Post reproductive health最新文献

{"title":"Effectiveness of workplace-based interventions to promote wellbeing among menopausal women: A systematic review.","authors":"Chithramali Hasanthika Rodrigo, Elinor Sebire, Sohinee Bhattacharya, Shantini Paranjothy, Mairead Black","doi":"10.1177/20533691231177414","DOIUrl":"10.1177/20533691231177414","url":null,"abstract":"<p><p>Menopausal symptoms are known to affect quality of life and work productivity. This systematic review aimed to describe the range and effectiveness of workplace-based interventions for menopause. MEDLINE, PubMed, Embase, CINAHL, Cochrane Library, Web of Science, PsycINFO, EconLit, and SCOPUS were searched from the inception until April 2022. Quantitative interventional studies evaluating physical/virtual workplace-based interventions aiming to improve well-being, work, and other outcomes, that involved women in menopausal transition, or their line managers/supervisors were eligible for inclusion. Two randomized controlled trials and three uncontrolled trials, comprising 293 women aged 40-60 years and 61, line managers/supervisors, were included in the review. Results were narratively synthesized due to the heterogeneity of interventions and outcomes and we found that only a limited range of interventions have been evaluated for their ability to support women going through menopausal transition in the workplace. Self-help cognitive behavioural therapy (CBT); Raja yoga; and health promotion (involving menopause consultations, work-life coaching and physical training) improved menopausal symptoms significantly. Self-help CBT was associated with a significant improvement in mental resources for work, presenteeism, and work and social adjustment. Awareness programs significantly improved knowledge and attitudes of both employees and line managers/supervisors about menopause. The interventions have mostly been evaluated in small studies with selected populations but have improved menopausal symptoms and work outcomes. A customizable menopause wellbeing intervention package incorporating these evidence-supported interventions should be developed and implemented on a wider scale within organizations alongside robust evaluation of its effectiveness.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 2","pages":"99-108"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/9d/10.1177_20533691231177414.PMC10273852.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9705432","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}

{"title":"Challenges faced by women with learning disabilities, when they reach the menopause transition.","authors":"Paula Briggs, Mark Barsoum, Karen Soffe","doi":"10.1177/20533691231179797","DOIUrl":"10.1177/20533691231179797","url":null,"abstract":"In these tales","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 2","pages":"113-118"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9655294","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":"An online survey of postmenopausal women to determine their attitudes and knowledge of the menopause.","authors":"Rawan Aljumah,&nbsp;Samantha Phillips,&nbsp;Joyce C Harper","doi":"10.1177/20533691231166543","DOIUrl":"https://doi.org/10.1177/20533691231166543","url":null,"abstract":"<p><strong>Objective: </strong>To explore postmenopausal women's attitudes and knowledge of the menopause.</p><p><strong>Study design: </strong>An online survey to evaluate women's attitudes and knowledge of the menopause, promoted via social media. In this study, only the data from 829 women who identified as postmenopausal were analysed.</p><p><strong>Main outcome measures: </strong>Quantitative and qualitative data.</p><p><strong>Results: </strong>Regarding women's attitudes towards the menopause before they went through it, 18.0% were accepting of it, 15.8% were dreading it and 5.1% were looking forward to it. 38.1% of women felt that the menopause was difficult, 24.6% felt it was very difficult and 20.7% felt it was fine. 94.1% of women had never been taught about the menopause at school, and 49.0% did not feel informed at all about the menopause. More than 60% started looking for information regarding menopause as their symptoms started. The qualitative thematic analysis of the participants' responses produced six themes: the need for education, knowledge and understanding of symptoms, why is getting treatment so difficult, feelings and attitudes towards the menopause, the impact of menopause on a woman's life, the importance of the media - are they getting it right.</p><p><strong>Conclusion: </strong>Women's lack of education and their healthcare professionals' lack of adequate training on the menopause means that women enter this critical life stage uneducated and unsupported. It is vital that everyone is taught about the menopause and that general practitioners receive proper training. The negative narrative of menopause needs to be re-addressed to normalise the menopause and give postmenopause women hope.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 2","pages":"67-84"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702836","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}

