“To monitor your stress, first identify your stress triggers.
What makes you feel angry, tense, worried or irritable?
Do you often get headaches or an upset stomach…”.1
“To monitor your stress, first identify your stress triggers. What makes you feel angry, tense, worried or irritable? Do you often get headaches or an upset stomach with no medical cause? Is it hard to focus or do you have trouble sleeping at night?”2
“The first step in managing stress is recognizing it in your life. Everyone feels stress in a different way. You may get angry or irritable, lose sleep, or have headaches or stomach upset. What are your signs of stress? Once you know what signals to look for, you can start to manage it.
Also identify the situations that cause you stress. These are called stressors. Your stressors could be family, school, work, relationships, money, or health problems. Once you understand where your stress is coming from, you can come up with ways to deal with your stressors”.3
Strategies
What are some strategies to manage stress?
The Mayo Clinic explain:
“Once you’ve identified your stress triggers, think about strategies for dealing with them. Identifying what you can and can’t control is a good starting point. For example, if stress keeps you up at night, the solution may be as easy as removing the TV and computer from your bedroom and letting your mind wind down before bed.
Other times, such as when stress is based on high demands at work or a loved one’s illness, you might be able to change only your reaction”.4
Health Care Provider
What if I would like help to look for a pattern with my stress?
If you would like help to look for a pattern with your stress, it may be in your best interest to choose to talk to your health care provider about this.
“Stress won’t disappear from your life. And stress management needs to be ongoing. But by paying attention to what causes your stress and practicing ways to relax, you can counter some of the bad effects of stress and increase your ability to cope with challenges”.5
“If you can’t manage stress on your own, you may want to talk with your health care provider. Or consider seeing a therapist or counselor who can help you find other ways to deal with your stress. Depending on the cause of your stress, you also may find it helps to join a support group”.6
Health Topics A-Z
Where may I find Health Topics A-Z related to Stress Pattern?
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“Dementia is an umbrella term for a collection of symptoms that are caused by disorders affecting the brain and impact on memory, thinking, behaviour and emotion”.2
Definition
What is dementia?
DotS the definition of dementia may vary. The (United States) National Institute on Aging’s (NIA) definition is:
“Dementia is the loss of cognitive functioning — thinking, remembering, and reasoning — to such an extent that it interferes with a person’s daily life and activities”.3
The World Health Organization’s (WHO) definition is:
“Dementia is a syndrome that can be caused by a number of diseases which over time destroy nerve cells and damage the brain, typically leading to deterioration in cognitive function (i.e. the ability to process thought) beyond what might be expected from the usual consequences of biological ageing. While consciousness is not affected, the impairment in cognitive function is commonly accompanied, and occasionally preceded, by changes in mood, emotional control, behaviour, or motivation”.4
“The specific symptoms a person living with dementia experiences will depend upon what parts of the brain are affected and/or the specific disease that is causing their dementia. Symptoms may include:
Loss of memory
Difficulty in finding the right words or understanding what people are saying
Difficulty in performing previously routine tasks
Personality and mood changes”.5
Aging
Is dementia a normal part of aging?
According to the WHO:
“Although age is the strongest known risk factor for dementia, it is not an inevitable consequence of biological ageing”.6
“Women are disproportionately affected by dementia, both directly and indirectly. Women experience higher disability-adjusted life years and mortality due to dementia, but also provide 70% of care hours for people living with dementia”.9
Menopause
Is there an association between menopause and dementia?
“A. Memory and other cognitive abilities change throughout life. Difficulty concentrating and remembering are common complaints during perimenopause and the years right afterward. Some data imply that even though there is a trend for memory to be worse during the menopause transition, memory after the transition is as good as it was before. Memory problems may be more related to normal cognitive aging, mood, and other factors than to menopause or the menopause transition”.10
Prevention
How may dementia be prevented?
In Brain Health the (United States) Alzheimer’s Association explain:
“Research is still evolving, but evidence is strong that people can reduce their risk of cognitive decline by making key lifestyle changes, including participating in regular physical activity, staying socially engaged, and maintaining good heart health”.11
Health Care Provider
What if I would like reassurance I do not have dementia?
If you would like reassurance you do not have dementia, it may be in your best interest to choose to talk to your health care provider about this.
