 (20-50) at the end of 24 weeks. Simultaneously, a significant (P < 0.001) improvement in the mean hemoglobin and serum ferritin levels and a significant (P < 0.001) decrease in endometrial thickness were observed. The most common side effect was spotting (50.0%) and vaginal discharge (38.1%).Conclusions: LNG-IUS causes a remarkable reduction in menstrual blood loss and marked improvement in dysmenorrhea. It also reduces anemia by improving the hemoglobin and ferritin levels. Thus, it can serve as an effective treatment option for heavy menstrual bleeding in perimenopausal women and prevent the need for a hysterectomy.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"28 3","pages":"128-135"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/4c/jmm-28-128.PMC9843034.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10584134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Trabecular Bone Score as a Risk Factor of Major Osteoporotic Fracture in Postmenopausal Women: The First Study in Thailand. 骨小梁评分作为绝经后妇女发生重大骨质疏松性骨折的风险因素：泰国首次研究。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22011

Atiporn Therdyothin, Tanawat Amphansap

{"title":"Trabecular Bone Score as a Risk Factor of Major Osteoporotic Fracture in Postmenopausal Women: The First Study in Thailand.","authors":"Atiporn Therdyothin, Tanawat Amphansap","doi":"10.6118/jmm.22011","DOIUrl":"10.6118/jmm.22011","url":null,"abstract":"Objectives: To compare the trabecular bone score (TBS) between Thai postmenopausal women with and without major osteoporotic fracture, and to determine whether TBS is associated with fracture risk.Methods: All postmenopausal women sent for dual-energy X-ray absorptiometry (DXA) at the Police General Hospital were retrospectively recruited. The hospital's online database and radiographs were reviewed to collect information on underlying disease, medication, previous fractures, bone mineral density, and trabecular bone score. Patients with anti-osteoporotic medication use, skeletal malignancy, fracture from high-energy trauma, and uninterpretable DXA images were excluded.Results: A total of 407 Thai postmenopausal women were enrolled. They were divided into 292 women without fractures and 115 women with major osteoporotic fractures. The fracture group was older (73.36 ± 9.95 vs. 66.00 ± 8.58, P < 0.001) and had lower serum 25-hydroxyvitamin D levels (23.28 ± 9.09 vs. 26.44 ± 9.20, P = 0.023). The mean TBS was lower in the fracture group, compared to the non-fracture group (1.244 ± 0.101 vs. 1.272 ± 0.099, P = 0.011). The subgroup analysis resulted in noticeably lower TBS in spine fracture, but not other fracture sites. The odds ratio of fracture was 1.355 (P = 0.013) for a decrease in one standard deviation of TBS.Conclusions: TBS was significantly lower in postmenopausal women having fractures with an odd ratio of 1.355 (P = 0.013) per SD decrease in TBS. Categorizing by fracture sites, TBS was only found to be noticeably lower in the lumbar spine despite similar lumbar spine bone mineral density.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"28 3","pages":"112-120"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/bf/jmm-28-112.PMC9843030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9149196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Review of Gender-Affirming Hormone Therapy for Transgender and Gender Diverse Adults in South Korea. 性别确认激素治疗在韩国跨性别和性别多样化的成年人的回顾。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22039

Jeong-Won Oh, Yeoul Yun, Eun Sil Lee

{"title":"A Review of Gender-Affirming Hormone Therapy for Transgender and Gender Diverse Adults in South Korea.","authors":"Jeong-Won Oh, Yeoul Yun, Eun Sil Lee","doi":"10.6118/jmm.22039","DOIUrl":"https://doi.org/10.6118/jmm.22039","url":null,"abstract":"Recently, gender-affirming hormone therapy for gender incongruence has become an issue in various countries and organizations with various guidelines. In South Korea, several clinical treatments are also used with many possible options. These treatments include masculinizing (female-to-male [FTM]) or feminizing (male-to-female [MTF]) hormone therapies, with regimens usually driven by standards of hormonal replacement therapy for hypogonadism (i.e., hypogonadal natal men and postmenopausal women). This cross-sex hormone therapy can change patients' physical appearance to better match their gender identity and expression. Regarding masculinizing therapy, injection and transdermal gel types of testosterone are used according to international guidelines. Progesterone is utilized in the form of oral pills, injections, or intrauterine devices to suppress menstruation and avoid pregnancy. Essentially, feminizing therapy uses androgen blockers along with estrogen. This is because estrogen alone cannot exert sufficient androgen-suppressing effects. In South Korea, the most commonly used androgen blockers are spironolactone and cyproterone acetate. Gonadotropin-releasing hormone (GnRH) agonist is also available. Regarding estrogen, oral pills, injections, and transdermal gels are utilized. This review introduces these gender-affirming hormone therapies in South Korea and discusses the side effects of each regimen.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"28 3","pages":"92-102"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/33/jmm-28-92.PMC9843037.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10584135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Hematometra Due to Cervical Stenosis in a Postmenopausal Woman with Incidental Ovarian Steroid Cell Tumor: A Case Report. 绝经后妇女伴卵巢类固醇细胞瘤并发宫颈狭窄致出血1例报告。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22036

