Post reproductive health最新文献_第10页

Community Gynaecology Service Oxfordshire: How a local women's health hub improved access to menopause care. 牛津郡社区妇科服务：当地妇女健康中心如何改善更年期保健服务。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1177/20533691241266863

Anupa Shah, Katie Barber

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Menopause: solving the puzzle. 更年期：解开谜题

Post reproductive health Pub Date : 2024-09-01 DOI: 10.1177/20533691241284428

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BMS 33rd annual scientific conference Menopause: solving the puzzle. BMS 第 33 届科学年会更年期：解谜。

Post reproductive health Pub Date : 2024-09-01 DOI: 10.1177/20533691241284427

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A local audit evaluating bone health in patients with functional hypothalamic amenorrhoea secondary to an eating disorder and a review of the application of hormone therapy in this clinical setting. 对继发于饮食失调的功能性下丘脑闭经患者的骨骼健康进行地方审计评估，并对激素疗法在该临床环境中的应用进行回顾。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-06-14 DOI: 10.1177/20533691241261749

Hannah Olivia Davies

{"title":"A local audit evaluating bone health in patients with functional hypothalamic amenorrhoea secondary to an eating disorder and a review of the application of hormone therapy in this clinical setting.","authors":"Hannah Olivia Davies","doi":"10.1177/20533691241261749","DOIUrl":"10.1177/20533691241261749","url":null,"abstract":"It is widely known that estrogen has a fundamental role to play in skeletal homeostasis. In the most reductionist sense, the action of estrogen can be surmised as anti-resorptive. Estrogen prevents the break-down of bone. It therefore follows that estrogen deficiency states, such as the menopause and functional hypothalamic amenorrhoea (FHA), are often characterised by increased bone remodelling and disrupted skeletal homeostasis. FHA is the cessation of menstruation secondary to abnormal signalling between the hypothalamus and pituitary gland due to deficient pulsatile secretion of Gonadotrophin Releasing Hormone (GnRH). Functional hypothalamic amenorrhoea is frequently a consequence of women suffering with eating disorders. The development of FHA secondary to eating disorders is an evolutionary adaptive response to chronic metabolic energy deficiency. Fundamentally, preservation of life is biologically prioritised over dispensable physiological process such as reproduction. Consequently, the hypothalamic-pituitary-ovarian (HPO) axis fails, which disrupts menstrual function and ovulation, culminating in a state of estrogen deficiency. One of the most important and long-lasting deleterious consequences of FHA is disrupted skeletal homeostasis and bone loss. Estrogen replacement, most commonly in the form of combined hormone replacement therapy (HRT) or the combined oral contraceptive pill (COCP), is advised for women with an early menopause to prevent bone loss. Arguably, estrogen replacement should also be utilised in the context of FHA. However, the optimum estrogen regime for women with FHA remains under-researched and so management is not evidence-based.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"182-189"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318945","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}

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Delegate Feedback. 代表反馈。

Post reproductive health Pub Date : 2024-09-01 DOI: 10.1177/20533691241284403

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Corrigendum to "Genitourinary syndrome of menopause: Evaluation of symptoms, using a questionnaire, in a research setting, before and after treatment". 更年期泌尿生殖系统综合征：更年期泌尿生殖系统综合征：在研究环境中使用问卷对治疗前后的症状进行评估 "的更正。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1177/20533691241279983

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Learn from the past: Protect the future. 汲取过去的经验教训：保护未来。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-09-11 DOI: 10.1177/20533691241281359

Edward Morris, Heather Currie

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Quality improvement project - Reducing the inadvertent prescribing of unopposed estrogen in primary care Dr Liz Horrocks Banstead PCN. 质量改进项目--减少初级保健中无意中开出的无抑制雌激素处方 Liz Horrocks 博士 Banstead PCN。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-05-16 DOI: 10.1177/20533691241240552

