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Menopause Review

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https://read.qxmd.com/read/30766467/3d-laparoscopy-as-a-tertiary-cytoreductive-tcr-surgery-in-infiltrating-ureter-recurrent-epithelial-ovarian-cancer-case-report-and-a-mini-review-of-the-literature
#1
Tomasz Szopiński, Igal Mor, Krzysztof Okoń, Włodzimierz Baranowski, Małgorzata Jerzak
The paper describes a case of a 61-year-old woman with recurrent epithelial ovarian cancer infiltrating the ureter treated with 3D laparoscopy as a tertiary cytoreductive surgery (TCR). In addition, a mini-review of the literature concerning TCR is presented.
December 2018: Menopause Review
https://read.qxmd.com/read/30766466/genitourinary-syndrome-of-menopause-treatment-using-lasers-and-temperature-controlled-radiofrequency
#2
REVIEW
Jadwiga Wańczyk-Baszak, Sławomir Woźniak, Bartosz Milejski, Tomasz Paszkowski
Perimenopausal changes caused by oestrogen deficiency are accompanied by a decrease in the content of collagen and elastin in the tissues, leading to thinning of the epithelium and the resultant disappearance of the superficial layer, which leads to smooth muscle dysfunction as well as connective tissue degradation. This aetiopathogenetic chain results in a set of symptoms experienced by approximately 50% of women in the peri- and postmenopausal period. Symptoms of dryness, burning, dyspareunia and urgency contribute to a significant reduction in the quality of sexual function and general comfort of life due to recurrent infections of the vagina, vulva and urinary tract...
December 2018: Menopause Review
https://read.qxmd.com/read/30766465/selected-vitamins-and-quality-of-life-in-menopausal-women
#3
REVIEW
Paweł Milart, Ewa Woźniakowska, Wojciech Wrona
The article presents the results of the latest studies on the correlation between the levels of selected vitamins, their bio-availability and their influence on bodily tissues and the quality of life in menopausal women. It also discusses the correlations between vitamin concentrations and the incidence of diseases characteristic of the transitional period, which affects the quality of life.
December 2018: Menopause Review
https://read.qxmd.com/read/30766464/genitourinary-syndrome-of-menopause-is-the-problem-solved-state-of-the-art-2018
#4
REVIEW
Jacek Szymański, Kornelia Zaręba, Grzegorz Jakiel, Aneta Słabuszewska-Jóźwiak
Vulvovaginal atrophy accompanied by lower urinary tract dysfunction related to low levels of estrogen and androgens is labeled as genitourinary syndrome of menopause (GSM). Although this condition affects most postmenopausal women worldwide, it seems to be underdiagnosed and undertreated. Women should be properly advised to choose an adequate treatment modality to improve their quality of life, sexual relationships and social activity. The aim of this article to is increase knowledge of GSM. The current treatment options, both hormonal and non-hormonal, are reviewed...
December 2018: Menopause Review
https://read.qxmd.com/read/30766463/impact-of-oscillatory-cycloid-vibration-interventions-on-body-composition-waist-and-hip-circumference-and-blood-lipid-profile-in-women-aged-over-65-years-with-hypercholesterolaemia
#5
Anna M Piotrowska, Monika Bigosińska, Halina Potok, Urszula Cisoń-Apanasewicz, Olga Czerwińska-Ledwig, Łukasz M Tota, Roxana Zuziak, Tomasz Pałka, Wanda Pilch
Introduction: Vibration therapy interventions are an attractive alternative for people with contraindications to physical activity or manifesting kinesiophobia; they constitute an equivalent to physical activity. Material and methods: A group of female volunteers with hypercholesterolemia (LDL over 3 mmol/l) aged over 65 years were randomized into 2 subgroups: the study group (taking part in interventions on mattresses generating oscillatory-cycloid vibrations) and the control group (receiving interventions on placebo mattresses)...
