Post reproductive health最新文献_第9页

News and views. 新闻和观点。

Post reproductive health Pub Date : 2023-09-01 DOI: 10.1177/20533691231196373

Simon Brown

引用次数: 0

Post reproductive health Pub Date : 2023-09-01 Epub Date: 2023-08-25 DOI: 10.1177/20533691231198635

Monika Oktaba, Paula Briggs, Thomas Reed

{"title":"Trials of the 'tranopause'.","authors":"Monika Oktaba, Paula Briggs, Thomas Reed","doi":"10.1177/20533691231198635","DOIUrl":"10.1177/20533691231198635","url":null,"abstract":"There are similarities to be drawn between transgender people accessing gender-affirming hormone therapy (GAHT) and cis women accessing menopause management, with hormone replacement therapy (HRT). For both, it’s a journey, with potential hurdles and difficulties including significant problems in accessing service provision, but the difficulties are much more extreme for trans people. One in four trans people self-medicate and 50% will use private clinics to expedite initiation of GAHT. Trans people face challenges relating to fear, ignorance and bias, with many clinicians refusing to prescribe hormone therapy for them because they have no knowledge of the subject area. In this Tales from the clinic, we focus on the trials of the ‘tranopause’ and highlight the importance of listening to the patient and providing holistic care for people transitioning from the gender they were assigned at birth. There are potential opportunities for collaboration between primary care, secondary care including psychiatric services and sexual health to improve understanding and care for trans people; all of whom need to be listened to, to identify where on the pyramid below, their needs are positioned and to minimise problems with physical and mental health.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 3","pages":"178-182"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10240337","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: 1

Methods of assessment of urogenital atrophy and the implication of these in estimated prevalence rates: A review of the literature. 评估泌尿生殖器萎缩的方法及其在估计患病率中的意义:文献综述。

Post reproductive health Pub Date : 2023-09-01 DOI: 10.1177/20533691231199803

Paula Briggs, Rachel Burton, Chiara Mosely, Imogen Sharp, Fayosola Mercy, Gayathri Delanerolle, Dharani K Hapangama

{"title":"Methods of assessment of urogenital atrophy and the implication of these in estimated prevalence rates: A review of the literature.","authors":"Paula Briggs, Rachel Burton, Chiara Mosely, Imogen Sharp, Fayosola Mercy, Gayathri Delanerolle, Dharani K Hapangama","doi":"10.1177/20533691231199803","DOIUrl":"https://doi.org/10.1177/20533691231199803","url":null,"abstract":"Background: Urogenital atrophy is caused by lack of estrogen, most commonly due to the menopause. Symptoms frequently experienced include vaginal dryness, itching, burning, sexual difficulties and urinary problems, all of which can have a significant adverse effect on quality of life. Effective treatments are available for women with a confirmed diagnosis. The aim of this review is to determine whether a consistent diagnostic intervention exists, to support an accurate indication of prevalence.Materials and methods: This study is a review of the literature.Results: A total of 1469 papers were identified on an initial search, including randomised controlled trials, cross sectional and cohort studies. By adoption of a systematic process, the number of papers in the final review was eight.There is inconsistent use of available assessment methods to diagnose urogenital atrophy in symptomatic women. There are no validated clinical assessment tools.Conclusion: Absence of a defined intervention with which to confirm a diagnosis of urogenital atrophy, based on symptoms, influences research outcomes, but more importantly affects access to an accurate diagnosis and treatment, for affected women. This would ideally take place in a primary care setting.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 3","pages":"135-142"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10245016","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

Why menopause still matters. 为什么更年期仍然很重要。

Post reproductive health Pub Date : 2023-09-01 Epub Date: 2023-08-24 DOI: 10.1177/20533691231198295

Heather Currie

引用次数: 0

Novel method of breaking down barriers in the provision of menopause care in Ireland. 打破障碍的新方法提供更年期护理在爱尔兰。

Post reproductive health Pub Date : 2023-09-01 DOI: 10.1177/20533691231198946

Brian Kennedy, Deirdre Lundy, Rachel Mackey, Caoimhe Hartley, Karen Soffe

{"title":"Novel method of breaking down barriers in the provision of menopause care in Ireland.","authors":"Brian Kennedy, Deirdre Lundy, Rachel Mackey, Caoimhe Hartley, Karen Soffe","doi":"10.1177/20533691231198946","DOIUrl":"https://doi.org/10.1177/20533691231198946","url":null,"abstract":"Aim: A novel method of providing education and support to GP's was developed. The goal was to create a rapidly accessed peer advisory community to empower GP HRT prescribing.Method: A core group of doctors with special expertise in HRT were assembled on a GP interest group on the Telegram messaging platform. It is called 'HRT prescribers', an educational community with entrance by peer invitation. Most are GPs and number between 800 and 1000. Members post clinical questions and receive evidence-based responses to their dilemmas.Results: A survey of members was overwhelmingly positive. 98% agreed the group empowered them to be confident and feel supported in their HRT prescribing. 90% agreed the group helped improve access to HRT for women who needed it in their practice.Conclusion: This project developed, with the cooperation of specialists, a cost-effective rapid method of educating and empowering GP's to be supported to safely treat their patients in their menopause transition. With further support and development, we believe it is the model that could be adopted in many countries.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 3","pages":"143-147"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10240336","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

