Articles Tagged With: Menopause
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Behavioral Interventions for Menopausal-Related Insomnia Improve Depression
In a randomized, controlled trial comparing the behavioral interventions cognitive behavioral therapy for insomnia (CBTI) and sleep reduction therapy (SRT) to a control intervention of sleep hygiene education, investigators found CBTI and SRT therapy improved insomnia and depressive symptoms in postmenopausal women with menopausal-related insomnia.
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Update on Treatments for Vulvovaginal Atrophy
Vulvovaginal atrophy, now known as the genitourinary syndrome of menopause (GSM), occurs with the decline of estrogen in the menopausal period. As with many clinical conditions, the spectrum of GSM requires the clinician to consider the effect on the patient’s quality of life. Although many symptoms are pacified effectively with situational lubricants and regular moisturizers, local estrogen is a safe, effective, and affordable way to treat the vulvovaginal changes of menopause.
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Ripples From Original WHI Study Results Continue: Is This Appropriate?
Recommendations for menopausal hormone therapy were widely publicized and adopted following the original publication of the results of the Women’s Health Initiative and affected both initiation and continuation of estrogen therapy through at least 2013.
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Consider Vaginal Estrogen for Genitourinary Syndrome of Menopause
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Understand New Advances in Menopause Management
The Food and Drug Administration recently approved two new modalities to aid in menopause management: MenoCheck, a diagnostic tool to show a woman’s menopausal status, and Bijuva, a medication to help with hot flashes.
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Consider Options for Women With Genitourinary Syndrome of Menopause
Sexual function often decreases for women because of the genitourinary syndrome of menopause (GSM). This condition includes the physical changes of the vulva, vagina, and lower urinary tract that result from estrogen deficiency.
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Help Women Consider Options for Postmenopausal Vaginal Dryness
Data from a large longitudinal study indicate that more than 33% of women ages 57-69 report symptoms of vaginal dryness. However, research shows that more than 50% of women don’t report such conditions to their healthcare providers. Even fewer women take advantage of proven therapies such as vaginal estrogen tablets, creams, and rings.
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Ovarian Function: Use It or Lose It
A larger epidemiologic study from Norway found no association between early menarche and age of menopause. Women with early menarche experience a longer fertility window, which may increase certain risks.
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Does Childhood Adversity Affect the Menopausal Transition?
The number and timing of adverse childhood experiences in relation to puberty affect the risk of incident major depressive disorder in the menopausal transition.
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Is Vaginal Estrogen Still the Gold Standard for Treating GSM?
In this 12-week randomized, controlled trial of 302 women, neither vaginal estrogen nor vaginal moisturizer was more effective than placebo for reducing the participants’ most bothersome symptom (pain with vaginal penetration, vulvovaginal itching, vulvovaginal pain, vaginal dryness, or vulvovaginal irritation).