“It’s normal for your memory to be affected by stress, tiredness, certain illnesses and medicines. But if you’re becoming increasingly forgetful, particularly if you’re over the age of 65, it’s a good idea to talk to a GP about the early signs of dementia”.12
Who is a GP?
DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.
Health Topics A-Z
Where may I find Health Topics A-Z related to Dementia?
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Basics of Alzheimer’s Disease and Dementia: What Is Dementia? Symptoms, Types, and Diagnosis. Content Reviewed: 08 December 2022. National Institute on Aging https://www.nia.nih.gov/health/what-dementia Accessed: 26 August 2024
About Alzheimer’s & Dementia: What Is Dementia? Alzheimer’s Disease International https://www.alzint.org/about/ Accessed: 26 August 2024
Basics of Alzheimer’s Disease and Dementia: What Is Dementia? Symptoms, Types, and Diagnosis. Content Reviewed: 08 December 2022. National Institute on Aging https://www.nia.nih.gov/health/what-dementia Accessed: 26 August 2024
Menopause FAQs: Menopause Symptoms – Q. My memory is just not as good as it used to be, and it’s really bothering me. Does menopause cause this? Will it ever get better? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 26 August 2024
“Painful intercourse can happen for reasons that range
from structural problems to psychological concerns.
Many people have painful intercourse at some point…”.1
Umbrella
What may the Sexual Health and Painful Intercourse Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Dyspareunia
Pain With Intercourse
Painful Intercourse
Painful Sex
Painful Vaginal Intercourse
Dyspareunia
What is dyspareunia?
DotS the definition of dyspareunia may vary. The (United States) Mayo Clinic’s definition is:
“The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex”.2
The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:
“‘Dyspareunia’ is the medical term used to describe pain before, during or after sex”.3
Pain with every penetration, including putting in a tampon
Deep pain during thrusting
Burning pain or aching pain
Throbbing pain, lasting hours after intercourse”.4
Cause
What may cause painful intercourse?
The Mayo Clinic explain:
“Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives”.5
“Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse.
“When a woman doesn’t have intercourse or other vaginal sexual activity on a regular basis following menopause, her vagina may also become shorter and narrower. Then, when she does try to have intercourse, she is likely to experience pain, even if she uses a lubricant. That’s because dry, fragile vulvovaginal tissues are susceptible to injury, tearing, and bleeding during intercourse or any penetration of the vagina. The resulting discomfort can be so great that the woman avoids intercourse and the condition worsens. Sometimes, even women who are not sexually active are bothered by vaginal dryness and the irritation that may accompany it”.7
Improving Sexual Experience
What are some practical things to do to improve sexual experience?
“There are practical things you can do to improve your sexual experience.
Tell your partner what you like or don’t like – and stop sex if you feel pain
Change sexual positions or techniques. If you experience pain during thrusting, sit on top of your partner so you can control the depth of penetration. You can also try different or longer foreplay to increase your arousal
Use lubricants to increase arousal and comfort during sex
Focus on yourself. Try to switch off any worries, tune in to your body and enjoy the moment
Be intimate in different ways. If you have a partner, try kissing, cuddling, massage, mutual masturbation and oral sex. This may enhance your sexual desire
Try a vaginal dilator (a tube-shaped device to stretch your vagina) or a small vibrator. These may help you to relax your pelvic floor muscles”.8
What is STIs?
STIs can be an abbreviation for Sexually Transmitted Infections.
“A. …Regular sexual activity can help preserve vaginal function by increasing blood flow to the genital region and helping maintain the size of the vagina. Without sexual activity and estrogen, the vagina can become smaller as well as dryer”.9
Treatment
What are some treatment options for painful intercourse?
“Treatment options vary, depending on the cause of the pain”.
Medications…
Other treatments…
Desensitization therapy…
Counseling or sex therapy”.10
Health Care Provider
What if I have painful intercourse?
The JH explain:
“If you are experiencing painful sex, see your doctor. They will find and treat the cause or refer you to a specialist. It’s a good idea to seek help as soon as possible so you can resolve the issue and enjoy a healthy sex life”.11
The Mayo Clinic explain:
“If you have recurrent pain during sex, talk to your health care provider. Treating the problem can help your sex life, your emotional intimacy and your self-image”.12
Health Topics A-Z
Where may I find Health Topics A-Z related to Sexual Health and Painful Intercourse?
