Is there a menopausal medicine? The past the present and the future

Neves‐e‐Castro, Manuel

doi:10.1016/s0378-5122(02)00151-2

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…1998, Brood‐van Zanten et al. 2002, Laborde & Foley 2002, Neves‐e‐Castro 2002). Belief in the benefits of HRT was based on a number of observational epidemiological studies that had shown, for example, that the use of combined hormones during menopause was associated with decreased risk of coronary heart disease averaging 30–50% (Stampfer & Colditz 1991).…”

Section: Introductionmentioning

confidence: 99%

“…The risk was considered minimal and mostly related to a small increase in the prevalence of breast cancer (Grady et al 1992, Jó hannesson et al 1995, Grodstein et al 1996, Col et al 1999, Reynolds et al 2002. Until June 2002, the majority of recommendations to women on the use of HRT were therefore that, although the risk/benefit ratio was not known, the prevailing evidence was in favour of its use (Elíasson et al 1998, Brood-van Zanten et al 2002, Laborde & Foley 2002, Neves-e-Castro 2002. Belief in the benefits of HRT was based on a number of observational epidemiological studies that had shown, for example, that the use of combined hormones during menopause was associated with decreased risk of coronary heart disease averaging 30-50% (Stampfer & Colditz 1991).…”

Section: Introductionmentioning

confidence: 99%

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Women's attitudes to hormone replacement therapy in the aftermath of the Women's Health Initiative study

Sveinsdóttir¹,

Ólafsson²

2006

Journal of Advanced Nursing

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Aim This paper reports a study conducted in 2004 on the determinants of attitudes towards hormone replacement therapy in the aftermath of the report on the findings of the Women's Health Initiative study.Background The unexpected findings of the Women's Health Initiative study, published in July 2002, showed that the risk of using combined hormones exceeded their benefits. This complicated women's decision-making about hormone use and made it important to study the determinants of their attitudes to hormone therapy, as these are likely to influence their behaviour.Methods A cross-sectional design was conducted with a sample of 561 women drawn from the National Registry of Iceland. A self-administered questionnaire, measuring attitudes towards hormone replacement therapy, attitudes towards menopause, extent and source of menopausal education, symptom experience, health and lifestyle and knowledge about the findings of the Women's Health Initiative, was used. The overall response rate was 56%. Attitudes to hormone replacement therapy were compared using ANOVA, t-tests and correlations.Results Participants generally had positive attitudes. Knowledge about the Women's Health Initiative study was not associated with more negative attitudes. However, receiving the information from and discussing it with a doctor were associated with more positive attitudes. Positive attitudes towards hormone therapy were also associated with higher age, time since last menstrual period and current use of hormone replacement therapy. Negative attitudes towards were associated with use of natural remedies and receiving information or discussing it with family or friends. Physicians exert a strong influence on women's decision-making about use of hormone replacement therapy around menopause. ConclusionThe further women are into menopause, the more favourable their attitudes.Attitudes of Icelandic women to use of HT 5

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Women's attitudes to hormone replacement therapy in the aftermath of the Women's Health Initiative study

Sveinsdóttir¹,

Ólafsson²

2006

Journal of Advanced Nursing

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“…This period is of major importance to women's life, with important repercussions in social and clinical aspects. The great changes that women undergo during this period usually affect women's quality of life negatively [ 3 ]. Among them, one may highlight alterations that take place as a consequence of the normal aging process, both clinically and behaviorally, such as increased tendency or prevalence of certain diseases, social isolation, and empty nest syndromes, among others [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, consequences not only related to aging but rather to hypoestrogenism deserve special attention, either due to its burden on public health costs or to women's quality of life. In general, hormonal alterations during menopause transition and postmenopause are strongly related to a series of unpleasant symptoms and complaints [ 3 ], among which the vasomotor symptoms, hot flushes, mood disorders, and specially sleep-related disorders [ 4 ] are remarkable.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture to Treat Sleep Disorders in Postmenopausal Women: A Systematic Review

Bezerra

Pires

Andersen

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Sleep disorders are commonly observed among postmenopausal women, with negative effects on their quality of life. The search for complementary therapies for sleep disorders during postmenopausal period is of high importance, and acupuncture stands out as an appropriate possibility. The present review intended to systematically evaluate the available literature, compiling studies that have employed acupuncture as treatment to sleep disorders in postmenopausal women. A bibliographic search was performed in PubMed/Medline and Scopus. Articles which had acupuncture as intervention, sleep related measurements as outcomes, and postmenopausal women as target population were included and evaluated according to the Cochrane risk of bias tool and to the STRICTA guidelines. Out of 89 search results, 12 articles composed our final sample. A high heterogeneity was observed among these articles, which prevented us from performing a meta-analysis. Selected articles did not present high risk of bias and had a satisfactory compliance rate with STRICTA guidelines. In general, these studies presented improvements in sleep-related variables. Despite the overall positive effects, acupuncture still cannot be stated as a reliable treatment for sleep-related complaints, not due to inefficacy, but rather limited evidence. Nevertheless, results are promising and new comprehensive and controlled studies in the field are encouraged.

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