“Vitamin D helps your body absorb calcium
and phosphorus, which are needed for bone development
and strength. It’s also important for…”.1

Definition

What is vitamin D?

Depending on the Source (DotS) the definition of vitamin D may vary. The (United States) Office of Dietary Supplements’ (ODS) definition is:

“Vitamin D helps your body absorb calcium and phosphorus, which are needed for bone development and strength. It’s also important for cell growth, a healthy immune system, hormone function and nervous system regulation”.2

Role

What is the role of Vitamin D?

In Impportant Nutrients At Different Life Stages: Vitamin D according to the (Australian) Jean Hailes for Women’s Health (JH):

“Vitamin D has many roles within the body. The most understood role is its ability to help the body absorb calcium and phosphorus and vitamin D also assists with:

  • Bone development and strength
  • Cell growth
  • Maintaining a healthy immune system
  • Hormone function
  • Nervous system regulation

Apart from its important role in maintaining bone health, vitamin D may also have an important role in other diseases such as diabetes, cancer and infection. These are currently areas of intense research”.3

Sources of Vitamin D

What are sources of vitamin D?

In Vitamin D: What Foods Provide Vitamin D? the ODS explain:

“Very few foods naturally contain vitamin D. Fortified foods provide most of the vitamin D in the diets of people in the United States. Check the Nutrition Facts label for the amount of vitamin D in a food or beverage.

  • Almost all of the U.S. milk supply is fortified with about 3 mcg (120 IU) vitamin D per cup. Many plant-based alternatives such as soy milk, almond milk, and oat milk are similarly fortified. But foods made from milk, like cheese and ice cream, are usually not fortified
  • Vitamin D is added to many breakfast cereals and to some brands of orange juice, yogurt, margarine, and other food products
  • Fatty fish (like trout, salmon, tuna, and mackerel) and fish liver oils are among the best natural sources of vitamin D
  • Beef liver, egg yolks, and cheese have small amounts of vitamin D
  • Mushrooms provide a little vitamin D. Some mushrooms have been exposed to ultraviolet light to increase their vitamin D content”.4

Daily

How much vitamin D should women over 50, aim for daily?

DoY (Depending on You) and DotS this may vary. It can therefore be in your best interest to choose to check what’s-what for you.

Sun

What is the association between the sun and vitamin D?

The ODS explain:


“Your body makes vitamin D when your bare skin is exposed to the sun. Most people get at least some vitamin D this way. However, clouds, smog, old age, and having dark-colored skin reduce the amount of vitamin D your skin makes. Also, your skin does not make vitamin D from sunlight through a window.

Ultraviolet radiation from sunshine can cause skin cancer, so it’s important to limit how much time you spend in the sun. Although sunscreen limits vitamin D production, health experts recommend using sunscreen with a sun protection factor (SPF) of 15 or more when you’re out in the sun for more than a few minutes”.5

Calcium

What is the association between calcium and vitamin D?

On page one in Calcium and Calcium Supplements: Achieving the Right Balance – Calcium and Diet the (United States) Mayo Clinic elaborate on:

“To absorb calcium, your body also needs vitamin D. A few foods naturally contain small amounts of vitamin D, such as canned salmon with bones and egg yolks. You can also get vitamin D from fortified foods and sun exposure”.6

Vitamin D Supplements

What do the authors conclude about vitamin D supplements Women’s Health Initiative Randomized Trials and Clinical Practice?

In The Women’s Health Initiative Randomized Trials and Clinical Practice: Abstract – Conclusions and Relevance, published 01 May 2024, the authors conclude:

“The WHI evidence does not support routine supplementation with calcium plus vitamin D for menopausal women to prevent fractures or a low-fat diet with increased fruits, vegetables, and grains to prevent breast or colorectal cancer”.7

Health Care Provider

What if I think I need to take a vitamin D supplement?

If you think you need to take a vitamin D supplement, it may be in your best interest to choose to talk to your health care provider about this.