Liz Horrocks, Debra Holloway, Janice Rymer, Deborah Bruce

{"title":"Quality improvement project - Reducing the inadvertent prescribing of unopposed estrogen in primary care Dr Liz Horrocks Banstead PCN.","authors":"Liz Horrocks, Debra Holloway, Janice Rymer, Deborah Bruce","doi":"10.1177/20533691241240552","DOIUrl":"10.1177/20533691241240552","url":null,"abstract":"Objective: The aim of the project was to reduce the risk of patients using the estrogen only part of their hormone replacement therapy (HRT) inadvertently in Banstead PCN. Although understanding about the risk of unopposed estrogen is well understood by prescribers, there are numerous flash points where this exposure can occur which was highlighted by several cases encountered during a study period of 3 months.Study design: Cases encountered revealed numerous reasons for this exposure which were split into three areas: Prescribing factors, dispensing checks and patient understanding.Main outcome measures: Quality improvement suggestions were tailored to the factors involved. IT system changes to EMIS, our main computer software provider, were proposed to enable safer prescribing. Following discussion with key stakeholders, increased education for pharmacists was proposed alongside an alert sticker system at the dispensing end point. Patient understanding and education for all parties was delivered through various routes.Results: The IT system alterations required are complex and still awaited. Funding was obtained and stickers distributed. The results from a re-audit from this intervention are awaited. Interim education measures at an individual level were meantime explored and the impact of them assessed. Patient education and the role of social media were explored. I produced a short video which was circulated to doctors with the plan to distribute via other clinician social media accounts.Conclusions: A key discovery through this study is that many of the flash points identified can be difficult to detect and many are not measurable. The increasing number of HRT prescriptions, time pressures in primary care and the known risk from using unopposed estrogen of endometrial cancer means these changes are of potential great value.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"190-194"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946383","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}

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Thai postmenopausal woman's view in genitourinary syndrome of menopause. 泰国绝经后妇女对更年期泌尿生殖系统综合征的看法。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-05-16 DOI: 10.1177/20533691241254701

Pattra Wongapai, Titima Jirasawas, Patsama Vichinsartvichai

{"title":"Thai postmenopausal woman's view in genitourinary syndrome of menopause.","authors":"Pattra Wongapai, Titima Jirasawas, Patsama Vichinsartvichai","doi":"10.1177/20533691241254701","DOIUrl":"10.1177/20533691241254701","url":null,"abstract":"Objectives: To determine the prevalence of genitourinary syndrome of menopause (GSM) and their awareness, attitudes, and perception of this issue.Study design: Using a specifically designed questionnaire, interviews were performed on 500 Thai postmenopausal women who attended at Vajira Hospital, Bangkok, Thailand, from August 2021 to April 2022.Results: The mean age of the 500 participants was 60.39 ± 8.12 years. The prevalence of GSM was 47.2%. The common symptoms affected by GSM were vaginal dryness (38.5%), urinary urgency (24.6%), dyspareunia (13.6%), vaginal irritation (10.2%), vaginal burning (7.2%), and dysuria (5.9%). One-half of the women were uncomfortable talking about GSM. Three-quarters who did not reveal GSM symptoms believed that the problem was a part of aging. Only 20.3% of women who suffer from symptoms consulted a health care provider (HCP). Of the women who had been prescribed treatment, 84.6% of these women reported better quality of life.Conclusions: GSM is a meaningful decrement in quality of life. Most Thai postmenopausal women who had symptoms believed that the problem was the aging process. Awareness of GSM and available treatment would be a further benefit.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"157-165"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960821","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}

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Menopause and the role of physical activity - The views and knowledge of women aged 40-65. 更年期和体育活动的作用--40-65 岁妇女的观点和知识。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-02-23 DOI: 10.1177/20533691241235273

David Wasley, Samantha Gailey

{"title":"Menopause and the role of physical activity - The views and knowledge of women aged 40-65.","authors":"David Wasley, Samantha Gailey","doi":"10.1177/20533691241235273","DOIUrl":"10.1177/20533691241235273","url":null,"abstract":"Menopause marks the end of female reproductive capacity. It is defined as the point after cessation of the menstrual cycle for 12 months (Nursat et al., 2008). Awareness about menopause has increased over the last decade, yet studies have shown that women still lack knowledge regarding the subject. Likewise, awareness of women between the age of 40-65 on the potential role of physical activity prior to and during menopause in women is unclear. Women (n = 162) aged 40-65 years completed a survey rating their knowledge, answered fact-based questions and reported their experiences of menopause. Their levels of, and beliefs on, the role physical activity on symptoms and menopause associated disease risk were also collected. Women reported their confidence in their current knowledge level at 67% reflecting 37% higher rating than an estimate of their knowledge 10 years ago. Their factual knowledge score was 56%. Knowledge was primarily gained through friends and family and almost half (46%) had not spoken to a healthcare professional. Frustration was expressed with lack of knowledge and support of healthcare and others. Women using HRT (44%) had mixed attitudes towards its role. A high proportion were active and felt that physical activity can help manage symptoms and impact long-term health consequences of menopause. Menopause education strategies for women, healthcare professionals and others need to be improved. Lack of education may be causing women to struggle and feel negatively towards this life stage. Physical activity was viewed positively for the symptoms and a treatment during menopause and long-term health.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"77-84"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941236","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