منابع مشابه
Contraception in the perimenopause.
Pregnancy in women aged 40 and above is frequently unplanned and the legal abortion rate is high in this age group. Contraception and fertility are shrouded in popular mythology and many women do not appreciate either their risk of conception or the range of methods available to prevent conception. Either hormonal or non-hormonal methods of contraception may be appropriate.
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Abnormal uterine bleeding is one of the commonest presenting complaints encountered in a gynecologist's office or primary-care setting. The wider availability of diagnostic tools has allowed prompt diagnosis and treatment of an increasing number of menstrual disorders in an office setting. This White Paper reviews the advantages and disadvantages of transvaginal ultrasound, blind endometrial sa...
متن کاملPolycystic ovary syndrome: clinical implication in perimenopause
Polycystic ovary syndrome (PCOS), a hyperandrogenic disorder, is the commonest endocrinopathy in premenopausal women. This syndrome is associated with fertility problems, clinical manifestations of hyperandrogenism and metabolic disturbances, particularly insulin resistance and obesity. There is a great body of evidence that patients with PCOS present multiple cardiovascular risk factors and cl...
متن کاملDyspareunia: clinical approach in the perimenopause
Dyspareunia has long been considered to be psychogenic. Opposite, it has solid biological bases, that need to be addressed in a more integrated and patient-centered perspective. The new International Classification on Female Sexual Disorders allocates the etiologic subtypes of “Organic, Psychogenic, Mixed, Unknown” in the group of Sexual Pain Disorders, that includes Vaginismus, Dyspareunia and...
متن کاملProgesterone Therapy for Symptomatic Perimenopause
Learning Objectives: 1. Perimenopause, although characterized as a time of dropping estradiol, involves chaotic estrogen levels that average >20% higher and intermittently are extremely high and ovulatory disturbances with decreasing progesterone levels. 2. Perimenopause begins and is most symptomatic when cycles remain regular. 3. Perimenopause is highly symptomatic for more than 20% of women—...
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ژورنال
عنوان ژورنال: Menopause
سال: 2013
ISSN: 1072-3714
DOI: 10.1097/gme.0b013e31827655e5