In Healthy Bones: How To Maintain Bone Health – Vitamin D the JH explain:

“It’s hard to get the right amount of vitamin D from diet alone, so if your vitamin D levels are low, talk to your doctor about taking supplements”.8

Health Topics A-Z

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  1. Important Nutrients At Different Life Stages: Vitamin D. Last Updated: 21 April 2024 | Last Reviewed: 24 January 2024. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/healthy-living/important-nutrients-at-different-life-stages#vitamin-d Accessed: 02 May 2024
  2. Vitamin D: What Is Vitamin D and What Does It Do? Updated: 08 November 2022. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/VitaminD-Consumer/ Accessed: 02 May 2024
  3. Important Nutrients At Different Life Stages: Vitamin D. Last Updated: 21 April 2024 | Last Reviewed: 24 January 2024. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/healthy-living/important-nutrients-at-different-life-stages#vitamin-d Accessed: 02 May 2024
  4. Vitamin D: What Foods Provide Vitamin D? Updated: 08 November 2022. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/VitaminD-QuickFacts/#h6 Accessed: 02 May 2024
  5. Vitamin D: Can I Get Vitamin D From the Sun? Updated: 08 November 2022. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/VitaminD-Consumer/ Accessed: 02 May 2024
  6. Calcium and Calcium Supplements: Achieving the Right Balance – Calcium and Diet. 01 November 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/calcium-supplements/art-20047097 Accessed: 02 May 2024
  7. Manson, J.A, E. Crandall, C. J., Rossouw, J. E. et al. The Women’s Health Initiative Randomized Trials and Clinical Practice: Abstract – Conclusions and Relevance. 01 May 2024 https://jamanetwork.com/journals/jama/ Accessed: 02 May 2024
  8. Healthy Bones: How To Maintain Bone Health – Vitamin D. Last Updated: 22 April 2024 | Last Reviewed: 11 October 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/bone-health/healthy-bones Accessed: 02 May 2024
Topic Last Updated: 04 June 2024 – Topic Last Reviewed: 02 May 2024

“Cancers of the skin (most of which are
basal and squamous cell skin cancers)
are by far the most common of all types of cancer…”.1

Umbrella

What may the Skin Cancer Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Basal Cell Carcinoma/Skin Cancer
  • Melanoma
  • Nonmelanoma/Non Melanoma/Non-Melanoma Skin Cancers
  • Skin Cancer
  • Squamous Cell Carcinoma/Skin Cancer

Definition

What is skin cancer?

DotS the definition of skin cancer may vary. The (United States) National Cancer Institute’s (NCI) definition is:

  • “Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin”.2

Types

What are some types of skin cancer?

DotS these may include:

  • Melanoma
  • Basal Cell Carcinoma
  • Squamous Cell Carcinoma

Melanoma

What is melanoma?

DotS the definition of melanoma vary. The NCI’s definition is:

“Melanoma. A form of cancer that begins in melanocytes (cells that make the pigment melanin). It may begin in a mole (skin melanoma), but can also begin in other pigmented tissues, such as in the eye or in the intestines”.3

How common is melanoma?

In the United States according to the American Cancer Society (ACS):

“The American Cancer Society’s estimates for melanoma in the United States for 2023 are:

  • About 97,610 new melanomas will be diagnosed (about 58,120 in men and 39,490 in women)”.4

In the United Kingdom (UK) according to Cancer Research UK:

“Around 16,700 people are diagnosed with melanoma in the UK each year. The number of people diagnosed with melanoma has increased over the last few decades

Melanoma is the 5th most common cancer in the UK”.5

Basal Cell Carcinoma

What is basal cell carcinoma?

