28.Peri Menopausa

Peri-menopausal period syndrome Zhanghuiying Department Of Obstetrics & Gynecology Tianjin Medical University General Hospital

Staging of women climacteric period adolescence 40yrs Final period 1yrs after the Final period 60-65 yrs Life stop Pre menopause Post menopause Peri menopause Transitional phase ( 参考 WHO 的定义 ) climacteric period

Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

Negative Feedback ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Symptoms and signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnosis ,[object Object],[object Object],[object Object]

3)Physical examination: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment 1) education, understanding, reassurance ,[object Object],[object Object]

2) hormone replacement therapy(HRT ) ,[object Object],[object Object],[object Object],3) traditional medicine therapy

[object Object],[object Object]

Contraindication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The common hormone of HRT ,[object Object],[object Object],[object Object]

Estrogen natural synthetic estradiol estrone estriol Conjugated estrogen ethinylestradiol mestranol

Progestogen ,[object Object],[object Object]

Tibolone ,[object Object],[object Object],[object Object]

Routes of administration of HRT ,[object Object],[object Object],[object Object],[object Object]

The types of HRT ,[object Object],[object Object],[object Object],[object Object]

Combined sequential therapy Estrogen are given continuously(30 days) MPA 10-14 days Withdrawal bleeding Stop Next month

Continuous combined therapy Estrogen continuously MPA continuously No Withdrawal bleeding

Side-effects of HRT ,[object Object],[object Object],[object Object]

Risk of HRT ,[object Object],[object Object],[object Object],Do evaluation every year may find any abnormals ， reduce the incidence of the above risk

Information ,[object Object],[object Object],[object Object],[object Object],[object Object]

28.Peri Menopausa

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28.Peri Menopausa