Where may I find Links related to Sexual Health and Painful Intercourse?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
https://www.menomartha.com/wp-content/uploads/2020/03/MenoMartha-2020-logo-340.png00MWDhttps://www.menomartha.com/wp-content/uploads/2020/03/MenoMartha-2020-logo-340.pngMWD2024-08-26 02:03:212024-08-27 07:54:41Sexual Health and Painful Intercourse
“When people talk about heart disease,
they’re usually talking about coronary heart disease (CHD).
It’s also sometimes called coronary artery disease (CAD)”.1
Umbrella
What may the Heart Disease Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Cardiac Diseases
Cardiovascular Disease (CVD
Coronary Artery Disease (CAD)
Coronary Heart Disease (CHD)
Heart Conditions
Heart Disease/s
Ischaemic/Ischemic Heart Disease
Terminology
Can heart disease mean different things to different people?
“When people talk about heart disease, they’re usually talking about coronary heart disease (CHD). It’s also sometimes called coronary artery disease (CAD). This is the most common type of heart disease”.2
Heart Disease
What is heart disease?
DotS the definition of heart disease may vary. The (United States) Centers for Disease Control and Prevention’s definition is:
“The term “heart disease” refers to several types of heart conditions. The most common type of heart disease in the United States is coronary artery disease (CAD). CAD affects the blood flow to the heart. Decreased blood flow can cause a heart attack”.3
Coronary Heart Disease
What is coronary heart disease (CHD)?
DotS the definition of CHD may vary. In Coronary Heart Disease the (United States) National Heart, Lung, and Blood Institute’s (NHLBI) definition is:
“Coronary heart disease is a type of heart disease where the arteries of the heart cannot deliver enough oxygen-rich blood to the heart. It is also sometimes called coronary artery disease or ischemic heart disease. About 20.5 million U.S. adults have coronary artery disease, making it the most common type of heart disease in the United States, according to the Centers for Disease Control and Prevention”.4
Types
What are different types of heart disease?
DotS different types of heart disease may include:
“The cause of coronary heart disease depends on the type. Coronary artery disease is often caused by cholesterol, a waxy substance that builds up inside the lining of the coronary arteries, forming plaque. This plaque buildup can partially or totally block blood flow in the large arteries of the heart. Coronary microvascular disease occurs when there is damage to the inner walls of the heart’s small blood vessels. For most people, coronary heart disease is preventable with a heart-healthy lifestyle and medications”.5
Menopause
Is there an association between menopause and heart disease?
“Before the menopause, women in general have a lower risk of being affected by coronary heart disease. But after the menopause, your risk increases”.6
Number One Killer
Is heart disease the number one killer of women?
Yes. In Heart Disease the the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov explain:
“Heart disease is the number one killer of women in the United States. Some of the symptoms and risk factors for heart disease and heart attack are different for women than men. Your risk may also be different from other women. But every woman can take steps to prevent heart disease by knowing her risk factors and making healthy changes”.7
Know Your Numbers
What numbers do I need to know for a healthy heart?
“Talk to your healthcare provider today to learn about your Blood Pressure, Cholesterol, Blood Sugar and BMI (Body Mass Index). Your heart depends on it”.8
Health Care Provider
What if I think I have heart disease or I have a family history of heart disease?
If you think you have heart disease or you have a family history of heart disease, it may be in your best interest to choose to talk to your health care provider about this.
“To screen for coronary heart disease, your provider may:
Assess your risk factors to help evaluate your chances of developing coronary heart disease
Calculate your body mass index and waist circumference to help determine whether you have overweight or obesity
Check your blood pressure to see whether you have high blood pressure, also called hypertension
Order blood tests to see whether you have high blood cholesterol, high blood triglycerides, or diabetes
Screening usually happens in a provider’s office, but sometimes screenings are done at health fairs, drugstores, or other places. Blood samples might be collected at the provider’s office, a hospital, or a laboratory.
Ask whether you need to fast (not eat or drink anything besides water) before the blood tests”.9
Health Topics A-Z
Where may I find Health Topics A-Z related to Heart Disease?
