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Menopause guidelines

Reza Ganji, Meysam Moghbeli, Ramin Sadeghi, Golnaz Bayat, Azita Ganji
BACKGROUND: Celiac disease (CD) is known as a reason of metabolic osteopathy. Progression of non-invasive methods such as bone densitometry has shown that an important ratio of CD cases is faced with impaired bone mass and such cases are prone to bone fractures. Variety of low bone mineral density in CD is probably because of ignored confounding factors such as age, menopause, and drug. The aim of our study was to systematically review the osteoporosis and osteopenia incidences among premenopausal females and males with CD...
February 7, 2019: Nutrition Journal
Li-Feng Miao, Xiao-Yan Wang, Xiang-Hua Ye, Meng-Shen Cui, Xiao-Feng He
Many molecular epidemiology studies have reported an association between the combined effects of glutathione S-transferase M1 (GSTM1) and glutathione S-transferase T1 (GSTT1) polymorphisms on breast cancer risk. However, the results have been controversial.A meta-analysis was performed to clarify this issue.Meta-analysis of observational studies in epidemiology guidelines was used. Pooled the crude odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using a random-effects model or fixed-effects model...
February 2019: Medicine (Baltimore)
Kristina M Cordasco, Anita H Yuan, Marjorie J Danz, Melissa M Farmer, LaShawnta Jackson, Ellen F Yee, Donna L Washington
BACKGROUND: Abnormal uterine bleeding (AUB) is common among primary care patients. We assessed the extent to which Veterans Health Administration (VA) primary care patients with AUB are receiving guideline-adherent primary care. METHODS: We identified women with AUB presenting to primary care providers across four VA health care systems from June 2013 to September 2015. We performed a structured abstraction of electronic medical record data for 15 indicators of guideline-adherent AUB care...
February 2, 2019: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Elizabeth M Hendren, Monica L Reynolds, Laura H Mariani, Jarcy Zee, Michelle M O'Shaughnessy, Andrea L Oliverio, Nicholas W Moore, Peg Hill-Callahan, Dana V Rizk, Salem Almanni, Katherine E Twombley, Emily Herreshoff, Carla M Nester, Michelle A Hladunewich
A range of women's health issues are intimately related to chronic kidney disease, yet nephrologists' confidence in counseling or managing these issues has not been evaluated. The women's health working group of Cure Glomerulonephropathy (CureGN), an international prospective cohort study of glomerular disease, sought to assess adult nephrologists' training in, exposure to, and confidence in managing women's health. A 25-item electronic questionnaire was disseminated in the United States (US) and Canada via CureGN and Canadian Society of Nephrology email networks and the American Society of Nephrology Kidney News...
February 3, 2019: Journal of Clinical Medicine
C A Stuenkel
Over the past decades, progress in efforts to reduce cardiovascular morbidity and mortality has been achieved, although a disturbing trend for stagnation of cardiovascular mortality rates among younger women compared with those in younger men has been identified. While the menopause transition has traditionally offered an unequivocal opportunity to assess cardiovascular risk and counsel women to adopt preventive strategies, the veritable 'window of opportunity', usually applied to the concept of timing the initiation of menopausal hormone therapy, must be opened much wider to encompass younger women including those who have experienced adverse events during pregnancy, treatment for breast cancer, and premature menopause...
February 4, 2019: Climacteric: the Journal of the International Menopause Society
Elizabeth Lokich
Survivorship care includes surveillance and prevention of cancer recurrence, addressing side effects of cancer and cancer treatment and coordination of follow-up care. This article reviews guidelines for surveillance of women with ovarian, endometrial, cervical, and vulvar cancer. It also reviews many of the long-term physical side effects of gynecologic cancer treatment including fatigue, neuropathy, lymphedema, cognitive dysfunction, sexual health concerns, menopausal symptoms, infertility, and economic stressors...
March 2019: Obstetrics and Gynecology Clinics of North America
L Alio, S Angioni, S Arena, L Bartiromo, V Bergamini, N Berlanda, V Bonanni, C Bonin, L Buggio, M Candiani, G Centini, M N D'Alterio, F De Stefano, A Di Cello, C Exacoustos, L Fedele, M P Frattaruolo, E Geraci, E Lavarini, L Lazzeri, S Luisi, A Maiorana, S Makieva, F Maneschi, F Martire, C Massarotti, A Mattei, L Muzii, J Ottolina, L Pagliardini, A Perandini, F Perelli, I Pino, M G Porpora, V Remorgida, G Scagnelli, R Seracchioli, E Solima, E Somigliana, G Sorrenti, A Ticino, R Venturella, P Viganò, M Vignali, F Zullo, E Zupi
The incidence of endometriosis in middle-aged women is not minimal compared to that in the reproductive age group. The treatment of affected women after childbearing age to the natural transition toward menopause has received considerably poor attention. Disease management is problematic for these women due to increased contraindications regarding hormonal treatment and the possibility for malignant transformation, considering the increased cancer risk in patients with a long-standing history of the disease...
