Post reproductive health最新文献

{"title":"News and views.","authors":"Simon Brown","doi":"10.1080/20533691.2026.2750745","DOIUrl":"https://doi.org/10.1080/20533691.2026.2750745","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2026-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149276853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention and treatment of osteoporosis in postmenopausal women.","authors":"John Stevenson","doi":"10.1080/20533691.2026.2738500","DOIUrl":"https://doi.org/10.1080/20533691.2026.2738500","url":null,"abstract":"<p><p>Postmenopausal osteoporosis is a major public health concern characterised by rapid loss of bone mineral density due to estrogen deficiency, leading to increased risk of fragility fractures. This article reviews current clinical strategies for the prevention and treatment of the condition in postmenopausal women. Primary prevention discusses lifestyle modification, including adequate dietary intake of calcium and vitamin D, regular weight-bearing exercise and cessation of smoking and excess alcohol consumption. For women at elevated fracture risk, pharmacological interventions are essential. Therapies include hormone replacement therapy (HRT), bisphosphonates, Selective Estrogen Receptor Modulators (SERMS) and RANKL inhibitors like denosumab, which function as antiresorptive agents to slow bone breakdown. For those with high fracture history, anabolic agents such as teriparatide or romozosumab are utilised. Early identification via personalised risk assessment, dual-energy X-ray absorptiometry (DEXA) screening and treatment where indicated is essential. Combining adjunctive lifestyle modification with pharmacological intervention offers a framework to maintain skeletal health, preserve independence and enhance long-term quality of life post menopause.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone health and menopause considerations.","authors":"Babu Karavadra, Amira Ibrahim, Milad Khedr, Paula Briggs","doi":"10.1080/20533691.2026.2748223","DOIUrl":"https://doi.org/10.1080/20533691.2026.2748223","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menopausal symptom severities and patterns are affected by medical profiles.","authors":"Robin Andrews, Arron Lacey, Deborah Lancastle, Kate Bache, Emma J Kidd","doi":"10.1080/20533691.2026.2741118","DOIUrl":"https://doi.org/10.1080/20533691.2026.2741118","url":null,"abstract":"<p><strong>Objective: </strong>This study involved a secondary data analysis of Health & Her app data to investigate medical profiles and menopausal symptom clusters.</p><p><strong>Study design: </strong>Using a linear mixed effects model, we assessed how medical conditions, including Polyendocrine Metabolic Ovarian Syndrome (PMOS), premenstrual dysphoric disorder (PMDD), premature ovarian insufficiency (POI), cancers, depression, anxiety, uterine fibroids, endometriosis, adenomyosis and autoimmune disorders, predict menopausal symptom patterns. We also assessed medical procedures including bilateral oophorectomy, hysterectomy, unilateral oophorectomy, partial hysterectomy, endometrial ablation, and cancer treatment. Symptom clusters were identified via Principal Component Analysis. Linear mixed effects models analysed the effects of predictors on symptom outcomes.</p><p><strong>Main outcome measures: </strong>Menopausal symptom clusters, and how menopausal symptom patterns and severities are associated with medical profiles.</p><p><strong>Results: </strong>Data from 210,489 app users from October 2020 to June 2024 identified symptom clusters, including joint aches, sleeping problems, low libido, weight gain, vasomotor, psychological/cognitive, vaginal and physical symptoms. Depression and anxiety were associated with the strongest increases in menopausal symptoms. Gynaecological surgeries were associated with increased vasomotor symptoms. POI and endometriosis were associated with vaginal symptoms. Autoimmune diseases had significant associations with joint aches, and physical and psychological/cognitive symptoms. PMOS, adenomyosis and PMDD were associated with reduced vasomotor symptoms. Undergoing cancer treatment was associated with reduced symptoms in most domains, albeit vaginal and vasomotor symptoms increased. Likewise, breast and gynaecological cancers were associated with low libido, and increased vasomotor and sleep symptoms.</p><p><strong>Conclusions: </strong>Our findings highlight the importance of healthcare professionals considering comorbidities when supporting women with menopausal symptoms.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should menopause care measure function? Functional Menopause as a testable research framework.","authors":"Manuel Sánchez-Prieto, Rafael Sánchez-Borrego","doi":"10.1080/20533691.2026.2743698","DOIUrl":"https://doi.org/10.1080/20533691.2026.2743698","url":null,"abstract":"<p><p>Contemporary menopause care increasingly recognises the multidimensional nature of midlife health, but it remains uncertain whether this broader perspective should include longitudinal measurement of functional capacity. We propose Functional Menopause as a testable framework for examining whether assessment of physical, cognitive, sexual, urogenital, and participation-related function provides clinically useful information beyond symptom burden and established risk assessment. Such an approach could identify adverse functional trajectories that are not captured by symptoms or biomarkers, but it could also medicalize normal ageing, misapply geriatric thresholds to midlife women, increase clinical burden, and widen inequities. Before routine implementation, prospective research should establish measurement properties, normative trajectories, prognostic validity, incremental clinical utility, feasibility, and clinical impact. Functional Menopause should therefore remain a research hypothesis rather than a screening recommendation or diagnostic construct.