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Heart Disease: About Heart Disease – What Is Heart Disease? 15 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/heart-disease/about/ Accessed: 25 August 2024
“While women are commonly told to avoid VMS triggers and dress in layers, there is no evidence that such advice is of value with respect to the severity or frequency of VMS. Activities such as yoga, mindfulness, relaxation and exercise have health benefits but have not been shown to be meaningful treatments for VMS. Similarly, nutritional supplements and botanicals have not been found to be more effective than placebo for moderately to severely bothersome VMS in robust clinical trials”.2
What are VMS?
VMS can be an abbreviation for Vasomotor Symptoms which include hot flushes and night sweats.
What do the European Menopause Society note about alternative and complementary therapies for menopause symptoms?
“Alternative and complementary therapies are less effective than MHT for the control of climacteric symptoms. They include phytoestrogens, yoga, acupuncture, homoeopathic medicine, mindfulness-based stress reduction, clinical hypnosis and paced respiration. These therapies have modest effects on menopausal symptoms; the evidence is limited by the quality and heterogeneity of studies. Health care providers should take into consideration possible interactions with standard medicines such as anticancer therapies, anticoagulants and antiepileptics”.3
Effective
What non-hormonal therapies have evidence to prove they are effective?
“The following non-hormonal therapies have evidence to support their use to alleviate VMS.
The selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are effective in some, but not all, women with VMS…
Fezolinetant is a neurokinin 3B receptor antagonist that acts centrally in the brain to reduce VMS. It may improve sleep quality by reducing nocturnal VMS. Fezolinetant has been approved for the treatment of VMS at a dose of 45 mg/day in some countries.
Low-dose oxybutynin has been found to be effective for treatment of VMS either as a standard low-dose or extended-release formulation.
Other potential, but probably less effective, options include clonidine and gabapentin/pregabalin. Clonidine may be prescribed for VMS for women who cannot take estrogen at a dose of 100–150 μg/day, although the effect is modest and it is not consistently recommended…
Hypnosis may diminish VMS frequency and severity in postmenopausal women and can be considered a treatment option for women who are unable to take MHT.
Cognitive behavior therapy employs psychotherapeutic behavior modification to help women deal with VMS. Cognitive behavior therapy has been shown to significantly reduce VMS.
Stellate ganglion blockade at the anterolateral aspect of the C6 vertebra on the right side under fluoroscopy can alleviate severe VMS for up to 12 weeks. This procedure requires a highly skilled practitioner and availability is scant”.4
Non Hormone Treatments for Hot Flashes and Night Sweats
What does the North American Menopause Society’s (NAMS) Non Hormone Treatments for Hot Flashes and Night Sweats explain about nonhormone treatments?
Recommended
The treatments with research showing they are effective for treating VMS include:
Clinical Hypnosis…
Cognitive-Behavioral Therapy…
Fezolinetant
Gabapentin
Oxybutynin
SSRIs/SNRIs
Stellate Ganglion Block
Weight Loss
Not Recommended
Treatments not recommended for VMS either because there is evidence showing that they do not reduce VMS or because there is not enough evidence showing that they are effective in reducing VMS include acupuncture, paced respirations, supplements/herbal remedies, cooling techniques, avoidance of triggers, dietary modification, exercise, yoga, mindfulness-based intervention, relaxation, suvorexant, cannabinoids, calibration of neural oscillations, chiropractic interventions, clonidine, and pregabalin”.5
2023 Nonhormone Therapy Position Statement of The North American Menopause Society
What were the Results in the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?
“Methods: The panel assessed the most current and available literature to determine whether to recommend or not recommend use based on these levels of evidence:
Level I, good and consistent scientific evidence
Level II, limited or inconsistent scientific evidence
Level III, consensus and expert opinion”.7
Where may I find Links related to the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?
In the United States, has Fezolinetant (Veozah) been approved for the treatment of moderate to severe vasomotor symptoms, or hot flashes, caused by menopause?
