Journal of Menopausal Medicine最新文献_第6页

Clinical Efficacy of Hormonal and Nonhormonal Agents in the Treatment of Vulvovaginal Atrophy. 激素与非激素治疗外阴阴道萎缩的临床疗效观察。

Journal of Menopausal Medicine Pub Date : 2021-04-01 DOI: 10.6118/jmm.20026

Gokcen Ilhan, Mehmet Musa Aslan, Arif Serhan Cevrioglu, Muzaffer Yıldırım, Unal Erkorkmaz

{"title":"Clinical Efficacy of Hormonal and Nonhormonal Agents in the Treatment of Vulvovaginal Atrophy.","authors":"Gokcen Ilhan, Mehmet Musa Aslan, Arif Serhan Cevrioglu, Muzaffer Yıldırım, Unal Erkorkmaz","doi":"10.6118/jmm.20026","DOIUrl":"https://doi.org/10.6118/jmm.20026","url":null,"abstract":"Objectives: Symptomatic local treatment of vaginal atrophy (VA) in menopausal women includes hormonal and nonhormonal preparations. Some women may be reluctant to use vaginal estradiol preparations because of the concern for developing breast cancer and endometrial hyperplasia. Therefore, it is necessary to compare the therapeutic effectiveness of alternative vaginal drugs, such as promestriene, an estrogen agonist, and sodium hyaluronate (NaH), a nonhormonal, water-based agent.Methods: Ninety-one postmenopausal women diagnosed with symptomatic VA were divided into three groups and treated for 12 weeks; 30 women with vaginal estradiol (VE), 30 women with promestriene, and 31 women with NaH. Composite scoring, vaginal maturation index (VMI), pH, frequency of sexual activity, serum hormone levels, and endometrial thickness were evaluated VA before and after treatment.Results: In the comparison of VA examination findings composite scoring, VMI, and vaginal pH values, three different drugs were found to be effective in the treatment (P < 0.05). The VMI following VE treatment was significantly higher than that after NaH treatment (P = 0.031), whereas the promestriene group had a more positive change than the others in terms of increase in after treatment composite scoring and sexual activity frequency (P = 0.031, P = 0.020). There were no differences between the groups in terms of pre and after treatment serum E2 levels and endometrial thickness.Conclusions: Based on these findings, we can conclude that the use of promestriene or NaH can prove to be as effective and well tolerated as vaginal estradiol in the symptomatic treatment of vaginal atrophy.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"27 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/be/jmm-27-15.PMC8102808.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38945622","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: 6

Omental Incarceration over Twenty Years Presenting as a Hyperechoic Endometrial Mass in a Postmenopausal Woman. 绝经后妇女大网膜嵌顿超过20年表现为高回声子宫内膜肿块。

Journal of Menopausal Medicine Pub Date : 2021-04-01 DOI: 10.6118/jmm.21001

Gina Nam, Sa Ra Lee, Yu Ra Ko, Gwang Jun Kim

引用次数: 1

Morbidity Patterns among Menopausal Women in Rural Uttar Pradesh, India: A Cross-Sectional Study. 印度北方邦农村绝经期妇女发病率模式:一项横断面研究。

Journal of Menopausal Medicine Pub Date : 2021-04-01 DOI: 10.6118/jmm.19022

Debora J Mathew, Sandip Kumar, Pankaj Kumar Jain, Dhiraj Kumar Srivastava, Vaibhav Singh, Kiran Krishnappa

{"title":"Morbidity Patterns among Menopausal Women in Rural Uttar Pradesh, India: A Cross-Sectional Study.","authors":"Debora J Mathew, Sandip Kumar, Pankaj Kumar Jain, Dhiraj Kumar Srivastava, Vaibhav Singh, Kiran Krishnappa","doi":"10.6118/jmm.19022","DOIUrl":"https://doi.org/10.6118/jmm.19022","url":null,"abstract":"Objectives: The quality of life declines gradually as women enter menopause, owing to the various problems associated with estrogen deficiency and aging, which adds to their morbidities. This study aimed to investigate the patterns of morbidity among rural menopausal women and compare the morbidity patterns among menopausal transition group and post-menopausal women.Methods: This community-based cross-sectional study included menopausal women aged 45-55 years from rural areas of the Etawah district, Uttar Pradesh, India. To select blocks and villages of the district, multistage random sampling was performed. According to a pretested, semistructured schedule, data were collected through interviews.Results: A total of 315 women participated in the study. The most frequent complaints among the participants were of feeling tired and worn out (85.1%) and of muscle and joint pains (67.6%). Poor memory (P = 0.046) and diabetes (P = 0.024) were more common in women who were in the menopause transition phase than in those who were in the postmenopausal phase.Conclusions: This study showed that majority of the menopausal women suffered from physical problems. Lifestyle modification and awareness programs will be beneficial among women in menopausal transition, to reduce the morbidity later in post-menopausal stage. Behaviour change communication, family and community support are essential in post-menopausal women, to help them cope with various morbid conditions.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"27 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/b1/jmm-27-24.PMC8102814.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38865398","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: 2