December 2018: Menopause Review
https://read.qxmd.com/read/30766462/effects-of-six-weeks-of-resistance-endurance-training-on-microrna-29-expression-in-the-heart-of-ovariectomised-rats
#6
Morteza Jourkesh, Rahman Soori, Conrad P Earnest, Lamia Mirheidari, Ali Asghar Ravasi, Stephen R Stannard, Matias Monsalves-Alvarez
Introduction: Heart disease risk rises with age. However, women's symptoms become more pronounced following the onset of menopause. The aim of the present study was to evaluate the effects of six weeks of combined resistance-endurance (RE) training on microRNA-29 expression in the heart of ovariectomised rats. Material and methods: Thirty female Wistar rats were divided into three groups: 1) sham (SHAM); 2) ovariectomy (OVX); and 3) OVX with RE training (OVX + RE)...
December 2018: Przeglad Menopauzalny, Menopause Review
https://read.qxmd.com/read/30766461/oestrogen-receptor-alpha-pvuii-polymorphism-and-uterine-fibroid-incidence-in-caucasian-women
#7
Michał Ciebiera, Małgorzata Wrzosek, Cezary Wojtyła, Tomasz Łoziński, Grażyna Nowicka, Grzegorz Jakiel, Marek Głowala, Marta Włodarczyk
Introduction: Uterine fibroids (UFs) are benign, monoclonal tumours of the female genital tract that originate from the myometrium. They may be diagnosed in as many as 80% of women depending on the selected population. UFs depend mostly on steroid hormones. Elevated levels of oestrogens and progesterone are believed to be among the most important factors inducing their formation and growth. These facts suggest that oestrogen (ESR) and progesterone receptors are crucial in UF pathophysiology as well...
December 2018: Menopause Review
https://read.qxmd.com/read/30766460/diagnostic-value-of-histopathological-examination-results-obtained-during-screening-of-patients-with-diagnosed-atypical-hyperplasia
#8
Jakub Malinowski, Miłosz Wilczyński, Adam Depta, Andrzej Malinowski
Vulvovaginal atrophy accompanied by lower urinary tract dysfunction related to low levels of estrogen and androgens is labeled as genitourinary syndrome of menopause (GSM). Although this condition affects most postmenopausal women worldwide, it seems to be underdiagnosed and undertreated. Women should be properly advised to choose an adequate treatment modality to improve their quality of life, sexual relationships and social activity. The aim of this article is to increase knowledge of GSM. The current treatment options, both hormonal and non-hormonal, are reviewed...
December 2018: Menopause Review
https://read.qxmd.com/read/30766459/uterine-artery-embolization-in-the-treatment-of-symptomatic-fibroids-state-of-the-art-2018
#9
Anna Stępniak
Uterine fibroids are considered to be the most common benign tumours in females. The vast majority of these tumours are incidental findings and do not require any treatment. Symptomatic fibroids, with ailments such as abnormal uterine bleeding, dysmenorrhoea, pelvic pain, impaired urination, bowel dysfunction, infertility, and recurrent pregnancy loss, are indicated for medical treatment. Surgery remains a first-line treatment of symptomatic uterine fibroids; however, minimally invasive techniques and pharmacological management have become more available and popular...
December 2018: Menopause Review
https://read.qxmd.com/read/30357030/premature-ovarian-insufficiency-hormone-replacement-therapy-and-management-of-long-term-consequences
#10
REVIEW
Paulina Machura, Monika Grymowicz, Ewa Rudnicka, Wojciech Pięta, Anna Calik-Ksepka, Jolanta Skórska, Roman Smolarczyk
Premature ovarian insufficiency (POI) correlates with increased risk of cardiovascular diseases, osteoporosis, genitourinary syndrome, and other symptoms of prolonged oestrogen deprivation. Properly selected therapy improves the quality of women's lives and reduces the risk of mortality. There is a wide spectrum of available oestrogen and progestogen formulations restoring proper levels of serum sex steroid hormones. The treatment should be implemented at recognition of the POI and continued to at least the age of natural menopause...
