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[Should the menopause be treated ? When and how? (author's transl)]
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|September 18, 1980
Summary
Premenopausal luteal insufficiency and menopausal symptoms like hot flashes can be treated with hormone therapy. Hormone replacement therapy requires careful medical monitoring due to potential cancer risks.
Area of Science:
- Gynecology
- Endocrinology
- Reproductive Medicine
Context:
- Premenopausal luteal insufficiency can cause menstrual irregularities and breast pain.
- Surgical menopause leads to hormonal changes including elevated FSH and reduced estrogen.
- Natural menopause often presents with vasomotor symptoms and vaginal atrophy.
Purpose:
- To outline therapeutic strategies for premenopausal luteal insufficiency.
- To describe hormone replacement therapy protocols following surgical menopause.
- To detail management of symptoms associated with natural menopause.
Summary:
- Treatment for luteal insufficiency involves progestogens from day 10 to 25 of the menstrual cycle.
- Post-surgical menopause management includes ethinyl-estradiol and progestogens after excluding malignancy.
- Estrogen or sequential estrogen-progestogen therapy is used for natural menopause symptoms.
Impact:
- Hormonal therapies can alleviate symptoms of menstrual dysfunction and menopause.
- Medical surveillance is crucial to mitigate risks of hormone therapy, including cancer and vascular disorders.
- Understanding these hormonal transitions is key for women's reproductive health management.