The Effect of Evening Primrose Oil Capsule on Hot Flashes and Night Sweats in Postmenopausal Women: A Single-Blind Randomized Controlled Trial. 月见草油胶囊对绝经后妇女潮热和盗汗的影响:一项单盲随机对照试验。

Journal of Menopausal Medicine Pub Date : 2021-04-01 DOI: 10.6118/jmm.20033

Farideh Kazemi, Seyedeh Zahra Masoumi, Arezoo Shayan, Khodayar Oshvandi

{"title":"The Effect of Evening Primrose Oil Capsule on Hot Flashes and Night Sweats in Postmenopausal Women: A Single-Blind Randomized Controlled Trial.","authors":"Farideh Kazemi, Seyedeh Zahra Masoumi, Arezoo Shayan, Khodayar Oshvandi","doi":"10.6118/jmm.20033","DOIUrl":"https://doi.org/10.6118/jmm.20033","url":null,"abstract":"Objectives: Menopause is associated with complications that could decline women's health during this period. Therefore, some of its complications, such as hot flashes and night sweats, must be treated or alleviated.Methods: This randomized controlled trial included postmenopausal women who were referred to health centers in Hamadan from May 2018 to April 2019. The hot flash and night sweat questionnaires were completed by the researcher a week before and 8 weeks after the intervention. The intervention group took one capsule (1,000 mg) of evening primrose oil twice daily, while the control group received the same amount of placebo. Finally, the results were analyzed using Stata 13.Results: The mean scores of duration, frequency, and severity of hot flashes did not significantly decrease in both groups after the intervention compared with before the intervention, and no statistically significant difference was observed (P > 0.05). However, the intervention group had lower frequency and severity of night sweats after the intervention than the control group, with statistically significant differences (P < 0.05).Conclusion: Evening primrose oil effectively decreased the frequency and severity of night sweats.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"27 1","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/af/jmm-27-8.PMC8102809.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38945621","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

The Largest Uterine Leiomyoma Removed by Robotic-Assisted Laparoscopy in the Late Reproductive Age: A Case Report. 育龄晚期机器人辅助腹腔镜切除最大子宫平滑肌瘤1例。

Journal of Menopausal Medicine Pub Date : 2021-04-01 DOI: 10.6118/jmm.20028

Hye Gyeong Jeong, Min Jung Lee, Jung Ryeol Lee, Byung Chul Jee, Seul Ki Kim

{"title":"The Largest Uterine Leiomyoma Removed by Robotic-Assisted Laparoscopy in the Late Reproductive Age: A Case Report.","authors":"Hye Gyeong Jeong, Min Jung Lee, Jung Ryeol Lee, Byung Chul Jee, Seul Ki Kim","doi":"10.6118/jmm.20028","DOIUrl":"https://doi.org/10.6118/jmm.20028","url":null,"abstract":"Uterine leiomyoma is a very common gynecological tumor in the reproductive years. Recent studies have shown that surgical treatment of uterine leiomyoma using robotic-assisted laparoscopic myomectomy (RALM) is associated with significantly fewer complications, lower estimated blood loss, fewer conversions, and less bleeding than conventional laparoscopic myomectomy. This study reports the case of a giant uterine leiomyoma treated using RALM. A 50-year-old woman was referred to our outpatient clinic with progressive abdominal distension. Ultrasonography and magnetic resonance imaging were performed and showed a markedly enlarged uterus containing a 28-cm uterine myoma. RALM confirmed the 28-cm subserosal myoma on the posterior wall of the uterus. The myoma was enucleated, and the myometrial and serosal defect was repaired with a continuous suture using barbed suture materials. The entire myoma was removed using an electric morcellator. The operation lasted for 190 minutes. The total weight of the removed myoma was 3,262 g, and uterine leiomyoma was pathologically diagnosed. There were no postoperative complications. Although the treatment of huge myomas using RALM is controversial and technically demanding, we successfully performed RALM in a patient with a large myoma. This case confirms the efficiency, reliability, and safety of a robotic-assisted laparoscopic approach for removing a huge myoma. In a well-selected case, RALM can be performed by experienced surgeons regardless of the size of fibroids.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"27 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/e7/jmm-27-37.PMC8102812.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38865400","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: 2

Hemoperitoneum Caused by Spontaneous Rupture of Uterine Leiomyoma in a Perimenopausal Woman. 围绝经期妇女子宫平滑肌瘤自发性破裂所致腹膜出血。

Journal of Menopausal Medicine Pub Date : 2021-04-01 DOI: 10.6118/jmm.20037

Ji Hyun Choi, Hyun Ju Liu, Soo Min Heo, Soo Ah Kim

引用次数: 2

A Rare Case of Idiopathic Pyometra in a Premenopausal Patient. 罕见的绝经前患者特发性子宫积脓1例。