Yong Jin Park, Ju Hee Kim, Jihye Koh

引用次数: 0

A Case Report of Neglected Gossypiboma Causing Abdominal Pain for 20 Years Post-Cesarean Section. 剖宫产术后20年被忽视的棉鞘瘤引起腹痛1例。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22022

Jisong Min, Saemi Lee, Won-Ji Kim, Sung Eun Kim

引用次数: 2

Vaginal Laser Therapy for Stress Urinary Incontinence: A Systematic Review of Prospective Randomized Clinical Trials. 阴道激光治疗压力性尿失禁:前瞻性随机临床试验的系统回顾。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22017

Amene Ranjbar, Vahid Mehrnoush, Fatemeh Darsareh, Ahmed Kotb, Ahmed Zakaria, Mitra Shekari, Malihe Shirzadfard Jahromi

{"title":"Vaginal Laser Therapy for Stress Urinary Incontinence: A Systematic Review of Prospective Randomized Clinical Trials.","authors":"Amene Ranjbar, Vahid Mehrnoush, Fatemeh Darsareh, Ahmed Kotb, Ahmed Zakaria, Mitra Shekari, Malihe Shirzadfard Jahromi","doi":"10.6118/jmm.22017","DOIUrl":"https://doi.org/10.6118/jmm.22017","url":null,"abstract":"The most common type of urinary incontinence in women is stress urinary incontinence (SUI) which negatively impacts several aspects of life. The newly introduced vaginal laser therapy is being considered for treating SUI. This systematic review aimed to evaluate the efficacy of vaginal laser therapy for stress urinary incontinence in menopausal women. We searched the following databases: MEDLINE (via PubMed), EMBASE, Cochrane Library databases, Web of Science, clinical trial registry platforms, and Google Scholar, using the MeSH terms and keywords [Urinary Incontinence, Stress] and [(lasers) OR laser]. In our systematic review, prospective randomized clinical studies on women diagnosed with SUI as per the International Continence Society's diagnostic criteria were included. The Cochrane Risk-of-Bias assessment tool for randomized clinical trials was used to evaluate the quality of studies. A total of 256 relevant records in literature databases and registers and 25 in additional searches were found. Following a review of the titles, abstracts, and full texts, four studies involving 431 patients were included. Three studies used CO2-lasers, and one used Erbium: YAG-laser. The results of all four studies revealed the short-term improvement of SUI following both the Erbium: YAG-laser and CO2-laser therapy. SUI treatment with CO2-laser and Erbium: YAG-laser therapy is a quick, intuitive, well-tolerated procedure that successfully improves incontinence-related symptoms. The long-term impact of such interventions has not been well established as most trials focused on the short-term effects.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"28 3","pages":"103-111"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/f4/jmm-28-103.PMC9843031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9134759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Up-to-Date Knowledge on Osteoporosis Treatment Selection in Postmenopausal Women. 绝经后妇女骨质疏松症治疗选择的最新知识。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22007

Hye Gyeong Jeong, Min Kyung Kim, Hee Jeung Lim, Seul Ki Kim

引用次数: 0

Labial Adhesion Secondary to Lichen Sclerosus Masked by Vulvar Hailey-Hailey Disease. 外阴黑利-黑利病掩盖的硬苔继发唇粘连。

Journal of Menopausal Medicine Pub Date : 2022-12-01 DOI: 10.6118/jmm.22020

Elizabeth Suárez-Marquez, Luis Fernando Garcia-Rodriguez, Lucia Treviño-Rangel, María D Guerrero-Putz

引用次数: 1