“Today, the U.S. Food and Drug Administration approved Veozah (fezolinetant), an oral medication for the treatment of moderate to severe vasomotor symptoms, or hot flashes, caused by menopause. Veozah is the first neurokinin 3 (NK3) receptor antagonist approved by the FDA to treat moderate to severe hot flashes from menopause. It works by binding to and blocking the activities of the NK3 receptor, which plays a role in the brain’s regulation of body temperature”.8
“Women should be advised that implementing or maintaining a healthy lifestyle can improve menopause symptoms. A healthy diet (one low in saturated fat and salt and rich in calcium and vitamin D), stopping smoking, reducing alcohol intake and including regular exercise can be beneficial. Reducing caffeine intake may also improve symptoms”.9
“The importance of improving lifestyle factors such as good nutrition, being physically active, cessation of smoking, limiting alcohol and stress management should be highlighted, as healthy behaviors confer benefits to all women”.10
Cognitive Behavioral Therapy
Is Cognitive Behavioural Therapy (CBT) effective in managing hot flushes?
“…CBT, by changing behaviours and thought patterns surrounding hot flushes, can dramatically reduce their frequency, duration and intensity. It can also help ease menopausal symptoms such as low mood and poor sleep. It effectively targets the vicious cycle so symptoms become more manageable and mood improves”.11
Dietary Supplements
Can dietary supplements improve menopause symptoms?
“There are many dietary supplements available over the counter and advertised as remedies for relief of hot flashes and night sweats. There are limited studies showing that these supplements are effective at relieving VMS, and there is a lack of government regulation ensuring their safety and purity, so none of these are recommended treatments for hot flashes and night sweats.
Despite the lack of evidence supporting their use for VMS, if you plan to use dietary supplements, let your health care professional know so they can ensure they are safe for you, that they don’t interact with any of your medications, and so that they can be appropriately monitored”.12
Antidepressants
Can some antidepressants reduce menopause symptoms?
“Some antidepressants have been shown to relieve hot flushes. For example, venlafaxine, paroxetine, escitalopram and fluoxetine. Side effects may include nausea, dry mouth, hot flushes, sweats and insomnia.
Note: Paroxetine and fluoxetine can reduce the effectiveness of some cancer treatment medications”.13
“A low-dose form of paroxetine (Brisdelle) is the only nonhormone treatment for hot flashes approved by the U.S. Food and Drug Administration. Other antidepressants that have been used to treat hot flashes include:
Venlafaxine (Effexor XR)
Paroxetine (Paxil, Pexeva)
Citalopram (Celexa)
Escitalopram (Lexapro)
These medications aren’t as effective as hormone therapy for severe hot flashes, but they can be helpful to women who can’t use hormones. Possible side effects include nausea, difficulty sleeping or drowsiness, weight gain, dry mouth or sexual dysfunction”.14
Other Medications
Apart from antidepressants, can some other medications improve menopause symptoms?
“Other medications that might offer relief for some women include:
Gabapentin (Neurontin, Gralise, Others). Gabapentin is an anti-seizure medication that’s moderately effective in reducing hot flashes. Side effects can include drowsiness, dizziness, water retention in the limbs (edema) and fatigue
Pregabalin (Lyrica). Pregabalin is another anti-seizure medication that can be effective in reducing hot flashes. Side effects can include dizziness, drowsiness, difficulty concentrating and weight gain
Oxybutynin (Ditropan XL, Oxytrol). Oxybutynin is a pill or patch most often used to treat urinary conditions like overactive bladder. It may also help relieve hot flashes in some women. Side effects can include dry mouth, dry eyes, constipation, nausea and dizziness
Clonidine (Catapres, Kapvay, Others). Clonidine, a pill or patch typically used to treat high blood pressure, might provide some relief from hot flashes. Side effects include dizziness, drowsiness, dry mouth and constipation
Fezolinetant (Veozah). Veozah is a medicine for treating menopause hot flashes. It doesn’t have any hormones. It works by blocking a pathway in the brain that helps to regulate body temperature. You take a pill once a day by mouth. Side effects include belly pain, diarrhea, difficulty sleeping, back pain, hot flushes and elevated liver enzymes. People with liver disease should not take this medicine”.15
Bioidentical Hormone Therapy
Can bioidentical hormone therapy improve menopause symptoms?
