Post reproductive health最新文献_第7页

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

Treatment of menopausal skin - A narrative review of existing treatments, controversies, and future perspectives. 更年期皮肤的治疗--现有治疗方法、争议和未来展望的叙述性综述。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-02-20 DOI: 10.1177/20533691241233440

Eva K Merzel Šabović, Tomaž Kocjan, Iris Zalaudek

{"title":"Treatment of menopausal skin - A narrative review of existing treatments, controversies, and future perspectives.","authors":"Eva K Merzel Šabović, Tomaž Kocjan, Iris Zalaudek","doi":"10.1177/20533691241233440","DOIUrl":"10.1177/20533691241233440","url":null,"abstract":"Menopause is a state of estrogen deficiency that affects numerous estrogen-dependent tissues in the female body. Skin is one of the most affected organs. Many consider menopausal skin changes to be merely an aesthetic problem; however, they can significantly affect women's quality of life. Currently, there are no approved effective treatments to prevent or alleviate skin changes associated with estrogen deficiency. Standard systemic hormone replacement therapy used to treat menopausal symptoms may be effective to some degree for skin treatment. In addition, compounded bioidentical hormone replacement therapy, selective estrogen receptor modulators, and phytoestrogens could also be used for skin treatment, although this is only hypothetical due to lack of data. Many questions therefore remain unanswered. On the other hand, topical, low-dose estrogen that would act only on the skin without systemic effects could be a possible option, as could be skin-only acting topical phytoestrogens. Such topical products without systemic effects could play a role in the treatment of menopausal skin. However, they are not currently approved because there is insufficient data on their safety and efficacy. A healthy lifestyle could have a positive effect on the menopausal skin. In this review, we provide an overview of the characteristics of menopausal skin, an outlook on the future treatment of menopausal skin with estrogens and other approaches, and the associated controversies and speculations. Overall, the importance of menopausal skin changes should not be neglected, and high-quality research is needed to gain new insights into the treatment of menopausal skin.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"85-94"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914042","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

Accessible high quality menopause education for healthcare professionals. 为所有人提供高质量的更年期教育。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-05-21 DOI: 10.1177/20533691241255490

Heather Currie, Haitham Hamoda, Kate Ellis, Nadine Verstringhe, Sarah Haveron Jones, Barbara Halstead, Hazel Riley

引用次数: 0

Hormone replacement therapy after myocardial infarction: British Menopause Society Tool for Clinicians. 心肌梗塞后的激素替代疗法：英国更年期协会临床医生工具。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-05-27 DOI: 10.1177/20533691241252300

John C Stevenson, Peter Collins, Howard N Hodis

引用次数: 0

A retrospective audit of general practitioner's referrals to Guys and St Thomas' specialist menopause clinic between 2021 and 2022. 对 2021 年至 2022 年期间全科医生转诊到 Guys and St Thomas 更年期专科门诊的情况进行回顾性审核。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-03-21 DOI: 10.1177/20533691241239485

Jocelyne Tedajo Tsambou, Deborah Bruce, Debra Holloway, Janice Rymer

{"title":"A retrospective audit of general practitioner's referrals to Guys and St Thomas' specialist menopause clinic between 2021 and 2022.","authors":"Jocelyne Tedajo Tsambou, Deborah Bruce, Debra Holloway, Janice Rymer","doi":"10.1177/20533691241239485","DOIUrl":"10.1177/20533691241239485","url":null,"abstract":"Purpose: We performed a retrospective audit of General Practitioners' (GPs) referrals to the specialist Menopause Clinic at Guys and St Thomas's (GSTT) between 2021 and 2022. We aim to establish the indication for the referrals and whether they were compliant with the National Institute for Health and Care Excellence Guidance NICE.Background: GSTT is a teaching hospital in central London that educates gynaecologists in training as well as (GP) for specialist certification in Menopause. The menopause clinic receives approximately 580 GP referrals per month from South East London practices. The current waiting time for an initial appointment is up to 1 year. This delay reflects an increase in demand for menopause care and a deficit in service provision in many areas of the UK.NICE has recommended that GPs refer complicated cases to menopause specialists, with 11 specific criteria.Study Sample and Data Collection: We randomly selected 50 patients referred to the GSTT clinic by a GP between 2021 and 2022. Patient data were collected, including patient demographics, date of referral, indication for referral, date of consultation, waiting time, past medical history, investigations, and treatment instigated during the appointment.Results: The majority of referrals to the GSTT menopause Specialist clinic met the NICE guidelines (76%). One-sixth of the referrals could have been prevented or managed through alternative routes. Finally, although this is a small study, some patient unmet needs (PUNS) and GPs' educational needs have been identified.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"121-126"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186265","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

