Menopause - 03/04/15

Doi : 10.1016/j.mcna.2015.01.006

Traci A. Takahashi, MD, MPH ^a,^⁎ , Kay M. Johnson, MD, MPH ^b
^a Department of Medicine, University of Washington School of Medicine, and VA Puget Sound Health Care System, 1660 South Columbian Way, S-123-PCC, Seattle, WA 98108, USA
^b Department of Medicine, University of Washington School of Medicine, and VA Puget Sound Health Care System, 1660 South Columbian Way, S-111-HSM, Seattle, WA 98108, USA

^∗Corresponding author.

Résumé

Women generally spend the last third of their lifetime in menopause, after their reproductive years have ended. During menopause, women experience a variety of predictable symptoms and conditions related to changes in sex hormone levels and aging. The menopausal transition precedes menopause by several years and is usually characterized by irregularity of the menstrual cycle and by hot flashes and night sweats. After menopause, genitourinary symptoms predominate, including vulvovaginal atrophy and dryness and lower urinary tract symptoms, including urinary frequency, urgency, and nocturia. Hormonal treatment is effective for vasomotor and genitourinary symptoms, but the understanding of its impact on cardiovascular disease, cognitive dysfunction, and depression continues to evolve.

Le texte complet de cet article est disponible en PDF.

Keywords : Menopause, Hot flashes, Vulvovaginal atrophy, Vasomotor symptoms, Hormone therapy, Estrogen

Plan

Dr. T.A. Takahashi and Dr. K.M. Johnson are staff physicians at VA Puget Sound Health Care System. The authors have nothing to disclose. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or University of Washington.