September 2018: Menopause Review
https://read.qxmd.com/read/30357029/spontaneous-pregnancy-in-a-patient-with-premature-ovarian-insufficiency-case-report
#11
Anna Calik-Ksepka, Monika Grymowicz, Weronika Bronkiewicz, Aleksandra Urban, Kamil Mierzejewski, Ewa Rudnicka, Roman Smolarczyk
Diagnosis of premature ovarian insufficiency is usually sudden and distressful for the patient in terms of facing infertility. However, some patients with POI have intermittent ovarian activity with an overall 5% probability of pregnancy. We report the case of 27-year-old woman with premature ovarian insufficiency treated with hormone replacement therapy, who six months after diagnosis conceived spontaneously. Apart from bleeding episodes in the first trimester, the pregnancy course was uneventful, and a healthy neonate was delivered...
September 2018: Menopause Review
https://read.qxmd.com/read/30357024/signs-and-symptoms-evaluation-and-management-of-genitourinary-tract-consequences-of-premature-ovarian-insufficiency
#12
REVIEW
Anna Calik-Ksepka, Monika Grymowicz, Ewa Rudnicka, Jolanta Skórska, Paulina Machura, Wojciech Pięta, Roman Smolarczyk
Premature ovarian insufficiency (POI) occurs in 1% of women under 40 years old. Hypoestrogenism associated with this condition may result in vaginal atrophy and urine incontinence, called genitourinary syndrome. The symptoms include: vaginal dryness, irritation, dyspareunia, and dysuria. There is relative lack of studies on the occurrence and treatment of genitourinary problems in women with POI. Prevalence rates vary from 17 to 54% depending on cause, duration of oestrogen depletion, and the treatment used...
September 2018: Menopause Review
https://read.qxmd.com/read/30357022/consequences-of-premature-ovarian-insufficiency-on-women-s-sexual-health
#13
REVIEW
Marzena Maciejewska-Jeske, Anna Szeliga, Błażej Męczekalski
Premature ovarian insufficiency (POI) is defined by amenorrhoea and decreased serum levels of oestrogens associated with increased serum gonadotropins concentrations before the age of 40 years. Patients suffering from POI present with irregular menses, either secondary or (less common) primary amenorrhoea, and subfertility. POI affects approximately 1 in 100 women by the age 40 years and 0.1% by 30 years of age. Both spontaneous and iatrogenic causes may induce POI, although up to 90% of POI cases are idiopathic...
September 2018: Menopause Review
https://read.qxmd.com/read/30357009/cardiovascular-health-in-patients-with-premature-ovarian-insufficiency-management-of-long-term-consequences
#14
REVIEW
Agnieszka Podfigurna, Błażej Męczekalski
Cardiovascular diseases (CVDs) represent the world's leading cause of death among women. Women with premature ovarian insufficiency (POI) may be at higher risk of cardiovascular disease, such as myocardial infarction or stroke, than women with normal menopause. The increased burden may be mediated by a worsening of cardiovascular risk factors, such as lipid profiles, with accompanying loss of ovarian function. In contrast, the increased burden may be caused by factors that precede and potentially contribute to both CVD events and ovarian decline, such as smoking...
September 2018: Menopause Review
https://read.qxmd.com/read/30357004/premature-ovarian-insufficiency-aetiopathology-epidemiology-and-diagnostic-evaluation
#15
REVIEW
Ewa Rudnicka, Jagoda Kruszewska, Klaudia Klicka, Joanna Kowalczyk, Monika Grymowicz, Jolanta Skórska, Wojciech Pięta, Roman Smolarczyk
Premature ovarian insufficiency (POI) is defined as a cessation of ovarian function before the age of 40 years. It is associated with hypoestrogenism and loss of residual follicles, both of which lead to menstrual abnormalities, pregnancy failures, and decreased health-related quality of life. The prevalence of POI is estimated at 1% in the general population. Current European Society of Human Reproduction and Embryology (ESHRE) diagnostic criteria include: amenorrhoea or oligomenorrhoea for at least four months and increased follicle-stimulating hormone (FSH) levels > 25 IU/l measured twice (with a four-week interval)...
