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Post Reproductive Health

Salwa Abdullahi Idle, Haitham Hamoda
OBJECTIVE: This study correlates the transvaginal ultrasound findings with histopathology results in women who present with unscheduled bleeding on hormone replacement therapy. STUDY DESIGN: Retrospective analysis of 469 consecutive cases with unscheduled bleeding on hormone replacement therapy (203 patients on sequential hormone replacement therapy (seq-HRT) and 266 patients on continuous combined hormone replacement therapy (con-HRT)). MAIN OUTCOME MEASURES: Outcomes of endometrial assessment in women with unscheduled bleeding on hormone replacement therapy...
February 19, 2019: Post Reproductive Health
Jo Marsden, Mike Marsh, Anne Rigg
This guidance document by the British Menopause Society provides an overview of the management of women experiencing estrogen deficiency symptoms and arthralgia following a breast cancer diagnosis. It is now recommended that breast cancer patients are referred to health care professionals with an expertise in menopause for the management of such symptoms, which in turn often involves liaison with patients' breast cancer teams. However, as many women initially present to primary health care professionals for advice, this statement is aimed to support the latter in such consultations by providing information about symptom aetiology, current management strategies and controversies and identifying useful practice points...
February 18, 2019: Post Reproductive Health
Jo Marsden
In women at population risk of breast cancer (i.e. most), short-term exposure to hormone replacement therapy (i.e. up to five years' use) for symptom relief exceeds its potential harms, including the associated, increased risk of breast cancer diagnosis. Many women and health care professionals, however, consider this to be unacceptably high, although the degree of risk conferred appears equivalent to, or less than that of, other lifestyle risk factors for this condition. In contrast, it is recommended that symptomatic women at high baseline risk due to a family history or a biopsy-confirmed high-risk benign breast condition and those with previous breast cancer should be managed initially with lifestyle changes and non-hormonal alternatives...
February 16, 2019: Post Reproductive Health
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
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
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
Sara MogerChief Executive
No abstract text is available yet for this article.
September 2018: Post Reproductive Health
Sarah Gray
No abstract text is available yet for this article.
September 2018: Post Reproductive Health
Kathy Abernethy
No abstract text is available yet for this article.
September 2018: Post Reproductive Health
Paul Simpson, Heather Currie, Edward Morris
No abstract text is available yet for this article.
June 2018: Post Reproductive Health
Maisy Provan, Tony Mander
No abstract text is available yet for this article.
June 2018: Post Reproductive Health
Sarah Gray
No abstract text is available yet for this article.
June 2018: Post Reproductive Health
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
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
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
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
Sarah Gray
No abstract text is available yet for this article.
March 2018: Post Reproductive Health
Hannah Short
No abstract text is available yet for this article.
March 2018: Post Reproductive Health
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
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
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