{"title":"How hairfall saved the patient from cancer twice - A postmenopausal patient with synchronous endometrial and endocervical carcinomas presenting with endocrine symptoms.","authors":"Shabnam Karangadan,&nbsp;Indu R Nair,&nbsp;Usha Menon,&nbsp;Priya Bhati,&nbsp;Chithra Remadevi","doi":"10.1177/20533691231167660","DOIUrl":"https://doi.org/10.1177/20533691231167660","url":null,"abstract":"<p><p>Ovarian stromal hyperthecosis is an uncommon nonneoplastic cause of ovarian hyperandrogenism mainly in postmenopausal women. Here, we present a case of a postmenopausal woman who presented with features of virilization like alopecia and hirsutism. During its workup, two malignancies were diagnosed at a very early stage. Microscopic focus of endometrial adenocarcinoma in a polyp and similar focus of endocervical adenocarcinoma in the subsequent hysterectomy specimen were noted. Presence of synchronous malignancies in the uterus is very rare and it being detected in a patient who presented with a non-related symptom of hairfall makes it an interesting case scenario.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 2","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9641273","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":"News and views.","authors":"Simon Brown","doi":"10.1177/20533691231177112","DOIUrl":"https://doi.org/10.1177/20533691231177112","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"20533691231177112"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9858939","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":"Hormone replacement therapy in women with history of thrombosis or a thrombophilia.","authors":"Guy Morris,&nbsp;Vikram Talaulikar","doi":"10.1177/20533691221148036","DOIUrl":"https://doi.org/10.1177/20533691221148036","url":null,"abstract":"<p><p>Findings from the Women's Health Initiative (WHI) randomised placebo-controlled trial (RCT) were published at the beginning of this century. They suggested that hormone replacement therapy (HRT) use increased the risk of cardiovascular disease and venous thromboembolism including pulmonary embolism and deep vein thrombosis The findings led to a decline in HRT prescriptions and negative publicity about the use of HRT for women with significant menopausal symptoms. Subsequent studies have shown that the risk of thrombosis with HRT relates to whether estrogen is combined with a progestogen and the route of administration of estrogen. In healthy women with no background medical problems, transdermal hormone replacement is not associated with an increased risk of thrombosis. However, much less is known about the safety of various HRT preparations in women with a high background risk of thrombosis. These cases can often be challenging for clinicians with uncertainties around testing for thrombophilia, use of anticoagulation and striking a balance between the risks and benefits of prescribing HRT. This article will review the mechanism of thrombosis with differing types of HRT and present the evidence from the relevant trials. The article will also present the evidence that specifically relates to women with a personal history of thrombosis or thrombophilia (heritable and acquired) to enable clinicians to better individualise the risk assessment for each woman requesting HRT and understand the role of thrombophilia screening or concomitant anticoagulation in such situations.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 1","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9087974","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":"Managing menopausal symptoms in women who have a history of pelvic cancer: Is hormone replacement therapy appropriate?","authors":"Cath Munro,&nbsp;Mohamed Mehasseb,&nbsp;Paula Briggs","doi":"10.1177/20533691231158876","DOIUrl":"https://doi.org/10.1177/20533691231158876","url":null,"abstract":"Managing menopausal symptoms involves many different options, including both hormonal and non-hormonal interventions. Hormone replacement therapy (HRT) is the most effective treatment option available for women experiencing classical menopausal symptoms, such as vasomotor symptoms and sleep disturbance. If HRT is to be considered, this should be based on an individualised risk assessment. Decisionmaking around HRT prescribing can be challenging in women who have a complex medical history, including women with a history of a hormone-dependent cancer. An ever-increasing number of cancer survivors now live long enough to reach the natural age of menopause or they may experience menopausal symptoms earlier as a side effect of treatment (surgery, chemotherapy or radiotherapy). When considering treatment options for menopausal symptoms, the oncologic risk of HRT – the potential to cause cancer recurrence and progression – is difficult to assess. Individualised decision-making is needed, but the evidence on which this should be based is not always clear. Collaboration with oncologists and surgeons is needed to ensure that long-term patient safety is not compromised for short-term symptom control. Guidance published recently in a joint statement from the Royal College of Obstetricians and Gynaecologists (RCOG), the British Menopause Society (BMS) and the Society for Endocrinology provides an evidence base to help clinicians advising women experiencing symptoms of menopause. It is important that women have the right information and are supported by appropriate clinicians when making decisions about their treatment and care. Alongside