January 10, 2019: Climacteric: the Journal of the International Menopause Society
Sybil L Crawford, Carolyn J Crandall, Carol A Derby, Samar R El Khoudary, L Elaine Waetjen, Mary Fischer, Hadine Joffe
OBJECTIVE: To better understand how to educate patients and providers about study findings relevant to treatment guidelines, we assessed pre- versus post-Women's Health Initiative (WHI) differences in menopausal hormone therapy (MHT) initiation and continuation and their correlates, and in women's reasons for initiation and discontinuation. METHODS: We analyzed survey data from up to 14 approximately annual visits over 17 years (1996-2013) from 3,018 participants in the Study of Women's Health Across the Nation, a prospective cohort study...
December 21, 2018: Menopause: the Journal of the North American Menopause Society
Fahimeh Ramezani Tehrani, Samira Behboudi-Gandevani, Marzieh Rostami Dovom, Maryam Farahmand, Sonia Minooee, Mahsa Noroozzadeh, Mina Amiri, Sima Nazarpour, Fereidoun Azizi
Context: Reproductive domains of the Tehran lipid and glucose study (TLGS) are unique in that they provide reliable information on reproduction of an urban population of West Asia. The aim of this review is to present the most important reproductive findings of TLGS. Evidence Acquisition: This review is summarizing all articles published in the context of reproductive aspects of TLGS results over the 20-year follow-up. A comprehensive databases search was conducted in PubMed (including Medline), Web of Science and Scopus for retrieving articles on the reproductive histories in context of the TLGS...
October 2018: International Journal of Endocrinology and Metabolism
Sheela Swamy, Anthony S Kupelian, Rajvinder Khasriya, Dhanuson Dharmasena, Hristina Toteva, Tara Dehpour, Linda Collins, Jennifer L Rohn, James Malone-Lee
PURPOSE: To measure the effects of an unplanned, sudden cessation of treatment in an unselected group of patients with chronic painful LUTS managed with protracted antimicrobial treatment and to report these observational data collected from a cross-over process. MATERIALS AND METHODS: The imposition of a guideline resulted in the immediate cessation of antibiotic treatment in a cohort of patients with chronic painful LUTS and microscopic pyuria. Patients were assessed before treatment withdrawal, whilst off treatment, and following reinstatement...
December 18, 2018: International Urogynecology Journal
Sudhaker D Rao
Parathyroid disorders are not as uncommon as once believed. Both hyper- and hypoparathyroidism are more prevalent in women, but for different reasons. The female preponderance seen in primary hyperparathyroidism may be pathogenically linked, as it is more common after menopause. By contrast, higher prevalence of hypoparathyroidism in women is related to thyroid surgery, which is performed more frequently in women; thus the female to male ratio of hyper- and hypoparathyroidism is about 3:1 and 4:1 respectively...
December 7, 2018: Best Practice & Research. Clinical Endocrinology & Metabolism
Vanessa R Souza, Eduardo Mendes, Mateus Casaro, Ana Tada F B Antiorio, Fernando A Oliveira, Caroline M Ferreira
Estrogen and ovarian function decline are relevant characteristics of menopause period. Numerous physiological, metabolic and immunological alterations in the female body occur in the menopause period and some of these changes remain uncertain. The animal model that mimics menopause phase is an important approach to better comprehend the biological process involved in this period of women life. Ovariectomy is a procedure where ovaries are surgically excised and have been a valuable tool for understanding estrogen deficiency through animal experiments...
2019: Methods in Molecular Biology
Matteo Lambertini, Florence Horicks, Lucia Del Mastro, Ann H Partridge, Isabelle Demeestere
Survivorship issues are an area of crucial importance to be addressed as early as possible by all health care providers dealing with cancer patients. In women diagnosed during their reproductive years, the possible occurrence of chemotherapy-induced premature ovarian insufficiency (POI) is of particular concern being associated with important menopause-related symptoms, psychosocial issues as well as infertility. Temporary ovarian suppression by administering a gonadotropin-releasing hormone agonist (GnRHa) during chemotherapy has been studied to reduce the gonadotoxic impact of chemotherapy thus diminishing the chance of developing POI...
