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Post Reproductive Health

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https://www.readbyqxmd.com/read/30392440/investigation-and-treatment-of-premature-ovarian-insufficiency-a-multi-disciplinary-review-of-practice
#1
A Richardson, S A Haridass, E Ward, J Ayres, N E Baskind
OBJECTIVES: To assess compliance with the European Society for Human Reproduction and Embryology (ESHRE) guidelines on the investigation and management of women with premature ovarian insufficiency at the Leeds Teaching Hospitals NHS Trust (LTHT) and to determine whether this varies depending on the clinical setting in which the women present. STUDY DESIGN: A retrospective review of all females diagnosed with premature ovarian insufficiency between 1 July 2016 and 30 June 2017, presenting to one of the following clinics: reproductive medicine, specialist menopause, general gynaecology, oncology long-term follow-up, general endocrinology or paediatric endocrinology...
November 4, 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/30348046/managing-vulvovaginal-atrophy-after-breast-cancer
#2
Jenifer Sassarini, Mahesh Perera, Keith Spowart, Kay McAllister, Judith Fraser, Ros Glasspool, Rosie Harrand, Marina Chitoni, Sheila Stallard, Mary-Ann Lumsden
Cancer treatment may result in loss of ovarian function through surgical removal of the ovaries, chemotherapy or radiation. While menopausal symptoms, such as hot flushes, night sweats, sleep disturbance, memory concerns and mood issues can be extremely bothersome to some women going through menopause naturally, women who undergo an induced menopause usually experience more sudden and severe symptoms. Pain and vaginal dryness can occur whether a woman has a sexual partner or not. In women with breast cancer, the aetiology of impaired sexual functioning, and lowered sexual desire, is often multifactorial, and may be related to physical and/or psychological reasons...
October 23, 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/30244644/bms-consensus-statement
#3
Joan Pitkin
Urogenital atrophy is more common than it would first appear and women do not always seek advice and guidance. Confusion still exists between systemic hormone replacement therapy (HRT) and local estrogen preparations but new treatment modalities have emerged that extend the range of options beyond lubricants, moisturisers and vaginal estrogen preparations.
September 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/30244642/report-on-the-28th-bms-annual-conference-royal-college-of-physicians-5-and-6-july-2018
#4
Sara MogerChief Executive
No abstract text is available yet for this article.
September 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/30244641/tales-from-the-menopause-clinic
#5
Sarah Gray
No abstract text is available yet for this article.
September 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/30244640/back-to-basics
#6
EDITORIAL
Kathy Abernethy
No abstract text is available yet for this article.
September 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29925302/neurokinin-3-receptor-antagonism-is-this-the-end-of-hrt
#7
Paul Simpson, Heather Currie, Edward Morris
No abstract text is available yet for this article.
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29925301/mobility-exercise-nutrition-and-healthy-ageing-to-avoid-sarcopenia
#8
Maisy Provan, Tony Mander
No abstract text is available yet for this article.
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29925299/hrt-in-breast-cancer-survivors
#9
Sarah Gray
No abstract text is available yet for this article.
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29562803/service-evaluation-project-are-local-recommendations-for-onward-referral-to-a-specialist-menopause-clinic-required-to-translate-guidelines-into-practice
#10
Anne Marie C Neill
Objective Referral audit - are local recommendations required to translate guideline to practice? Study design In total, 50 consecutive, anonymised referral letters reviewed during the initial consultation in a specialist menopause clinic; the reasons for referral along with the patient's age and the source of referral were analysed. Results Several common reasons for referral were identified. Sexual dysfunction, including loss of libido and dyspareunia, resulted in 11 (22%) referrals. Ten (20%) women were troubled by persistent symptoms or side effects from HRT; 9 (18%) women were referred before hormone replacement therapy was discussed or commenced; 7 (14%) women seeking advice for their menopausal symptoms had a family or personal history of cancer; 5(10%) were migraineurs; 2(4%) women had premature ovarian insufficiency; 2(4%) were denied hormone replacement therapy because of concern about venous thromboembolism risk; and 4 (8%) had miscellaneous medical disorders...
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29409388/are-previous-episodes-of-bacterial-vaginosis-a-predictor-for-vaginal-symptoms-in-breast-cancer-patients-treated-with-aromatase-inhibitors
#11
Malene R Gade, Irina Goukasian, Nathalie Panduro, Claus Kamby, Lisbeth Nilas, Malgorzata K Tuxen, Lars Bjerrum
Objective To estimate the prevalence of vaginal symptoms in postmenopausal women with breast cancer exposed to aromatase inhibitors, and to investigate if the risk of vaginal symptoms is associated with previous episodes of bacterial vaginosis. Methods Patients from Rigshospitalet and Herlev University Hospital, Denmark, were identified through the register of Danish Breast Cancer Cooperation Group and 78 patients participated in the study. Semiquantitave questionnaires and telephone interview were used to assess the prevalence of vaginal symptoms and previous episode(s) of bacterial vaginosis...