“The use of compounded bioidentical hormone replacement therapies is not recommended given the issues related to their purity, potency and safety. The potential benefits of bioidentical hormone therapy can be achieved using conventionally licensed products available through NHS prescribing without having to resort to compounded varieties from specialist pharmacies”.16
“Compounded bioidentical hormone therapy presents safety concerns, such as minimal government regulation and monitoring, overdosing or underdosing, presence of impurities or lack of sterility, lack of scientific efficacy and safety data, and lack of a label outlining risks”.17
“A procedure known as stellate ganglian block has shown promise for treating moderate to severe hot flashes, but more research is needed. It involves injecting an anesthetic into a nerve cluster in the neck. The treatment has 8been used for pain management. Side effects include pain and bruising at the injection site”.19
Questions To Ask
What may be questions to ask about HT alternatives?
“What types of treatments are suitable for my symptoms?
What are the benefits and risks of different treatments?
Are there any complementary therapies that could help?
I use complementary therapies for my symptoms – are these safe to take alongside other treatments?…”.21
Health Care Provider
What if I would like to find out about HT alternatives?
If you would like to find out about HT alternatives, it may be in your best interest to choose to talk to your health care provider about this. Together you can discuss your options and if required, agree on who may be the most appropriate health care provider to help you.
“One of the powerful messages coming from the NICE Guideline is that herbal remedies which are not regulated by a medicine authority should not be considered safe for all, as there is much variety in their effectiveness and potency and that there may be significant side effects or interactions. The same warning is given for compounded bioidentical hormone therapy which is also not regulated or subject to the same quality control as conventional HRT”.22
Health Topics A-Z
Where may I find Health Topics A-Z related to Hormone Therapy Alternatives?
Where may I find Links related to Hormone Therapy Alternatives?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:1-2. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 25 August 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 25 August 2024
Lambrinoudaki et al. Menopause Wellbeing and Health: A Care Pathway From the European Menopause and Andropause Society: 11. Complementary and Alternative Therapies. Published: 12 May 2022. https://www.maturitas.org/article/S0378-5122(22)00090-1/fulltext Accessed: 25 August 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 25 August 2024
Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:1-2. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 25 August 2024
Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 25 August 2024
Menopause Management Options: Non Hormonal Prescription Medications: Antidepressants. Last Updated: 05 July 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 25 August 2024
Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 25 August 2024
Menopause: Diagnosis and Management – Information for the Public: Questions To Ask About Menopause. Treatment for Menopausal Symptoms. Published Date: 12 November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/NG23/ifp/chapter/Questions-to-ask-about-menopause Accessed: 25 August 2024
“Heart failure is a condition where your heart can’t pump blood around your body as well as it should. It doesn’t mean your heart has stopped working but…”.1
Umbrella
What may the Heart Failure Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
“The term heart failure sounds like the heart is no longer working at all. Actually, heart failure, sometimes called HF, means that the heart isn’t pumping as well as it should. Congestive heart failure is a type of heart failure that requires timely medical attention, although sometimes the two terms are used interchangeably”.2
Definition
What is heart failure?
DotS the definition of heart failure may vary. The British Heart Foundation’s (BHF) definition is:
“Heart failure is a condition where your heart can’t pump blood around your body as well as it should. It doesn’t mean your heart has stopped working but you may need support to help it work better”.3
The (United States) National Heart, Lung, and Blood Institute’s (NHLBI) definition is:
“Heart failure, also known as congestive heart failure, is a condition that develops when your heart doesn’t pump enough blood for your body’s needs. This can happen if your heart can’t fill up with enough blood. It can also happen when your heart is too weak to pump properly. The term “heart failure” does not mean that your heart has stopped. However, heart failure is a serious condition that needs medical care”.4
“There are many reasons why you may develop heart failure. It can happen suddenly or it can progress slowly over months or years. The most common causes of heart failure are:
“Symptoms of heart failure depend on the type of heart failure you have and how serious it is. If you have mild heart failure, you may not notice any symptoms except during hard physical work. Symptoms can depend on whether you have left-sided or right-sided heart failure. However, you can have symptoms of both types. Symptoms usually get worse as your heart grows weaker.
Heart failure can lead to serious and life-threatening complications”.7
Health Care Provider
What if I think I have heart failure?
If you think you have heart failure, it may be in your best interest to choose to talk to your health care provider about this as soon as possible.
Health Topics A-Z
Where may I find Health Topics A-Z related to Heart Failure?