DotS the definition of basal cell carcinoma may vary. The NCI’s definition is:

“Basal Cell Carcinoma
Cancer that begins in the lower part of the epidermis (the outer layer of the skin). It may appear as a small white or flesh-colored bump that grows slowly and may bleed. Basal cell carcinomas are usually found on areas of the body exposed to the sun. Basal cell carcinomas rarely metastasize (spread) to other parts of the body. They are the most common form of skin cancer. Also called basal cell cancer”.6

Squamous Cell Carcinoma

What is squamous cell carcinoma?

DotS the definition of squamous cell carcinoma may vary. The NCI’s definition is:

“Squamous Cell Carcinoma
Cancer that begins in squamous cells. Squamous cells are thin, flat cells that look like fish scales, and are found in the tissue that forms the surface of the skin, the lining of the hollow organs of the body, and the lining of the respiratory and digestive tracts. Most cancers of the anus, cervix, head and neck, and vagina are squamous cell carcinomas. Also called epidermoid carcinoma”.7

How common are basal and squamous cell carcinoma?

In the U.S. according to the ACS:

“Cancers of the skin (most of which are basal and squamous cell skin cancers) are by far the most common of all types of cancer in the United States. According to one estimate, about 5.4 million basal and squamous cell skin cancers are diagnosed each year in the US (occurring in about 3.3 million people, as some people have more than one). About 8 out of 10 of these are basal cell cancers. Squamous cell cancers occur less often”.8

In the United Kingdom (UK) according to Cancer Research UK:

“Around 156,000 cases of non melanoma skin cancer are diagnosed in the UK each year. The number could be higher as we know that they are under reported. This makes it the most common type of cancer by far. Because non melanoma skin cancers are easy to treat and cure, they’re often left out of national cancer statistics”.9

Cause

What may cause skin cancer?

In How Does the Sun and UV Cause Cancer? How Does UV Cause Skin Cancer? Cancer Research UK elaborate on:

“Too much UV radiation from the sun or sunbeds can damage the DNA in our skin cells. DNA tells our cells how to function. If enough DNA damage builds up over time, it can cause cells to grow out of control, which can lead to skin cancer”.10

Early Detection

What skin changes may be cancer?

In Skin Cancer: Skin Cancer Signs and Symptoms the Cancer Council Australia note:

  • Any crusty, non-healing sores
  • Small lumps that are red, pale or pearly in colour
  • New spots, freckles or any moles changing in colour, thickness or shape over a period of weeks to months”.11

In Find Skin Cancer: How To Perform A Skin Self-Exam. the American Academy of Dermatology (AAD) explain:

“You can detect skin cancer early by following dermatologists’ tips for checking your skin. Download the AAD’s body mole map to document your self-examination, or the How to SPOT Skin Cancer™ infographic and know what to look for when checking your spots”.12

Health Care Provider

What if I have some skin changes, including down there?

If you have some skin changes – anywhere, including “down there” – it may be in your best interest to choose to talk to your health care provider about this as soon as possible.

In Find Skin Cancer: How To Perform A Skin Self-Exam the AAD also note:

“If you notice a spot that is different from others, or that changes, itches or bleeds, you should make an appointment to see a dermatologist”.13

