The experiences and needs of Asian women experiencing menopausal symptoms: a meta-synthesis
Conclusions: Although cultural influences serve as a protective factor against menopausal symptoms, the traditional and conservative nature of the Asian society poses as a help-seeking barrier. Therefore, to ensure the healthy well-being of postmenopausal women, the implementation of culturally appropriate mitigation and management strategies is necessary. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Review Article Source Type: research

Adnexal tumors in menopausal women: surgery or surveillance?
Asymptomatic ovarian tumors in menopausal women do not always require surgical removal. Experts recommend an initial evaluation with transvaginal ultrasound to help characterize the tumor's malignant risk. Low-risk tumors can be monitored with ultrasound, whereas high-risk tumors should be referred to a gynecologic oncologist. Indeterminate tumors require secondary testing with the strategies outlined in this Practice Pearl. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Clinical Corner: NAMS Practice Pearl Source Type: research

The relationship between serum fibroblast growth factor 23, Klotho, and lumbar spine bone mineral density in northern Chinese postmenopausal women
Conclusions: Klotho was positively correlated with LBMD, and there was a linear relationship between Klotho serum protein levels and LBMD; however, the levels of serum Klotho were not independently associated with reduced LBMD in northern Chinese postmenopausal women. Moreover, serum FGF23 levels were not significantly related to LBMD in this sample population. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Follicle-stimulating hormone is associated with lipids in postmenopausal women
Conclusions: These data suggest that higher FSH in postmenopausal women is related to higher levels of both TC and LDL-C. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Follicle-stimulating hormone, but not cardiorespiratory fitness, is associated with flow-mediated dilation with advancing menopausal stage
Conclusions: These data suggest that endothelial function is lower with progressive menopausal stage in women with high cardiorespiratory fitness; that FMD is lower in women with higher cardiorespiratory fitness; and that FSH, but not estradiol, is associated with FMD. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The effect of a midwife-based counseling education program on sexual function in postmenopausal women: a randomized controlled clinical trial
Objective: The present study was conducted to investigate the effect of a midwife-based counseling education program on sexual function in postmenopausal women. Methods: A randomized clinical trial was conducted on 52 eligible postmenopausal women. Participants’ sexual function was assessed using the Female Sexual Function Index (FSFI). The women were randomly allocated into two groups: (1) the intervention group, in which the participants received a midwife-based counseling education program in 4 sessions held at 10-day intervals, with each session lasting for 70 minutes; (2) the control group, in which the par...
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Evaluation of clinical meaningfulness of estrogen plus progesterone oral capsule (TX-001HR) on moderate to severe vasomotor symptoms
Objective: The aim of this study was to determine the clinical meaningfulness of TX-001HR in reducing moderate to severe vasomotor symptoms (VMS) in menopausal women with a uterus. Methods: In the REPLENISH study (NCT01942668), women with moderate to severe hot flushes (≥7/d or ≥50/wk) were enrolled in a VMS substudy and randomized to four doses of daily TX-001HR (17β-estradiol/progesterone) or placebo. Participants assessed improvement of their VMS by the Clinical Global Impression and the Menopause-Specific Quality of Life (MENQOL) questionnaire, which were used to define clinical responders, clinically i...
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Oral 17β-estradiol/progesterone (TX-001HR) and quality of life in postmenopausal women with vasomotor symptoms
Objective: The aim of the study was to describe the effects of TX-001HR (17β-estradiol [E2] and natural progesterone [P4] in a single oral capsule) on menopause-specific quality of life in women with moderate to severe vasomotor symptoms (VMS). Methods: The REPLENISH study (NCT01942668) was a phase 3, randomized, double-blind, placebo-controlled, multicenter trial which evaluated four E2/P4 doses in postmenopausal women with VMS and a uterus. Women with moderate to severe hot flushes (≥7/d or ≥50/wk) were included in a VMS substudy. Participants self-administered the Menopause-Specific Quality of Life (MENQ...
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Secular trends and associated factors of age at natural menopause in Taiwanese women
Conclusions: The results suggest that women in the younger cohorts, with higher educational levels, and who are parous and married may have later ANM. The trend effect of secular time and educational levels on ANM may reflect the influences of socioeconomic/nutritional status in their childhood or throughout their lifetime. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Factors related to age at menopause among Korean women: the Korean Longitudinal Survey of Women and Families
Conclusions: Various factors influenced menopause, including sociodemographic, health status, and health behaviors. Specific tailored interventions for the management of depressive symptoms and smoking cessation could be developed to target modifying variables for Korean women, in preparation for menopause. Also, the role of perceived body weight on menopause could be further explored to identify sociocultural factors for age at menopause. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The burden of vulvovaginal atrophy on women's daily living: implications on quality of life from a face-to-face real-life survey
Conclusions: Severe VVA symptoms showed a direct association with worse quality of life in postmenopausal women. This important effect on the quality of life of many women should be recognized as equivalent to those from other conditions and pathologies of which there is greater awareness. (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Self-awareness and the evaluation of hot flash severity: observations from the Seattle Midlife Women's Health Study
Objective: The purpose of this study was to test the association of two dimensions of self-awareness with hot flash (HF) severity. Methods: A subset of women from the Seattle Midlife Women's Health Study (N = 232) provided data for these analyses. Structural equation modeling was used to evaluate two dimensions of self-awareness (Internal States Awareness [ISA] and Self-Reflectiveness [SR]), and secondary factors of perceived stress, anxiety, and attitudes toward menopause as continuous with earlier life, health perceptions, and menopausal stage with respect to HF severity. The measurement and structural models we...
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Gastric responses to acute psychological stress in climacteric women: a pilot study
Objective: Women exhibit reduced ovarian sex hormones during the menopausal period that result in well-known physical and psychological symptoms. However, symptoms related to gastric motility (GM) have not been thoroughly investigated. We hypothesized that stress response gastric motility (SRGM) is lower in postmenopausal (PM) and perimenopausal (PERIM) women than in premenopausal (PREM) women. Estrogenic decline leads to neuroendocrine changes in different areas of the brain. These changes can result in hypothalamic vasomotor symptoms, disorders in eating behaviours, and altered blood pressure, in addition to psychologi...
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Early life exposure to famine and reproductive aging among Chinese women
Objective: To assess the effect of early life exposure to famine, as endured during 1959 to 1961 in China, on reproductive aging in adult women. Methods: Between 2011 and 2012, 2,868 women born around the Chinese famine period (1956-1964) were enrolled in this study from three communities in China. Age at natural menopause was obtained retrospectively from a structured questionnaire. The associations of early life famine exposure with reproductive aging during adulthood were estimated, with adjustment of socioeconomic status, lifestyle factors, and body mass index. Results: Women exposed to prenatal famine had a hi...
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Hot flashes: treating the mind, body and soul
No abstract available (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Editorials Source Type: research