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“Migraine tends to worsen in the years leading up to the menopause, with attacks occurring more frequently and sometimes also lasting longer. Many women start to notice that the attacks are more likely to start a few days before or during their periods. These perimenstrual migraine attacks often last longer, are more severe, and are less responsive to treatment compared to attacks at other times of the cycle. Periods can become erratic and more frequent, which also means more migraine.
Following menopause, migraine becomes less of a problem, particularly in women who have noticed a strong link between migraine and hormonal triggers. It is not an immediate improvement as it takes a while after your last period for the hormones to settle”.2
“A headache diary can include information on a range of things, however, it’s often best to keep it simple and record basic information. This can include:
Date
Day of week
Duration (how long the attack lasted)
Severity (how bad the attack was). This can either be recorded as mild, moderate or severe. Or on a scale from 1-10, where 10 is the worst pain you can imagine
Other symptoms you experience alongside the headache such as dizziness, vertigo, sensitivity to light, sound, smells or any symptoms that affect your movement (e.g. numbness)
Medication you take, including if you take a second dose
Anything else that may be helpful. Such as side effects from medication, any potential triggers, your period, any changes in medication, and anything else that may be helpful”.4
“Some primary headaches can be triggered by lifestyle factors or situations, including:
Alcohol, particularly red wine
Certain foods, such as processed meats that contain nitrates (food-triggered headaches)
Consuming nicotine (nicotine headache)
Changes in sleep or lack of sleep
Poor posture
Physical activity, such as exercise (exertion headaches)
Skipped meals (hunger headache)
Coughing, sneezing, blowing your nose, straining (such as when having a bowel movement), or laughing or crying vigorously (primary cough headaches)”.5
Health Care Provider
What if I would like help to look for a pattern with my headaches?
If you would like help to look for a pattern with your headaches, it may be in your best interest to choose to talk to your health care provider about this. Together you can identify any patterns, discuss your options and if required, agree on who may be the most appropriate health care provider to help you.
“It is important to make an appointment with your doctor for the specific purpose of addressing your headache history rather than discussing headaches as part of a physician visit for other reasons. The National Headache Foundation also recommends keeping a headache diary to track the characteristics of your headaches. Patterns identified from your diary may help your doctor determine which type of headache you have and the most beneficial treatments”.6
Health Topics A-Z
Where may I find Health Topics A-Z related to Menopause Headaches Pattern?
Where may I find Links related to Menopause Headaches Pattern?
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Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“Study results have been inconsistent regarding the association between HT and the risk of lung cancer development, with some suggesting HT leads to greater risk and others stating it results in lower risk. This latest study, which is based on data from more than 38,000 postmenopausal women, sought to investigate the association between HT and lung cancer risk based on dosage. After 16 years of follow-up, the study’s researchers concluded that HT is not associated with an increased risk of lung cancer in postmenopausal women. In fact, it found that with a higher cumulative dosage of HT or a therapy duration that was longer than 5 years, the risk of developing lung cancer was lower”.2
“Our results indicate that HT is not associated with the risk of lung cancer development in postmenopausal women; furthermore, a higher cumulative dosage and the long-term effects of HT reduce the risk of developing lung cancer”.3
Health Care Provider
If I choose to use HT what is my risk of lung cancer?
Different women who choose to use HT can have different risks of lung cancer. It may therefore be in your best interest to also choose to talk to your health care provider about this
“Hormone therapy remains the most effective treatment for vasomotor symptoms (VMS) and the genitourinary syndrome of menopause and has been shown to prevent bone loss and fracture. The risks of hormone therapy differ depending on type, dose, duration of use, route of administration, timing of initiation, and whether a progestogen is used. Treatment should be individualized using the best available evidence to maximize benefits and minimize risks, with periodic reevaluation of the benefits and risks of continuing therapy”.4
Health Topics A-Z
Where may I find Health Topics A-Z related to Hormone Therapy and Lung Cancer?
Where may I find Links related to Hormone Therapy and Lung Cancer?