January 2019: Cancer Treatment Reviews
Sandra Halldorsdottir, Hanna Dahlstrand, Karin Stålberg
BACKGROUND: Prolonged survival in ovarian and endometrial cancer patients increases the importance of paying attention to quality of life. Hormone replacement therapy (HRT) after gynecologic cancer has been controversial. With this survey, we sought to describe Swedish gynecologists' and gynecologic oncologists' attitudes towards prescribing HRT to these cancer survivors and see if prescribing practice is consistent with the available evidence and national guidelines. MATERIAL AND METHODS: A web-based survey containing three hypothetical cases with a total of 15 questions was distributed to gynecologists and gynecologic oncologists in Sweden...
December 10, 2018: Upsala Journal of Medical Sciences
Maria Gouveia, Raquel Sanches, Sara Andrade, Sara Carmona, Carolina Ferreira
INTRODUCTION: Female sexual dysfunction is a common problem, affecting more than 1/3 of women during their lives. The aim of this review is to review the evidence for the effectiveness of testosterone in sexual dysfunction in postmenopausal women, particularly in the improvement of sexual desire. MATERIAL AND METHODS: The authors searched in international databases National Guidelines Clearinghouse, Guidelines Finder, Cochrane Library and MEDLINE/PubMed, for guidelines, systematic reviews, meta-analysis and randomized controlled trials, published between January 2005 and February 2017, using the MeSH terms 'testosterone', 'androgens', 'libido', 'sexual dysfunctions' and 'menopause'...
November 30, 2018: Acta Médica Portuguesa
Monica Acciarresi, Riccardo Altavilla, Maria G Mosconi, Valeria Caso
PURPOSE OF REVIEW: The absolute risk of pregnancy-associated intracranial haemorrhage (ICH) has been reported to be relatively low and often associated with high risks of life-long disabilities and mortality. The aim of this narrative review was obtaining a better understanding of the current management practices for ICH, unruptured aneurysms and/or arteriovenous malformations during pregnancy, as well as the effects of future pregnancies, and the uses of oral contraceptive or HRT. RECENT FINDING: General guidelines for the management of ICH are used for pregnant women but additional expedient and thorough evaluation of foetal viability and its gestational age are requested...
February 2019: Current Opinion in Neurology
Vincenza Gianfredi, Daniele Nucci, Angela Abalsamo, Mattia Acito, Milena Villarini, Massimo Moretti, Stefano Realdon
Breast cancer (BC) is the most common cancer in women and several factors are involved in its onset. Green tea (GT) has been shown to have potential beneficial effects on different types of cancer. The aim of this review was to evaluate the association between GT regular consumption and risk of BC in women. The risk of BC recurrence and risk of BC in relation to menopausal status were also evaluated. A literature search of PubMed, Scopus, and Web of Science was conducted. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to perform the systematic review and meta-analysis...
December 3, 2018: Nutrients
Nosheen Fatima, Maseeh Uz Zaman, Sadaf Saleem, Noureen Hameed, Jamila Bano
Meaningful change in bone mineral density (BMD) should be equal or higher than institutional least significant change (LSC). But some facilities use vendor's LSC which is discouraged by International Society for Clinical Densitometry (ISCD). The aim of this study was to find the impact of scan interpretation upon interval BMD changes using vendors and institutional LSCs. This prospective study was conducted at Joint Commission International-accredited facility of Pakistan from April-June 2017 using Hologic Discovery-A scanner...
October 2018: World Journal of Nuclear Medicine
Doris Leithner, Benjamin Kaltenbach, Petra Hödl, Volker Möbus, Volker Brandenbusch, Stephan Falk, Clara Park, Thomas J Vogl, Markus Müller-Schimpfle
Background: The management of intraductal papilloma without atypia (IDP) in breast needle biopsy remains controversial. This study investigates the upgrade rate of IDP to carcinoma and clinical and radiologic features predictive of an upgrade. Methods: Patients with a diagnosis of IDP on image-guided (mammography, ultrasound, magnetic resonance imaging) core needle or vacuum-assisted biopsy and surgical excision of this lesion at a certified breast center between 2007 and 2017 were included in this institutional review board-approved retrospective study...
October 2018: Breast Care
Yasuhiro Takeuchi
Osteoporosis is deterioration of bone integrity caused by bone loss(bone mineral density decrease)due to failure of coupling of bone resorption and bone formation. Various pathophysiological conditions other than natural menopause or aging are involved in the development of osteoporosis. When there is a specific cause of the disease, it is referred to as secondary osteoporosis. Secondary osteoporosis is usually thought to lead to an increased risk of fracture by causing a decrease in bone mineral density. It has also should be noted that in patients receiving corticosteroids, bone mineral density independent fracture risk increases...
2018: Clinical Calcium
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