Menopause and the gastrointestinal system: our gut feelings
No abstract available (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Editorials Source Type: research

Importance of prenatal and early-life nutrition in early menopause and subsequent health
No abstract available (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: Editorials Source Type: research

Fernand Labrie, OC, OQ, MD, PhD, FRCPC, FRSC, CAHS (June 28, 1937–January 16, 2019)
No abstract available (Source: Menopause)
Source: Menopause - April 27, 2019 Category: OBGYN Tags: In Memoriam Source Type: research

A systematic review of the efficacy and safety of vaginal estrogen products for the treatment of genitourinary syndrome of menopause
Conclusion: Estrogen products were found to be clinically effective for the treatment of GSM with doses as low as 4 μg. Vaginal estrogen products seem to be safe with few adverse effects, although there is a lack of long-term controlled clinical trial safety data. This review supports the use of commercially available vaginal estrogen therapies as an effective and safe first-line therapy for the treatment of moderate-to-severe GSM. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Review Article Source Type: research

Hypertension in menopausal women: the effect and role of estrogen
States of estrogen imbalance or deprivation are associated with higher risks of hypertension and cardiovascular disease in women; however, the effects of estrogen on hypertension are multifactorial, complex, and not completely understood. Although controversial, hormone therapy may improve cardiovascular outcomes when initiated by recently menopausal women. Improved screening for hypertension, especially in specific groups of younger women at higher risk, is recommended. Further study is needed to determine whether sex-specific differences exist in therapeutic response to pharmacologic management of hypertension. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Clinical Corner: NAMS Practice Pearl Source Type: research

Rethinking the techno vagina: a case series of patient complications following vaginal laser treatment for atrophy
Conclusions: Laser therapy for the vagina shows excellent promise for the treatment of GSM in some women; however, complications such as fibrosis, scarring, agglutination, and penetration injury have been documented. Food and Drug Administration–approved products for GSM should be considered frontline treatments until long-term, prospective, randomized, sham-controlled trials are conducted that confirm efficacy and safety for device treatments. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Case Report Source Type: research