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29402191/post-menopausal-bleeding-is-transvaginal-ultrasound-a-useful-first-line-investigation-in-tamoxifen-users
#12
A Abdaal, Y Mushtaq, L Khasati, J Moneim, F Khan, H Ahmed, H Bolton
Objective To evaluate the role of transvaginal ultrasound triage in women with a history of tamoxifen treatment who present with post-menopausal bleeding. Study design A retrospective review was undertaken of patients who presented with symptoms of post-menopausal bleeding and underwent ultrasound triage. Endometrial thickness and ultrasonographic features were then correlated with hysteroscopic and histopathological outcome data. The findings and outcomes for women with a history of tamoxifen use (tamoxifen group) were compared to those who had not taken tamoxifen (non-tamoxifen group)...
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29320950/reclaim-the-menopause-a-pilot-study-of-an-evidence-based-menopause-course-for-symptom-management-and-resilience-building
#13
Eileen Bellot, Naomi Rouse, Myra S Hunter
Reclaim the Menopause is a community-based menopause course developed by Hands Inc. and supported by Hackney Learning Trust. The course provides evidence-based education, cognitive behaviour therapy and psychosocial support to promote menopause awareness, challenge stigma and increase self-management amongst menopausal women. Ethnicity was an important aspect of the work, as Hands Inc. was keen to reach women who might not otherwise access interventions. All course participants were Black British (as were two of the three facilitators)...
June 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29554855/practice-observed
#14
Sarah Gray
No abstract text is available yet for this article.
March 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29554853/editorial
#15
Hannah Short
No abstract text is available yet for this article.
March 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29412042/musculoskeletal-pain-and-menopause
#16
REVIEW
Fiona E Watt
Musculoskeletal pain, arthralgia and arthritis are all more common in women, and their frequency increases with age and in some appears to be associated with the onset of menopause. The clinical assessment, investigation and management of women presenting with musculoskeletal pain, arthralgia or arthritis at the time of menopause are reviewed. Common causes of arthralgia and arthritis in this population are discussed. The epidemiological and trials evidence for the effects of hormone replacement therapy on musculoskeletal pain and arthritis (primarily from RCTs of HRT for other menopausal symptoms) are discussed...
March 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29392982/left-in-limbo-experiences-and-needs-among-postmenopausal-women-newly-diagnosed-with-osteoporosis-without-preceding-osteoporotic-fractures-a-qualitative-study
#17
Pernille Ravn Jakobsen, Anne Pernille Hermann, Jens S√łndergaard, Uffe Kock Wiil, Ronald F Dixon, Jane Clemensen
Introduction Despite the fact that the first osteoporotic fracture is preventable, osteoporosis is still a major health challenge. The disease is highly prevalent among postmenopausal women. However little is known about how to meet and support women, when they are diagnosed with osteoporosis without preceding fractures. Therefore this study aims at gaining a deeper understanding of how women experience being diagnosed. Furthermore to describe and identify their needs, which should be met in future healthcare services...
March 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29338561/menopause-and-cardiovascular-disease
#18
REVIEW
Louise Newson
Cardiovascular disease is very common in women. It is still under diagnosed and under treated. Many women are not having their risk factors for cardiovascular disease properly addressed. Many healthcare professionals are uncertain about the role of hormones in cardiovascular disease. This article gives an overview of the most important risk factors for cardiovascular disease and how to manage those risk factors appropriately, based on the available evidence.
March 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/29251186/hiv-and-the-menopause-a-review
#19
REVIEW
Lauren Bull, Victoria Tittle, Taslima Rashid, Nneka Nwokolo
Effective antiretroviral therapy has resulted in a close to normal life expectancy for people living with HIV. This has led to a shift in the age distribution of women living with HIV in the UK, with one in three attending for HIV care estimated to be aged 45-56 years in 2014. The lack of experience of many HIV physicians in managing menopause, and the perceived complexity of managing menopause in women living with HIV by general practitioners means that many women are unable to access appropriate care and support...
March 2018: Post Reproductive Health
https://www.readbyqxmd.com/read/28994639/migraine-menopause-and-hormone-replacement-therapy
#20
REVIEW
E Anne MacGregor
Perimenopause marks a period of increased migraine prevalence in women and many women also report troublesome vasomotor symptoms. Migraine is affected by fluctuating estrogen levels with evidence to support estrogen 'withdrawal' as a trigger of menstrual attacks of migraine without aura, while high estrogen levels can trigger migraine aura. Maintaining a stable estrogen environment with estrogen replacement can benefit estrogen-withdrawal migraine particularly in women who would also benefit from relief of vasomotor symptoms...
March 2018: Post Reproductive Health
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