September 2018: Menopause Review
https://read.qxmd.com/read/30356991/neurological-health-and-premature-ovarian-insufficiency-pathogenesis-and-clinical-management
#16
REVIEW
Radosław Słopień
Premature ovarian insufficiency (POI) is related to neurological problems through neurological symptoms of oestrogen deficiency, diseases caused by oestrogen deficiency, and neurological genetic diseases. Neurological symptoms of oestrogen deficiency are usually reported as climacteric symptoms. Diseases caused by oestrogen deficiency are dementia, cognitive decline, and Parkinsonism. Among genetic neurological disorders, ovarioleukodystrophy and fragile X-associated tremor/ataxia syndrome (FXTAS) are reported...
September 2018: Menopause Review
https://read.qxmd.com/read/30356982/mood-disorders-in-women-with-premature-ovarian-insufficiency
#17
REVIEW
Radosław Słopień
Premature ovarian insufficiency (POI) and related oestrogen deficiency is a cause of many psychological symptoms, including: depression, psychological tension, anxiety, mood lability, loss of libido, feelings of loss of femininity and attractiveness, and decreased self- and sexual esteem. Distress related to POI diagnosis may be even more confusing when POI is diagnosed in relation to serious health complications such as cancer, due to surgery or chemotherapy. Every case of POI requires coordinated medical advice with special attendance of a gynaecological endocrinologist, psychotherapist, and sometimes even a psychiatrist...
September 2018: Przeglad Menopauzalny, Menopause Review
https://read.qxmd.com/read/30356979/bone-health-and-evaluation-of-bone-mineral-density-in-patients-with-premature-ovarian-insufficiency
#18
REVIEW
Anna Szeliga, Marzena Maciejewska-Jeske, Błażej Męczekalski
Oestrogens exert an influence on skeletal homeostasis during growth and adulthood. Regulation of osteoclasts and osteoblasts generation and apoptosis and prolongation of the lifespan of osteocytes are some of their actions on bone metabolism. Premature ovarian insufficiency (POI) and associated loss of oestrogen action on osteoclasts leads to trabecular perforation and loss of connectivity. Lack of oestrogens acting on osteoblast progenitors also causes a decrease in critical bone mass. Postmenopausal hypoestrogenism is associated with an increase in the number of lymphocyte B-cells expressing nuclear factor κB ligand (RANKL) in the bone marrow and elevated expression of RANKL by B-cells...
September 2018: Menopause Review
https://read.qxmd.com/read/30356967/reproduction-in-premature-ovarian-insufficiency-patients-from-latest-studies-to-therapeutic-approach
#19
REVIEW
Błażej Męczekalski, Marzena Maciejewska-Jeske, Agnieszka Podfigurna
Normal function of the ovaries, which is responsible for the hormonal and reproductive processes, is one of the most important determinants of fertility. Premature ovarian insufficiency (POI) is defined as cessation of menstrual cycle, increased serum follicle-stimulating hormone (FSH) levels, and decrease serum oestradiol levels in women before the age of 40 years. POI concerns about 1% of women and is characterised by severely diminished fertility. For the POI patient, this is one of the most dramatic problems...
September 2018: Menopause Review
https://read.qxmd.com/read/30150920/uterine-rupture-at-28-weeks-of-gestation-after-laparoscopic-myomectomy-a-case-report
#20
Katarzyna M Tomczyk, Maciej Wilczak, Paweł Rzymski
There are many reasons for sterility, and uterine malformations are of the greatest concern. Among uterine disorders, myomas play a significant role and are present in 27% of infertile women. The occurrence of myomas is frequent - 20-40% in women of reproductive age. Thus, for those infertile patients surgical treatment may be needed to preserve an opportunity to conceive. This case report refers to an uterine rupture at 28 weeks of gestation after laparoscopic myomectomy (3 months before conceiving). The myomectomy was conducted correctly and two layers of sutures on the myometrium were performed...
June 2018: Menopause Review
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