this, the National Institute for Health and Clinical Excellence (NICE) published helpful guidance that provides a framework for shared decision-making and advocates the use of clinical decision aids to support a collaborative approach between the clinician and the patient. In these tales, two cases are presented, relating to women with a history of pelvic cancer (endometrial and bladder cancer). Both women presented for advice in relation to managing menopausal symptoms. Case 1","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 1","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9473632","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 relationship between urinary incontinence with sexual function and quality of life in postmenopausal women.","authors":"Fatemeh Shabani,&nbsp;Maryam Montazeri,&nbsp;Afsaneh Alizadeh,&nbsp;Soheila Bani,&nbsp;Shirin Hassanpour,&nbsp;Mahsan Nabighadim,&nbsp;Mojgan Mirghafourvand","doi":"10.1177/20533691231155734","DOIUrl":"https://doi.org/10.1177/20533691231155734","url":null,"abstract":"<p><strong>Background: </strong>Urinary incontinence has a significant impact on the psychosocial well-being of postmenopausal women. This study aimed to determine the relationship between urinary incontinence with sexual function and quality of life.</p><p><strong>Method: </strong>It was a cross-sectional study using cluster sampling on 433 postmenopausal women in Tabriz-Iran, 2021-2022. Data were collected using questionnaires of socio-demographic and obstetrics characteristics, female sexual function index (FSFI), Menopause-Specific Quality of Life (MENQOL), and Urinary Incontinence Diagnosis (UIDQ). Independent sample t-test and general linear model (GLM) were used to compare the quality of life and sexual function score between the two groups of women with and without stress, urgency, and mixed urinary incontinence.</p><p><strong>Results: </strong>Independent sample t-test showed a significant difference in the quality of life and sexual function between women with and without stress, urgency, and mixed urinary incontinence (<i>p</i> < 0.05). Based on the GLM with adjusting the socio-demographic and obstetrics characteristics, women without stress incontinence reported a lower mean score of MENQOL (B = - 23.38; 95% CI = -30.1 to -16.6; <i>p</i> < 0.001) and a higher mean score of sexual function (B = 4.5; 95% CI = 2.1-7.0; <i>p</i> < 0.001) compared to women with stress incontinence; a lower MENQOL score and a higher sexual function score indicate better condition. However, there was no significant relationship between urgency and mixed incontinence with quality of life and sexual function (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>As urinary incontinence remarkably affects sexual function and quality of life of postmenopausal women, health care providers should consider better solutions for this issue in their work program.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433190","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":"News and views.","authors":"Simon Brown","doi":"10.1177/20533691231158687","DOIUrl":"https://doi.org/10.1177/20533691231158687","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 1","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9430027","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":"Association between adherence to the Mediterranean Diet and the Eatwell Guide and changes in weight and waist circumference in post-menopausal women in the UK Women's Cohort Study.","authors":"Nicola Best,&nbsp;Orla Flannery","doi":"10.1177/20533691231156643","DOIUrl":"https://doi.org/10.1177/20533691231156643","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the associations between adherence to the Mediterranean Diet and the Eatwell Guide (EWG) and changes in weight and waist circumference in post-menopausal women.</p><p><strong>Study design: </strong>Post-hoc analysis of post-menopausal women from the UK Women's Cohort Study.</p><p><strong>Main outcome measures: </strong>Changes in weight, waist circumference and the risk of abdominal and general obesity.</p><p><strong>Results: </strong>4162 post-menopausal women were selected. Higher adherence to both the EWG and the Mediterranean Diet was associated with smaller increases in waist circumference over 4 years (EWG: β -0.47, CI -0.75, -0.20 per 1 tertile increase in score), (Mediterranean Diet: β -0.29, CI -0.58, -0.01 per 1 tertile increase in score); and lower risk of abdominal obesity (EWG: OR 0.55, CI 0.43, 0.70 third versus the first tertile), (Mediterranean Diet: OR 0.60, CI 0.46, 0.76 third versus the first tertile), but was not associated with weight changes (EWG: β 0.14, CI -0.07, 0.36 per 1 tertile increase in score), (Mediterranean Diet: β 0.03, CI -0.19, 0.25 per 1 tertile increase in score) or risk of becoming overweight or obese (EWG: OR 1.09, CI 0.77, 1.52 third versus the first tertile), (Mediterranean Diet: OR 0.91, CI 0.65, 1.27 third versus the first tertile).</p><p><strong>Conclusions: </strong>The results suggest that adherence to either the Mediterranean Diet or the EWG can help to prevent abdominal obesity in post-menopausal women.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10009324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9463269","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}