Menopause Connect
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Taking place at the Hyatt Regency in Chicago, The Menopause Society (formerly North American Menopause Society) is holding its 2024 annual meeting, which spans five days. Attendees are finding it filled with the latest research on understanding and treating menopausal symptoms.

This year’s meeting theme, Humanizing Artificial Intelligence to Improve Midlife Women’s Health, includes actionable advice on the use of artificial intelligence (AI) in clinical practice as well as updates on how AI relates to menopause and midlife women’s health and how future applications may be able to personalize hormone replacement therapy.

Click the link above to find out more about the highlights and programs covered during this years Menopause Society Annual Meeting.

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Knee osteoarthritis (OA) shows early sex-specific differences, evident from childhood. This review highlights anatomical differences, youth sports injuries, and metabolic factors contributing to higher OA risk in females. Addressing these early factors may help mitigate future OA severity in women.

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Ribociclib plus endocrine therapy significantly improved progression-free survival compared to combination chemotherapy in clinically aggressive HR+/HER2- advanced breast cancer, with similar response rates and better tolerability.

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Impact of bariatric surgery on premenopausal women's womanliness: A qualitative systematic review and meta-synthesis - PubMed

Impact of bariatric surgery on premenopausal women's womanliness: A qualitative systematic review and meta-synthesis - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/39208194/

Women that have undergone bariatric surgery report several benefits to their health and well-being, although difficulties in adapting mentally to changes in outer appearance need to be managed in order...

Bariatric surgery benefits women by restoring menstruation, improving fertility, and altering fat distribution, but mental adaptation to physical changes remains a challenge.

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The Menopause Society Annual Meeting

The Menopause Society Annual Meeting is being held Sept. 10 to 14, 2024, in Chicago, and more than 1,300 health care professionals are expected to attend.

The theme of this year’s meeting is Humanizing Artificial Intelligence to Improve Midlife Women’s Health. The program offers updates on artificial intelligence (AI) and the most relevant issues tied to menopause and midlife women’s health, including breast cancer, perimenopause, brain health, hair and skin, bone health, healthy weight, menopause in the workplace, sexuality, substance abuse, and sleep, among other topics.

Click the link above to find out more about the highlights and programs covered during this years Menopause Society Annual Meeting.

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The complementary roles of iron and estrogen in menopausal differences in cardiometabolic outcomes

The complementary roles of iron and estrogen in menopausal differences in cardiometabolic outcomes

Source : https://pubmed.ncbi.nlm.nih.gov/38593499/

Biological hormonal changes are frequently cited as an explanatory factor of sex and menopause differences in cardiometabolic diseases (CMD) and its associated risk factors. However, iron metabolism which varies between...

Iron's role in cardiometabolic diseases may help explain sex and menopausal differences. Future studies should clarify its mechanistic impact and address current inconsistencies in observational evidence.

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The non-hormonal pessary effectively alleviates vaginal dryness symptoms and improves quality of life in postmenopausal women, demonstrating high tolerability and satisfaction with minimal adverse effects.

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Did you know? The introduction of HPV vaccines has led to a dramatic reduction in cervical cancer rates, decreasing by 87% among women aged 20-24 who were vaccinated as preteens. These vaccines not only protect against cancer but also prevent other HPV-related conditions, marking a significant advancement in women’s health.

Could expanding HPV vaccination to broader age groups further reduce the global burden of cervical cancer?

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Could expanding HPV vaccination to broader age groups further reduce the global burden of cervical cancer?

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A 9-year RCT demonstrated that regular multicomponent exercise, including soccer training, effectively counteracts menopause-related declines in cardiometabolic health among hypertensive women. The exercise group showed significant improvements in mean arterial pressure, body weight, fat percentage, cholesterol levels, and LDL cholesterol, compared to controls. Fasting glucose increased in the control group but remained stable in the exercise group, highlighting the long-term benefits of consistent physical activity in managing menopause effects on health.

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Precision Nutrition for Management of Cardiovascular Disease Risk During Menopause

Precision Nutrition for Management of Cardiovascular Disease Risk During Menopause

Source : https://pubmed.ncbi.nlm.nih.gov/39047690/

Considering menopause, women are a clinical population that would greatly benefit from precision nutrition. Future research should explore the use of machine learning and artificial intelligence in a precision nutrition...

Menopause elevates cardiometabolic risk. While DASH and Mediterranean diets improve CVD biomarkers, precision nutrition considering individual factors like genetics and gut microbiome offers targeted strategies.

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Can we predict menopause and premature ovarian insufficiency

Can we predict menopause and premature ovarian insufficiency

Source : https://pubmed.ncbi.nlm.nih.gov/38382699/

The prediction of menopause and premature ovarian insufficiency (POI) involves understanding the factors that contribute to the timing of these events. Menopause is a natural biological process marked by the...

Menopause and POI prediction involves age, AMH, inhibins, FSH, antral follicle counts, and genetic markers, with age being the most predictive, though precise timing remains challenging due to individual variations.

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Non-Hormonal Treatment Options for Moderate to Severe Vasomotor Symptoms

Vasomotor symptoms, such as hot flushes, affect a significant proportion of women during and after menopause. These symptoms result from hormonal changes that alter the hypothalamic thermoneutral zone, making women more sensitive to temperature fluctuations. Neurokinin 3 (NK3) receptor antagonists represent a novel class of non-hormonal treatments designed to target specific pathways involved in regulating body temperature.