Journal of Menopausal Medicine Pub Date : 2020-12-01 DOI: 10.6118/jmm.20021

Kristina M Mori, Howard D Epstein, Michael C Roossin, Bram H Goldstein

{"title":"A Rare Case of Idiopathic Pyometra in a Premenopausal Patient.","authors":"Kristina M Mori, Howard D Epstein, Michael C Roossin, Bram H Goldstein","doi":"10.6118/jmm.20021","DOIUrl":"https://doi.org/10.6118/jmm.20021","url":null,"abstract":"Pyometra is a very uncommon disease principally occurring in postmenopausal women. It is characterized by the accumulation of purulent material within the uterine cavity. This paper presents the clinical history of a 35-year-old premenopausal woman with otherwise normal menstruation who developed heavy menstruation and was diagnosed with a benign pyometra of indeterminate etiology in March 2017. The patient underwent repeated ultrasound-guided drainage, dilation and curettage, and antibiotic therapy. Biopsies of the pelvic sidewall revealed endometriosis in June 2017. The heavy menstruation and suppurative fluid in the uterus of the patient persisted in which intramuscular leuprolide acetate was prescribed to address the endometriosis and heavy menstrual bleeding. Ultimately, the leuprolide acetate effectively resolved the patient's bleeding and pyometra. The medication was concluded after 12 months of supervision and the patient is currently symptom free. Pyometra is an unusual condition rarely identified in premenopausal women. Drainage and antibiotic therapy are routinely employed; however, one may consider gonadotropin-releasing hormone agonist medication to potentially confer a beneficial patient outcome in rare cases where endometriosis and bleeding are intractable.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"26 3","pages":"169-172"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/76/jmm-26-169.PMC7797219.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38801289","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: 2

Vasomotor Symptoms: More Than Temporary Menopausal Symptoms. 血管舒缩症状:不仅仅是暂时的更年期症状。

Journal of Menopausal Medicine Pub Date : 2020-12-01 DOI: 10.6118/jmm.20030

Ki Jin Ryu, Hyuntae Park, Jin Seol Park, Yeon Woo Lee, Soo Young Kim, Hayun Kim, Youngmi Jeong, Yong Jin Kim, Kyong Wook Yi, Jung Ho Shin, Jun Young Hur, Tak Kim

引用次数: 7

Robot-Assisted Laparoscopic Surgery for Pelvic Organ Prolapse among Peri- and Post-Menopausal Women. 机器人辅助腹腔镜手术治疗围绝经期和绝经后妇女盆腔器官脱垂。

Journal of Menopausal Medicine Pub Date : 2020-12-01 DOI: 10.6118/jmm.20014

Ju Hee Kim, Sa Ra Lee, Eun Sil Lee, Sung Hoon Kim, Hee Dong Chae

引用次数: 2

Effect of Hysterectomy on Ovarian Reserve in the Early Postoperative Period Based on the Type of Surgery. 不同手术方式子宫切除术对术后早期卵巢储备的影响。

Journal of Menopausal Medicine Pub Date : 2020-12-01 DOI: 10.6118/jmm.20010

Sungwook Chun, Yong Il Ji

{"title":"Effect of Hysterectomy on Ovarian Reserve in the Early Postoperative Period Based on the Type of Surgery.","authors":"Sungwook Chun, Yong Il Ji","doi":"10.6118/jmm.20010","DOIUrl":"https://doi.org/10.6118/jmm.20010","url":null,"abstract":"Objectives: This study aimed to evaluate the influence of simple hysterectomy on the ovarian reserve based on the type of surgery.Methods: Eighty-six premenopausal women between 31 and 48 years who underwent hysterectomy for benign gynecologic disease without additional adnexal surgery at a university hospital participated in this study. Seventy-one patients underwent laparoscopy-assisted vaginal hysterectomy (LAVH), and 15 patients underwent abdominal hysterectomy (AH). Blood samples were obtained from all study participants on preoperative day and 3 days after the operation to determine the anti-Müllerian hormone (AMH) levels.Results: The postoperative reduction of the mean serum AMH level in the LAVH group (0.42 ± 0.76 ng/mL) was greater than that in the AH group, although the difference was not statistically significant (0.01 ± 0.60 ng/mL) (P = 0.053). The mean baseline AMH level (2.59 ± 2.33 ng/mL) was significantly reduced to 2.24 ± 2.08 ng/mL at 3 days after hysterectomy, and the mean rate of decline of AMH levels after surgery was 13.61% ± 30.81%. In subgroup analysis based on the type of surgery, the mean serum AMH level decreased significantly after surgery in the LAVH group, but no significant changes were found in serum AMH levels before and after the surgery in the AH group.Conclusions: These preliminary results suggest that simple hysterectomy affects the early postoperative decline of ovarian reserve, and these results might vary depending on the type of surgery.","PeriodicalId":16410,"journal":{"name":"Journal of Menopausal Medicine","volume":"26 3","pages":"159-164"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/e6/jmm-26-159.PMC7797220.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39149875","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: 4