Long-term weight loss maintenance, sex steroid hormones, and sex hormone-binding globulin
Objective: We tested the effects of weight loss on serum estradiol, estrone, testosterone, and sex hormone-binding globulin (SHBG) in overweight/obese women 18 months after completing a year-long, 4-arm, randomized-controlled dietary weight loss and/or exercise trial. Methods: From 2005 to 2008, 439 overweight/obese, postmenopausal women (BMI>25 kg/m2), 50 to 75 years, were randomized to a year-long intervention: diet (reduced calorie, 10% weight loss, N = 118), exercise (225 min/wk moderate-to-vigorous activity, N = 117), combined diet + exercise (N = 117), or control (N = 87). At 12 months, 399 wo...
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Brief Report Source Type: research

The association of miR-25T>C, miR-32C>A, miR-125C>T, and miR-222G>T polymorphisms with a risk of primary ovarian insufficiency in Korean women
Objective: The purpose of this study was to investigate the association of microRNA polymorphisms (miR-25T>C, miR-32C>A, miR-125C>T, and miR-222G>T) with primary ovarian insufficiency (POI) in Korean women. Methods: We conducted a case-control study of Korean women: 142 participants with POI and 266 controls with at least 1 live birth and no history of pregnancy loss. Results: The haplotype-based multifactor dimensionality reduction analysis revealed that the T-C-T-G (miR-25/-32/-125/-222), T-A-C-G (miR-25/-32/-125/-222), C-T-G (miR-32/-125/-222), A-C-G (miR-32/-125/-222), T-G (miR-122/-222), C-T (miR-3...
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The female sexual function index: reliability and validity in Spanish postmenopausal women
Objective: To examine the reliability and validity of the Spanish version of the Female Sexual Function Index (FSFI) and its ability to discriminate between women with and without female sexual dysfunction (FSD) among Spanish postmenopausal women. Methods: A total of 152 postmenopausal women completed the Spanish version of FSFI. Internal consistency, test-retest reliability, and construct validity (exploratory factor analysis) were analyzed. Concurrent and divergent validity were assessed using a visual analog scale for overall satisfaction with sexual life and the Hospital Anxiety and Depression Scale, respectively....
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Clinical application and mid-term results of modified vaginal closure: pelvic symptoms, quality of life, satisfaction, and regret rate
Objective: To evaluate the safety and efficacy of a modified vaginal closure in older women with severe pelvic organ prolapse (POP) with respect to symptoms, quality of life, postoperative satisfaction, regret rate, and complications Methods: From March, 2014 to December, 2016, in all, 32 women were enrolled in the study. All the participants underwent a modified vaginal closure. Records were reviewed to collect demographic characteristics and perioperative parameters. The Pelvic Floor Distress Inventory—short form 20 (PFDI-20) and the Short Form 36 Health Survey Profile (SF-36) were used to evaluate pelvic symp...
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Age at natural menopause and life expectancy with and without type 2 diabetes
Conclusions: Women who experienced early menopause lived less long and spent fewer years without diabetes than women who experienced normal or late menopause. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Tissue-selective estrogen complex for women who experience breast discomfort or vaginal bleeding when on hormone therapy
Conclusions: This study suggests that TSEC is a good option for women who have breast discomfort or persistent bleeding during other hormone therapy when taking into account the differences in estrogen dose. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Decreasing menopausal symptoms of Asian American breast cancer survivors through a technology-based information and coaching/support program
This study adopted a randomized pretest/post-test group design among 91 Asian American breast cancer survivors (42 in an intervention group who used the program and the American Cancer Society Web site and 49 in a control group who used only the American Cancer Society Web site). The intervention was a theory-driven and culturally tailored intervention program that aimed to provide information and coaching/support using computers and mobile devices. Multiple instruments were used to measure background characteristics and menopausal symptoms at pretest, post 1-month, and post 3 months. An intent-to-treat linear mixed-model ...
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Dietary patterns and their association with menopausal symptoms: a cross-sectional study
Objective: Although menopause is a natural event in a woman's life, some of its symptoms can be severe enough to adversely affect her health. There is some evidence to suggest that diet has an influence on menopausal symptoms, but less attention has been paid to dietary patterns. The purpose of this study is to determine the association of dietary patterns with physical, mental, and genitourinary menopausal symptoms. Methods: A cross-sectional study design was applied using a sample of 400 postmenopausal women who attended health centers in the south of Tehran, Iran. The menopausal symptoms were assessed by a Menopaus...
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Sleep disturbance in women who undergo surgical menopause compared with women who experience natural menopause
Objective: Women who undergo surgical menopause (SM) experience a relatively more acute and precipitous drop of estrogen compared with women who experience natural menopause (NM). Few studies, however, have compared sleep quality in women who experience natural versus SM. Methods: Participants were 526 postmenopausal women (mean age 60.2 ± 7.64). All participants completed self-report questionnaires about insomnia symptoms, sleep-interfering behaviors, depression, sleep quality, and gynecological history. Analysis of covariance was conducted to compare women who experienced NM versus SM on sleep variables. ...
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

