Conclusion: During the menopausal transition, approximately 50% to 75% of women have vasomotor symptoms and GSM symptoms. Hormonal therapy with estrogen is the first-line therapy for bothersome vasomotor symptoms and GSM symptoms, but nonhormonal medications (such as paroxetine and venlafaxine) also can be effective. Hormone therapy is not...
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Vasomotor Symptoms During Menopause: A Practical Guide on Current Treatments and Future Perspectives
VMS persist for a median duration of 7 years and have been associated with significant comorbidities such as cardiovascular disease, bone disease, and cognitive complaints. Women who experience VMS during...
Conclusion: While HT use is a consideration for a majority of symptomatic, healthy, and recently menopausal women, nonhormone options may be utilized for women with contraindications to HT use, or for those who prefer to avoid HT use for any reason. Emerging therapies may provide additional options for women with bothersome VMS.
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Discussion: Most of the studies on vaginal laser therapy are small, many are observational, include only short-term follow-up, and, importantly, had no sham group. A 2022 systematic review and meta-analysis found no benefit associated with these devices over vaginal estrogen but concluded the quality of the evidence was very low or low. While...
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Symptom experience during the late reproductive stage versus the menopausal transition in the Spanish-language Women Living Better survey
Women's menstrual patterns were classified as late reproductive stage or menopausal transition using the Stages of Reproductive Aging Workshop. Demographic and health-related data were collected, including age, country of residence,...
Conclusion: Late–reproductive-stage women experience multiple symptoms often associated with menopause. A better understanding of symptoms experienced among Spanish-speaking women may lead to more personalized health care and facilitate anticipatory guidance about menopause.
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Permanent Compared With Absorbable Suture in Apical Prolapse Surgery: A Systematic Review and Meta-analysis
METHODS OF STUDY SELECTION: Our population included women undergoing apical prolapse surgery (uterosacral ligament suspension and sacrospinous ligament suspension and abdominal sacrocolpopexy). Our intervention was permanent suture for apical prolapse...
Conclusion: Success rates were similarly high for absorbable and permanent suture after uterosacral ligament suspension, sacrospinous ligament suspension, and sacrocolpopexy, with medium-term follow-up.
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