Influence of menopausal status on physical function and performance: A cross-sectional study. 绝经状态对身体功能和表现的影响:一项横断面研究。

Post reproductive health Pub Date : 2023-09-01 DOI: 10.1177/20533691231185414

Prachita Walankar, Raveena Kini, Vrushali Panhale, Nidhi Desai

{"title":"Influence of menopausal status on physical function and performance: A cross-sectional study.","authors":"Prachita Walankar, Raveena Kini, Vrushali Panhale, Nidhi Desai","doi":"10.1177/20533691231185414","DOIUrl":"https://doi.org/10.1177/20533691231185414","url":null,"abstract":"Objective: To compare the physical function and performance in pre-, peri-, and postmenopausal women.Study design: A cross sectional study using convenience sampling method was conducted in 210 women categorized into premenopausal, perimenopausal, and postmenopausal.Main outcome measures: Flexibility, muscle strength, muscle endurance, cardiovascular endurance, static balance, dynamic balance, and gait speed.Results: The mean age of the premenopausal, perimenopausal, and postmenopausal women was 46.55 ± 1.77, 49.54 ± 3.38 and 54.85 ± 3.77 years respectively. There is significant difference observed between premenopausal, perimenopausal, and postmenopausal women in muscle strength, upper limb endurance, lower limb endurance, static balance, dynamic balance, gait speed, and cardiovascular endurance (p < .05) using Kruskal Wallis test. There is no significant difference observed between the groups for flexibility (p > .05).Conclusion: It was observed that physical function and performance was impaired in postmenopausal women when compared to pre- and perimenopausal women. Hence, these components should be included during assessment which will provide a holistic and multimodal approach toward the understanding, planning and management of postmenopausal women in community settings.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 3","pages":"129-133"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10585067","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

32nd Annual Scientific Conference: Stratford Manor Hotel, Stratford-Upon-Avon 第32届年度科学会议:斯特拉特福庄园酒店，埃文河畔斯特拉特福

Post reproductive health Pub Date : 2023-08-05 DOI: 10.1177/20533691231190702

Dr Kuki Avery, Dr Laura Flexer, Dr Ellen Crisp, Dr Matt Noble, Dr Hugo Pedder, Dr Yana Vinogradova, Dr Ambreen Qayum, Dr Alexander N Comninos, Dr Vikram Talaulikar, Professor Nick Panay, P. W. S. Dhillo, Professor Annice Mukherjee, Dr Ali Abbara

引用次数: 0

An evaluation of menopause service delivery during the COVID-19 pandemic. COVID-19大流行期间更年期服务提供的评估

Post reproductive health Pub Date : 2023-06-01 DOI: 10.1177/20533691231174379

Hugo Pedder, Lynne Robinson, Kathy Abernethy, Haitham Hamoda, Jo Marsden

{"title":"An evaluation of menopause service delivery during the COVID-19 pandemic.","authors":"Hugo Pedder, Lynne Robinson, Kathy Abernethy, Haitham Hamoda, Jo Marsden","doi":"10.1177/20533691231174379","DOIUrl":"https://doi.org/10.1177/20533691231174379","url":null,"abstract":"Objective: To investigate the experience of remote outpatient menopause service delivery by clinicians and patients during the COVID-19 pandemic.Methods: Two surveys explored the experiences of patients and clinicians separately. Patients attending menopause clinics in the UK were directed to an online survey which included questions on demographics and on their experience of their most recent appointment. A clinician survey was shared to members of the British Menopause Society (BMS) via email and was made available on the BMS website. It contained questions on clinic characteristics and clinicians' experience of delivering remote menopause consultations. Surveys were available for completion between 01/12/2020 and 10/02/2021.Results: Of 180 patients who completed the patient survey, 52% felt remote consultations were the same or better than face-to-face consultations, and 90% of patients felt a choice between remote and face-to-face consultations should be offered. Patients overall were satisfied with many aspects of care, though numerous problems were highlighted with appointment administration. Of 76 clinicians who completed the clinician survey, most found remote patient consultations either no different or a bit worse than face-to face consultations but found that they offered more flexibility. In some cases, significant rescheduling was necessary to accommodate for the clinical needs of the consultation.Conclusion: A 'one-size-fits-all' approach to managing the delivery of menopause care is not supported by patients or clinicians. There must be a robust process in place to avoid problems with appointment scheduling and associated communications. Lessons learned from the pandemic can help to provide holistic menopause care.","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 2","pages":"85-93"},"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/68/f2/10.1177_20533691231174379.PMC10170251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654045","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

Streamlining women's health - The case for change. 精简妇女健康——变革的理由。

Post reproductive health Pub Date : 2023-06-01 Epub Date: 2023-04-28 DOI: 10.1177/20533691231173015

Edward Morris, Heather Currie

引用次数: 0

Arthralgia of menopause - A retrospective review. 绝经期关节痛的回顾性研究。

Post reproductive health Pub Date : 2023-06-01 DOI: 10.1177/20533691231172565

Janice Blumer

引用次数: 0