Managing menopause in an irradiated pelvis - uncharted territory. 放射骨盆更年期管理--未知领域。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-03-08 DOI: 10.1177/20533691241235060

Sally Darnborough

引用次数: 0

Erratum to "Hormone replacement therapy after myocardial infarction: British Menopause Society Tool for Clinicians". 心肌梗塞后的激素替代疗法：英国更年期协会临床医生工具》。

Post reproductive health Pub Date : 2024-06-01 DOI: 10.1177/20533691241264505

引用次数: 0

Tales from the laser clinic. 激光诊所的故事

Post reproductive health Pub Date : 2024-06-01 DOI: 10.1177/20533691241260159

Paula Briggs, Amy Berry

引用次数: 0

Management of unscheduled bleeding on HRT: A joint guideline on behalf of the British Menopause Society, Royal College Obstetricians and Gynaecologists, British Gynaecological Cancer Society, British Society for Gynaecological Endoscopy, Faculty of Sexual and Reproductive Health, Royal College of General Practitioners and Getting it Right First Time. HRT 非计划性出血的处理：代表英国更年期协会、皇家妇产科医师学院、英国妇科癌症协会、英国妇科内窥镜协会、性与生殖健康学院、皇家全科医师学院和 "第一次就做对 "组织的联合指南。

Post reproductive health Pub Date : 2024-06-01 Epub Date: 2024-05-14 DOI: 10.1177/20533691241254413

Kristyn Manley, Timothy Hillard, Justin Clark, Geeta Kumar, Jo Morrison, Haitham Hamoda, Katie Barber, Debra Holloway, Bronwyn Middleton, Maria Oyston, Mark Pickering, Jenifer Sassarini, Nicola Williams

{"title":"Management of unscheduled bleeding on HRT: A joint guideline on behalf of the British Menopause Society, Royal College Obstetricians and Gynaecologists, British Gynaecological Cancer Society, British Society for Gynaecological Endoscopy, Faculty of Sexual and Reproductive Health, Royal College of General Practitioners and Getting it Right First Time.","authors":"Kristyn Manley, Timothy Hillard, Justin Clark, Geeta Kumar, Jo Morrison, Haitham Hamoda, Katie Barber, Debra Holloway, Bronwyn Middleton, Maria Oyston, Mark Pickering, Jenifer Sassarini, Nicola Williams","doi":"10.1177/20533691241254413","DOIUrl":"10.1177/20533691241254413","url":null,"abstract":"Unscheduled bleeding on hormone replacement therapy (HRT) can affect up to 40% of users. In parallel with the increase in HRT prescribing in the UK, there has been an associated increase in referrals to the urgent suspicion of cancer pathway for unscheduled bleeding. On behalf of the British Menopause Society (BMS) an expert review panel was established, including primary and secondary care clinicians with expertise in the management of menopause, with representatives from key related organisations, including the Royal College of Obstetricians & Gynaecologists, the British Gynaecological Cancer Society, British Society for Gynaecological Endoscopy, Royal College of General Practitioners and Faculty of Sexual and Reproductive Health, and service development partners from NHS England and GIRFT (Getting it Right First Time). For each topic, a focused literature review was completed to develop evidence led recommendations, where available, which were ratified by consensus review within the panel and by guideline groups.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"95-116"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923821","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 : 2024-05-16 DOI: 10.1177/20533691241254701

Pattra Wongapai, Titima Jirasawas, P. Vichinsartvichai

{"title":"Thai postmenopausal woman's view in genitourinary syndrome of menopause.","authors":"Pattra Wongapai, Titima Jirasawas, P. Vichinsartvichai","doi":"10.1177/20533691241254701","DOIUrl":"https://doi.org/10.1177/20533691241254701","url":null,"abstract":"OBJECTIVES\u0000To determine the prevalence of genitourinary syndrome of menopause (GSM) and their awareness, attitudes, and perception of this issue.\u0000\u0000\u0000STUDY DESIGN\u0000Using 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.\u0000\u0000\u0000RESULTS\u0000The 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.\u0000\u0000\u0000CONCLUSIONS\u0000GSM 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":"16 6","pages":"20533691241254701"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140968780","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