A pooled analysis of three studies of nonpharmacological interventions for menopausal hot flashes
Conclusion: Acupuncture, yoga, and health and wellness education classes all demonstrated statistically similar effectiveness in reduction of hot flash frequency compared with controls. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Women's experience of vulvovaginal symptoms associated with menopause
Conclusions: Women's own words methodically recorded and analyzed during qualitative interviews and cognitive debriefing focus groups illuminate the subjective experience of women with GSM. It is hoped that the PROM currently in development will provide an effective tool for increasing our understanding of the prevalence, predictors, and impact of GSM in menopausal women's lives. (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Women harmed by vaginal laser for treatment of GSM—the latest casualties of fear and confusion surrounding hormone therapy
No abstract available (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Editorials Source Type: research

Yoga and acupuncture versus “sham” treatments for menopausal hot flashes: how do they compare?
No abstract available (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Editorials Source Type: research

Genitourinary syndrome of menopause: in their own words—development of a new patient-reported outcome measure
No abstract available (Source: Menopause)
Source: Menopause - March 29, 2019 Category: OBGYN Tags: Editorials Source Type: research

Menopausal symptoms in different substages of perimenopause and their relationships with social support and resilience
This study is designed to measure the prevalence and severity of menopausal symptoms at different substages of perimenopause, as well as the relationships of these symptoms with social support and resilience in perimenopausal women. Methods: A convenience sample of 732 perimenopausal women was recruited from 3 communities of Jinan City, Shandong Province, China, between March 2015 and March 2017. The participants completed the Menopause Rating Scale, the 10-item Connor-Davidson Resilience Scale, the Perceived Social Support Scale, and a questionnaire regarding sociodemographic information. Results: Of all perimenopau...
Source: Menopause - March 1, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Polycystic ovary syndrome: is the cardiometabolic risk increased after menopause?
Although more commonly known for its fertility sequelae, dermatologic, metabolic, and psychological morbidities associated with polycystic ovary syndrome (PCOS) are not well recognized. This Practice Pearl reviews the effect of PCOS on cardiometabolic risk during the reproductive years and the consequence of these findings in middle-aged women. Current screening and management recommendations are reviewed. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Clinical Corner: NAMS Practice Pearl Source Type: research