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Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
https://www.menomartha.com/wp-content/uploads/2020/03/MenoMartha-2020-logo-340.png00MWDhttps://www.menomartha.com/wp-content/uploads/2020/03/MenoMartha-2020-logo-340.pngMWD2024-08-24 05:45:152024-08-24 10:46:34Hormone Therapy and Lung Cancer
“Metabolic syndrome is the name for a group
of health problems that put you at risk of type 2 diabetes
or conditions that affect your heart or blood vessels”.1
Umbrella
What may the Metabolic Syndrome Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Insulin Resistance Syndrome
Metabolic Syndrome
Metabolic Syndrome X
Syndrome X
Definition
What is metabolic syndrome?
DotS the definition of metabolic syndrome may vary. The (United Kingdom) NHS’s definition is:
“Metabolic syndrome is the name for a group of health problems that put you at risk of type 2 diabetes or conditions that affect your heart or blood vessels. It’s different from metabolic disorders which are rare genetic conditions”.2
The (United States) National Heart, Lung, and Blood Institute’s (NHLBI) definition is:
“Metabolic syndrome is a group of conditions that together raise your risk of coronary heart disease, diabetes, stroke, and other serious health problems. Metabolic syndrome is also called insulin resistance syndrome”.3
Conditions
What conditions may be associated with metabolic syndrome?
“You may have metabolic syndrome if you have three or more of the following conditions.
A large waistline…
High blood pressure…
High blood sugar levels…
High blood triglycerides…
Low HDL cholesterol…”.4
Causes
What causes metabolic syndrome?
The American Heart Association (AHA) note:
“Underlying causes of metabolic syndrome include overweight and obesity, insulin resistance, physical inactivity, genetic factors and increasing age”.5
“Metabolic syndrome is very common. It’s not known what causes it.
It is linked to insulin resistance. This is when your body does not respond to the hormone insulin properly. It may also be linked to having too much fat around your tummy.
You are more likely to get metabolic syndrome if you:
Are living with obesity
Eat a high-saturated-fat diet
Do not exercise much
Have a Hispanic or South Asian background
Smoke
Drink a lot of alcohol.
Your risk of getting metabolic syndrome also increases as you get older”.6
“A person’s weight is a major cause of metabolic syndrome. Fat cells, especially in your abdomen, can raise your levels of chemicals called free fatty acids. Free fatty acids can raise your levels of other chemicals and hormone that affect the way your body controls your blood sugar levels. Your body may not respond well to insulin, which is a hormone that controls how much sugar your muscles and organs absorb from your blood. This is called insulin resistance”.7
“Metabolic syndrome is increasingly common, and up to one-third of U.S. adults have it”.8
Prevention
How can metabolic syndrome be prevented?
The AHA explain:
“Although metabolic syndrome is a serious condition, you can reduce your risks significantly by losing weight; increasing your physical activity; eating a heart-healthy diet that’s rich in whole grains, fruits, vegetables and fish; and working with your health care team to monitor and manage your blood glucose, blood cholesterol and blood pressure”.9
“The good news is that it is largely preventable. Knowing the risk factors and making healthy lifestyle changes can help you lower your chances of developing metabolic syndrome or the health problems it can cause”.10
Health Care Provider
What if I think I have risk factors for metabolic syndrome?
If you think you have risk factors for metabolic syndrome, it may be in your best interest to choose to talk to your health care provider about this.
Where may I find Links related to Metabolic Syndrome?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“Transdermal administration of estradiol is unlikely to increase the risk of venous thrombosis or stroke above that in non-users and is associated with a lower risk compared with oral administration of estradiol. The transdermal route should therefore be considered as the first choice route of estradiol administration in women with related risk factors”.4
Health Care Provider
If I choose to use HT, what is my risk of blood clots?
Different women who choose to use HT can have different risks of blood clots. It may therefore be in your best interest to also choose to talk to your health care provider about this.
“Every woman is different, and you will decide about whether to use HT based on the severity of your symptoms, your personal and family health history, and your own beliefs about menopause treatments. Your healthcare professional will be able to help you with your decision”.5
Health Topics A-Z
Where may I find Health Topics A-Z related to Hormone Therapy and Blood Clots?
Where may I find Links related to Hormone Therapy and Blood Clots?
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Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:3-4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 22 August 2024
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How may I look for a pattern with stress?
“Once you’ve identified your stress triggers, think about strategies for dealing with them. Identifying what you can and can’t control is a good starting point. For example, if stress keeps you up at night, the solution may be as easy as removing the TV and computer from your bedroom and letting your mind wind down before bed.
