Women's midlife health. Reframing menopause

Area of Science:

• Women's Health
• Reproductive Endocrinology
• Gerontology

Background:

• Midwives play a crucial role in managing women's health during perimenopause and postmenopause.
• Understanding the multifaceted changes associated with menopause is essential for effective primary and gynecologic care.
• Societal views on menopause and aging necessitate a comprehensive approach to women's health management.

Purpose of the Study:

• To provide a comprehensive overview of menopause and aging for healthcare providers, particularly midwives.
• To review the endocrinology, historical treatments, and associated physical, psychological, and role changes during menopause.
• To examine key health concerns including cardiovascular, skeletal, and breast health, alongside hormone therapy.

Main Methods:

• Literature review of endocrinology of menopause.
• Historical analysis of menopause treatment modalities.
• Discussion of physical, psychological, and role changes during menopause.
• Examination of specific symptoms and health issues relevant to midlife women.

Main Results:

• Menopause involves significant endocrinological shifts, leading to various physical and psychological symptoms.
• Common symptoms include changes in bleeding patterns, hot flashes, sleep disturbances, and alterations in skin, weight, and genital health.
• Key health considerations for postmenopausal women encompass sexuality, breast health, cardiovascular and skeletal integrity, and hormone therapy options.

Conclusions:

• Effective management of perimenopausal and postmenopausal women requires a thorough understanding of the menopausal transition.
• Midwives are well-positioned to address the complex health needs of women during midlife.
• This review equips healthcare providers with essential knowledge for the midlife health office visit, covering a spectrum of menopausal issues.