Scientific Insights:

  1. Mechanism of Action: NK3 receptor antagonists act on the neurokinin 3 receptors within the central KNDy (kisspeptin, neurokinin B, and dynorphin) neuronal network in the hypothalamus. This network is critical for maintaining body temperature and is disrupted in menopausal women, leading to VMS.
  2. Clinical Efficacy: Recent phase 3 trials have demonstrated that NK3 receptor antagonists significantly reduce the frequency and severity of hot flushes compared to placebo. Studies have reported reductions in hot flush frequency by approximately 56% to 61% with NK3 receptor antagonists, while improvements in VMS severity have been sustained throughout the treatment period.
  3. Comparison with Traditional Non-Hormonal Treatments: Traditional non-hormonal treatments for VMS, such as SSRIs and SNRIs, offer variable efficacy and are associated with side effects like nausea and insomnia. NK3 receptor antagonists provide a targeted approach with efficacy comparable to or better than SSRIs/SNRIs and potentially fewer side effects.
  4. Future Research Directions: Ongoing research is needed to explore the long-term safety and efficacy of NK3 receptor antagonists, especially in populations with contraindications to hormone therapy. Additionally, studies will need to evaluate the impact of these drugs on other health outcomes, such as bone health and cardiovascular events.

How do emerging neurokinin 3 (NK3) receptor antagonists compare to traditional non-hormonal treatments for managing moderate to severe vasomotor symptoms (VMS) associated with menopause?

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  • 2yr
    It’s great to see new therapies develop for such a difficult problem to treat. I have not prescribed the NK3 antagonists yet. Unfortunately, I suspect it will be cost prohibitive Show More
  • 2yr
    I consider this first NK3 receptor antagonist as a game changer. For those women for whom estrogen based hormonal therapy is contraindicated or if they just decline the option Show More

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Insights into the vulvar component of the genitourinary syndrome of menopause (GSM)

Insights into the vulvar component of the genitourinary syndrome of menopause (GSM)

Source : https://pubmed.ncbi.nlm.nih.gov/38704313/

Genitourinary syndrome of menopause is a comprehensive term that groups genital, urinary and sexual signs and symptoms mainly due sex hormone deficiency and aging, with a crucial impact on quality...

Understanding vulvar health in genitourinary syndrome of menopause is vital for targeted treatment, as it influences symptom severity and quality of life, necessitating further research into effective management options.

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Menopause depression: Under recognised and poorly treated

Menopause depression: Under recognised and poorly treated

Source : https://pubmed.ncbi.nlm.nih.gov/38761367/

Menopause is a biological process experienced by all people assigned female at birth. A significant number of women experience mental ill health related to the major brain gonadal hormone shifts...

Innovative approaches, centered on women's lived experiences, are essential for effectively addressing menopausal mental ill health, improving quality of life, and supporting continued workforce participation and relationships.

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Systematic review and meta-analysis of the effects of menopause hormone therapy on cognition

Systematic review and meta-analysis of the effects of menopause hormone therapy on cognition

Source : https://pubmed.ncbi.nlm.nih.gov/38501109/

These findings suggest time-dependent effects of MHT on certain aspects of cognition, with variations based on formulation and timing of initiation, underscoring the need for further research with larger samples...

Estrogen-only menopausal hormone therapy (MHT) improves global cognition and verbal memory when started near menopause. In contrast, estrogen-progestogen MHT can impair cognitive function, particularly with longer duration.

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Efficacy and safety of traditional Chinese medicine in the treatment of menopause-like syndrome for breast cancer survivors: a systematic review and meta-analysis

Efficacy and safety of traditional Chinese medicine in the treatment of menopause-like syndrome for breast cancer survivors: a systematic review and meta-analysis

Source : https://pubmed.ncbi.nlm.nih.gov/38191442/

The meta-analysis stated that TCM could better improve the MLS of patients, alleviate related symptoms, and did not increase adverse drug reactions in BC survivors. This review brings more attention...

Traditional Chinese Medicine (TCM) significantly alleviates menopause-like syndrome symptoms in breast cancer patients, improving quality of life without increasing adverse effects, showing promise as an adjunct therapy.

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Most studies suggest nutritional interventions benefit subjective sleep disturbances in menopause. However, due to study heterogeneity and low methodological quality, more high-quality trials are needed.

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Ovarian Suppression: Early Menopause and Late Effects

Ovarian Suppression: Early Menopause and Late Effects

Source : https://pubmed.ncbi.nlm.nih.gov/38478329/

Around 90% of breast tumours are diagnosed in the early stage, with approximately 70% being hormone receptor-positive. The cornerstone of adjuvant therapy for early-stage hormone receptor-positive breast cancer is endocrine...

Ovarian function suppression in hormone receptor-positive breast cancer, while effective, can impact quality of life due to side effects. Clinicians must proactively manage these effects for better adherence and outcomes.

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Anti-Müllerian hormone for the diagnosis and prediction of menopause: a systematic review

Anti-Müllerian hormone for the diagnosis and prediction of menopause: a systematic review

Source : https://pubmed.ncbi.nlm.nih.gov/36651193/

The findings of this systematic review support the use of serum AMH to study the age of menopause in population studies. The increased sensitivity of current AMH assays provides improved...

The findings of this systematic review support the use of serum AMH to study the age of menopause in population studies. The increased sensitivity of current AMH assays provides improved accuracy for the prediction of imminent menopause, but diagnostic use for individual patients has not been rigorously examined.

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