Association of menopause and type 2 diabetes mellitus
Objective: Limited information is available on the direct effect of menopause and risk of type 2 diabetes mellitus (T2DM) among women with different metabolic types. We aimed to investigate whether menopause is a direct risk factor for T2DM. Methods: In this population-based cross-sectional study, women were recruited from a rural area of China from July to August 2013 and July to August 2014. Multivariate logistic regression analysis yielded adjusted odds ratios (ORs) and 95% CIs. Mediation analysis was performed to examine the contribution of age to menopause status-related T2DM. Results: We included 8,191 women ...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Age and leptinemia association with anxiety and depression symptoms in overweight middle-aged women
Conclusions: Postmenopausal women presented impaired body composition, energy expenditure, insulin sensitivity, and mental symptoms, in comparison to similarly overweight premenopausal women. Among all the overweight midlife women, these symptoms were more strongly associated with age and leptin levels than with reproductive aging itself. The data indicate that, among overweight middle-aged women with abdominal obesity, the aging process and the development of leptin resistance are associated with impairment of mental health. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Adaptation and translation of the menopause-specific Utian Quality of Life (UQOL) scale to Yoruba language using middle-aged women attending a clinic in Nigeria
Conclusions: This study has validated the YUQOL as a psychometrically sound research instrument for measuring menopause-specific QOL among women undergoing menopausal transition. Its sexual subscale would, however, need to be further tested, preferably in sexually active menopausal women to fully confirm its true psychometric property. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Amenorrhea after lung cancer treatment
Conclusions: Chemotherapy for lung cancer patients appears to increase risk of early loss of menses in survivors. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The association of an alpha2C adrenoreceptor gene polymorphism with vasomotor symptoms in African American women
Objective: The alpha2C adrenoreceptor deletion 322-325 (ADRA2C del 322-325) polymorphism has been associated with autonomic activity and thermoregulation, which are implicated in the vasomotor symptom (VMS) mechanism. The ADRA2C del (322-325) has higher prevalence in African American women, a group known to experience more frequent and bothersome VMS. We assessed whether the ADRA2C del (322-325) genotype is associated with increased frequency of VMS in African American women. Methods: DNA samples from African American (N = 400) women participating in the Study of Women's Health Across the Nation (SWAN) were genoty...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Low pretreatment serum concentration of vitamin D at breast cancer diagnosis in postmenopausal women
Objective: The aim of the study was to evaluate the rate of and risk factors for low pretreatment vitamin D (VitD) levels in postmenopausal breast cancer (BC) women, compared with postmenopausal women without BC. Methods: A cross-sectional clinical study was conducted to compare 209 women with BC (case group) to 418 women without BC (control group), age range: 45 to 75 years. The case group consisted of women diagnosed with BC, amenorrhea ≥12 months, aged ≥45 years, without use of medication or clinical conditions that might interfere with VitD levels. The control group consisted of women with amenorrhea ≥12 ...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Epidemiology of low-energy fracture in Chinese postmenopausal women: changing trend of incidence since menopause and associated risk factors, a national population-based survey
Objective: The aim of the study was to report the incidence of low-energy fracture since menopause in postmenopausal women ≤70 years and to explore associated risk factors Methods: This was a part of the Chinese National Fracture Survey (CNFS), which was carried out in eight provinces of China mainland between January and May 2015. Data on 68,783 postmenopausal women ≤70 years were extracted from the CNFS database for calculations and analyses. Results: A total of 309 women were confirmed to have low-energy fractures in 2014, indicating the incidence of 449.2 (95% CI, 399.3-499.2) per 100,000 women. There wer...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Inter-relationship between diet, lifestyle habits, gut microflora, and the equol-producer phenotype: baseline findings from a placebo-controlled intervention trial
Conclusion: Equol production might not depend on the quantity, but on the quality of equol-producing bacteria. High microbial diversity might enhance equol production. Increasing microbial diversity through healthy lifestyle habits and habitual consumption of a wide variety of foods might be useful to maintain a healthy gut environment for equol production. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Clinician knowledge, attitudes, and barriers to management of vulvovaginal atrophy: variations in primary care and gynecology
Conclusions: Primary care and gynecology clinicians differ in their knowledge and confidence in managing vulvovaginal atrophy but report similar practice barriers. Addressing identified knowledge deficits and practice barriers may lead to improved management of vulvovaginal atrophy. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Effect of high-intensity interval training on body composition and inflammatory markers in obese postmenopausal women: a randomized controlled trial
This study tested whether high-intensity interval training is a time-efficient strategy for improving visceral adiposity tissue and inflammatory markers in obese postmenopausal women when compared with combined training. Moreover, we tested whether change in visceral adiposity tissue is associated with alterations in these inflammatory markers. Methods: Postmenopausal women were randomized in two groups: combined training (n = 13) and high-intensity interval training (n = 13). The combined training group performed 60 minutes of walking at 70% of maximum heart rate and resistance exercises at 70% of one repetitio...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Microablative fractional CO2 laser for the genitourinary syndrome of menopause: up to 12-month results
Objective: The aim of this study is to assess the efficacy of microablative fractional CO2 laser therapy for genitourinary syndrome of menopause (GSM) management, when three, four, or five laser therapies were applied in a follow-up period of 12 months. Methods: Retrospective study evaluating GSM symptoms at baseline, and 1, 3, 6, and 12 months after last laser therapy. Visual analog scale, International Consultation on Incontinence Questionnaires- Female Urinary Tract Symptoms, International Consultation on Incontinence Questionnaires-Urinary Incontinence Short Form, Urogenital Distress Inventory-6, and Female Sexual...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Assessment of NAMS members’ prescription patterns of hormone therapy before and after the 2016 NAMS Annual Meeting
Conclusions: NAMS members’ prescribing patterns of HT vary in complex clinical scenarios. After the 2016 NAMS Annual Meeting where a draft of the 2017 NAMS HT Position Statement was presented and discussed, in four challenging and complex clinical situations a significant number of practitioners changed their prescription patterns toward prescribing HT which was consistent with the new guideline. (Source: Menopause)
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Menopausal symptoms in different substages of perimenopause and their relationships with social support and resilience
This study is designed to measure the prevalence and severity of menopausal symptoms at different substages of perimenopause, as well as the relationships of these symptoms with social support and resilience in perimenopausal women. Methods: A convenience sample of 732 perimenopausal women was recruited from 3 communities of Jinan City, Shandong Province, China, between March 2015 and March 2017. The participants completed the Menopause Rating Scale, the 10-item Connor-Davidson Resilience Scale, the Perceived Social Support Scale, and a questionnaire regarding sociodemographic information. Results: Of all perimenopau...
Source: Menopause - February 26, 2019 Category: OBGYN Tags: Original Articles Source Type: research