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital health innovations: imagining opportunities to support people with a learning disability experiencing menopause.","authors":"Ellen-Alyssa F Gambles","doi":"10.1080/20533691.2026.2728619","DOIUrl":"https://doi.org/10.1080/20533691.2026.2728619","url":null,"abstract":"<p><p>Fitness trackers, apps and associated wearable devices have grown in popularity as ways for individuals to improve their health by increasing their activity levels, managing their weight, or tracking biomedical data such as heart rate and blood sugar levels. Apps that track menstrual cycle and ovulation have proliferated in the digital health marketplace, though there are fewer offerings for those experiencing the post-fertility time period. However, within the female technology sector there has been no consideration specifically for women with a learning disability who are experiencing the menopause. People with a learning disability are a heterogeneous group who face additional challenges to those of the general population. This commentary discusses how the growth of female digital technology could be used to benefit this group and highlights some of the potential issues that would need to be addressed.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessing support for menopause-associated cognitive difficulties in UK primary care: a qualitative content analysis.","authors":"Elizabeth Fordham, Danielle L Proctor, Lexi He, Aimee Spector","doi":"10.1080/20533691.2026.2719474","DOIUrl":"https://doi.org/10.1080/20533691.2026.2719474","url":null,"abstract":"<p><strong>Objective: </strong>Many women report challenges accessing menopause care, and these may be compounded for those experiencing less well-known (e.g. non-vasomotor) symptoms. We explored experiences of accessing support for menopause symptoms in the UK in a sample of women with menopause-associated cognitive difficulties; aiming to identify barriers and facilitators to effective care.</p><p><strong>Study design: </strong>A secondary qualitative analysis was conducted on free-text responses from a larger online cross-sectional survey examining cognitive difficulties during menopause transition. Participants (N = 153) were aged 42-60 years, self-identified as perimenopausal or postmenopausal, and reported subjective cognitive symptoms.</p><p><strong>Main outcome measures: </strong>Responses to two open-ended questions about experiences accessing healthcare support were analysed using inductive qualitative content analysis.</p><p><strong>Results: </strong>Four themes were identified: (1) Healthcare professionals' knowledge and training, (2) Healthcare professionals' attitudes and approach to menopause, (3) Systemic issues in accessing care, and (4) Consequences. Many participants described healthcare professionals as under-informed and dismissive, particularly regarding cognitive difficulties. Systemic challenges included long wait times, limited treatment options, lack of follow-up and inconsistent information. Women reported practical and emotional consequences, including delayed support and feeling they had to self-advocate or seek private healthcare to receive support.</p><p><strong>Conclusions: </strong>Findings highlight dissatisfaction with menopause care in the UK for women experiencing cognitive symptoms. There is a need for enhanced training for healthcare professionals and increased emphasis on accessible information and shared-decision making.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A user-centric patient educational intervention in clinical practice: helping women to learn and share experiences about menopause.","authors":"Danette Conklin, Jean Marino, Sarah DeLozier, Corinne Bazella, Madeline Bedrock, Sheryl Kingsberg","doi":"10.1080/20533691.2026.2719463","DOIUrl":"https://doi.org/10.1080/20533691.2026.2719463","url":null,"abstract":"<p><strong>Objective: </strong>Over one million women in the United States enter menopause each year. The menopause transition can be daunting, isolating, and confusing due to numerous physical and mental health changes. The aims of this study were to develop a comprehensive, evidence-based, interdisciplinary and educational curriculum designed to increase women's knowledge about the various aspects of menopause and to provide a safe and supportive learning environment.</p><p><strong>Study design: </strong>This mixed-methods study developed a novel research methodology used in clinical practice to create a user-centric, communal menopause educational intervention discussion group.</p><p><strong>Outcome measures: </strong>Verbatim responses from the open-ended questions on the Evaluation of Groups (EOG) survey were analysed using standard content data analytic procedures. In addition, on the EOG, participants rated how useful, supportive or upsetting they found the groups on a Likert scale. The Fund of Knowledge (FOK), 13-item questionnaire, was used to examine whether participants' knowledge increased over the four-week course.</p><p><strong>Results: </strong>Our most important finding was the inherent value of understanding participants' experiences and knowledge gained from the discussion groups.</p><p><strong>Conclusions: </strong>Results provide valuable insight into the rigorous and replicable design of future discussion groups.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The making of a movement: Reflections on the British Menopause Society 35th Annual Scientific Conference.","authors":"Janice Rymer, Clare Spencer","doi":"10.1080/20533691.2026.2705063","DOIUrl":"10.1080/20533691.2026.2705063","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"139-140"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Premature ovarian insufficiency, an example of cardiovascular health inequality in women.","authors":"Babu Karavadra, Cara Williams, Paula Briggs","doi":"10.1080/20533691.2026.2705750","DOIUrl":"10.1080/20533691.2026.2705750","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"223-225"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}