Post reproductive health最新文献_第6页

Tales from the community menopause clinic. 社区更年期诊所的故事。

Post reproductive health Pub Date : 2024-09-01 Epub Date: 2024-09-18 DOI: 10.1177/20533691241285637

David Rook, Jane Wilkinson, Rosie Temple, Adam Beattie, Paula Briggs

引用次数: 0

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

引用次数: 0

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

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

引用次数: 0

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

引用次数: 0

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}

引用次数: 0

Delegate Feedback. 代表反馈。

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

引用次数: 0

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

引用次数: 0

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

引用次数: 0

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}

引用次数: 0

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}

引用次数: 0