Post reproductive healthPub Date : 2023-12-01Epub Date: 2023-06-22DOI: 10.1177/20533691231180721
Nigel Denby
{"title":"Menopause: Nutrition and weight gain.","authors":"Nigel Denby","doi":"10.1177/20533691231180721","DOIUrl":"10.1177/20533691231180721","url":null,"abstract":"<p><p>There remains great debate amongst health professionals, women and social media commentators about what the best menopause diet should be. There are areas of nutrition requiring specific attention in the menopause such as bone health and cardiovascular health. Many women experience weight gain during the menopause. This tool for clinicans has been written to cover current evidence based dietary advice for menopause health and provide practical tips on how to present this information to women and motivate them to make appropriate changes.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"232-234"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680358","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}
Post reproductive healthPub Date : 2023-12-01Epub Date: 2023-11-20DOI: 10.1177/20533691231216162
Elizabeth Ray, Jacqueline A Maybin, Joyce C Harper
{"title":"Perimenopausal women's voices: How does their period at the end of reproductive life affect wellbeing?","authors":"Elizabeth Ray, Jacqueline A Maybin, Joyce C Harper","doi":"10.1177/20533691231216162","DOIUrl":"10.1177/20533691231216162","url":null,"abstract":"<p><strong>Objective: </strong>To explore perimenopausal women's feelings towards their periods, the impact on their wellbeing and how we can support them.</p><p><strong>Study design: </strong>Participants were recruited for focus groups through social media advertisements. In 6 online focus groups, 31 perimenopausal women aged 40-55 living in the UK were asked 5 questions relating to periods and perimenopause, support and education.</p><p><strong>Main outcome measures: </strong>Content analysis.</p><p><strong>Results: </strong>When asked How do you feel about having a period? The participants often related back to the stress of menarche and said their period negatively impacted their wellbeing their whole lives. During perimenopause, their periods had become unpredictable, heavy, and a debilitating disruption to their lives. The women desired support at work through policy, and from family and friends. They believed that educating girls and boys during school was the best place to start, but that education through work and community groups was also needed. They felt healthcare professionals should have mandatory training regarding women's health issues and menopause.</p><p><strong>Conclusion: </strong>The study highlights the impact of menstrual experiences on the wellbeing of perimenopausal women, emphasising the need for improved menstrual education from an early age. Comprehensive menstrual education in schools involving both genders to enable informed decision-making and improved training for healthcare professionals are recommended. Support networks for perimenopausal women will promote better quality of life for women as they go through their perimenopause journey.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"201-221"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138177967","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}
Post reproductive healthPub Date : 2023-12-01Epub Date: 2023-10-16DOI: 10.1177/20533691231208473
Ishrat Hussain, Vikram Sinai Talaulikar
{"title":"A systematic review of randomised clinical trials - The safety of vaginal hormones and selective estrogen receptor modulators for the treatment of genitourinary menopausal symptoms in breast cancer survivors.","authors":"Ishrat Hussain, Vikram Sinai Talaulikar","doi":"10.1177/20533691231208473","DOIUrl":"10.1177/20533691231208473","url":null,"abstract":"<p><p>Therapies utilised in breast cancer management have been found to induce or worsen the genitourinary symptoms of menopause (GSM), a group of physical symptoms associated with the systemic loss of estrogen. These symptoms are often undertreated due to concerns surrounding cancer recurrence, especially when considering treatments with possible pro-estrogenic effects. As breast cancer prognosis continues to improve, clinicians are increasingly focussing on managing these symptoms amongst survivors. This systematic review primarily aimed to determine the risk of breast cancer recurrence amongst survivors using vaginal hormones and selective estrogen receptor modulator therapies recommended for use in GSM in the United Kingdom amongst currently published randomised clinical trials (RCTs). The secondary aim was to determine whether these RCTs demonstrated a significant rise in serum estrogen levels following the use of these therapies. A literature search revealed three RCTs suitable for assessment, two evaluating vaginal estrogen and one evaluating vaginal DHEA treatment. Our review determined that amongst published RCTs, no studies have aimed to assess for breast cancer recurrence; however among the studies observing for serious adverse effects of vaginal estrogen preparations, none have reported an increased incidence. Furthermore, these studies did not report a persistent or significant increase in serum estrogen levels following the use of vaginal estrogen products and low concentration (3.25 mg/day) DHEA gel. Larger RCTs studying commonly used vaginal preparations and selective estrogen receptor modulator treatments for GSM over longer follow-up periods will be vital to better assess the risk of breast cancer recurrence in survivors receiving these treatments.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"222-231"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240806","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}
Post reproductive healthPub Date : 2023-12-01Epub Date: 2023-06-22DOI: 10.1177/20533691231180722
Nigel Denby
{"title":"Menopause: Nutrition and weight gain top ten tips.","authors":"Nigel Denby","doi":"10.1177/20533691231180722","DOIUrl":"10.1177/20533691231180722","url":null,"abstract":"","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":" ","pages":"235"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680356","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":"Group consultations for menopause: A way forward if we can encourage women to join?","authors":"Sally Rushton","doi":"10.1177/20533691231194557","DOIUrl":"https://doi.org/10.1177/20533691231194557","url":null,"abstract":"<p><p>The number of patients presenting to primary care requiring support with menopause symptoms is increasing and the number of available appointments in general practice is reducing. In attempt to improve access new ways of engaging with these patients may be beneficial. Group consultations could be a solution. Here I describe my experience of setting up group consultations in a GP practice.</p>","PeriodicalId":52104,"journal":{"name":"Post reproductive health","volume":"29 3","pages":"149-151"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10603247","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}