Health Topics A-Z

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  1. About Basal and Squamous Cell Skin Cancer: Key Statistics for Basal and Squamous Cell Skin Cancers. Last Revised: 31 October 2023. American Cancer Society https://www.cancer.org/cancer/basal-and-squamous-cell-skin-cancer/about/key-statistics.html Accessed: 01 May 2024
  2. Skin Cancer Prevention (PDQ)–Patient Version: General Information About Skin Cancer – Key Points. Updated: 23 October 2023. National Cancer Institute https://www.cancer.gov/types/skin/patient/skin-prevention-pdq#section/_4 Accessed: 01 May 2024
  3. NCI Dictionary of Cancer Terms: Melanoma. National Cancer Institute https://www.cancer.gov/publications/dictionaries/cancer-terms/expand/M Accessed: 01 May 2024
  4. About Melanoma Skin Cancer: Key Statistics for Melanoma Skin Cancer – How Common Is Melanoma? Last Revised: 31 October 2023. American Cancer Society https://www.cancer.org/cancer/melanoma-skin-cancer/about/key-statistics.html Accessed: 01 May 2024
  5. Melanoma Skin Cancer: What Is Melanoma Skin Cancer? How Common Is Melanoma Skin Cancer? Last Reviewed: 02 February 2024. Cancer Research UK https://about-cancer.cancerresearchuk.org/about-cancer/melanoma/about Accessed: 01 May 2024
  6. NCI Dictionary of Cancer Terms: Basal Cell Carcinoma. National Cancer Institute https://www.cancer.gov/publications/dictionaries/cancer-terms/expand/B Accessed: 01 May 2024
  7. NCI Dictionary of Cancer Terms: Squamous Cell Carcinoma of the Skin. National Cancer Institute https://www.cancer.gov/publications/dictionaries/cancer-terms/expand/S Accessed: 01 May 2024
  8. About Basal and Squamous Cell Skin Cancer: Key Statistics for Basal and Squamous Cell Skin Cancers. Last Revised: 31 October 2023. American Cancer Society https://www.cancer.org/cancer/basal-and-squamous-cell-skin-cancer/about/key-statistics.html Accessed: 01 May 2024
  9. Skin Cancer: What Is Skin Cancer? – How Common Is Skin Cancer? Last Reviewed: 16 December 2022. Cancer Research UK https://about-cancer.cancerresearchuk.org/about-cancer/skin-cancer/about-skin-cancer Accessed: 01 May 2024
  10. How Does the Sun and UV Cause Cancer? How Does UV Cause Skin Cancer? Last Reviewed: 30 November 2023. Cancer Research UK https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/sun-uv-and-cancer/how-the-sun-and-uv-cause-cancer Accessed: 01 May 2024
  11. Skin Cancer: Skin Cancer Signs and Symptoms. Cancer Council Australia https://cancer.org.au/cancer-information/types-of-cancer/skin-cancer Accessed: 11 August 2024
  12. Find Skin Cancer: How To Perform A Skin Self-Exam. Last Updated: 15 May 2023. American Academy of Dermatology https://www.aad.org/public/spot-skin-cancer/learn-about-skin-cancer/detect Accessed: 01 May 2024
  13. Find Skin Cancer: How To Perform A Skin Self-Exam. Last Updated: 15 May 2023. American Academy of Dermatology https://www.aad.org/public/spot-skin-cancer/learn-about-skin-cancer/detect Accessed: 01 May 2024
Topic Last Updated: 25 August 2024 – Topic Last Reviewed: 01 May 2024

“Talk to your healthcare provider about your risk of
osteoporosis and what you can do to help keep
your bones strong, especially with good nutrition and…”.1

Umbrella

What may the Healthy Bones Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Bone Health
  • Healthy Bones

Bone Health

What is bone health?

On page two in Bone Health: What Do We Mean By “Bone Health”? the International Menopause Society’s (IMS) Patient Information Leaflet: Update on Bone Health for World Menopause Day (2021), the IMS explain:

Healthy Bones“In healthy bone, up to the menopause, the production of new bone happens more than the removal of old bone, but the opposite happens after menopause. After your last menstrual period, your ovaries stop the production of the hormone estrogen. This leads to increased removal of bone which results in decreased bone strength. Age-related changes also lead to increased removal of bone”.2

Menopause

Is there an association between menopause and loss of bone mass?

On page five in the May Is Osteoporosis Awareness and Prevention Month! Share on Social Media: Osteoporosis Awareness and Prevention Month Social Media Toolkit – PDF Version the Bone Health & Osteoporosis Foundation explain:

“Women can lose up to 20% of bone mass in the first 5-7 years post-menopause”.3

May Is Osteoporosis Awareness and Prevention Month

Menopause Bone Health

After menopause what is best way to take care of our bone health?

In Healthy Bones: Bone Health After Menopause the (Australian) Jean Hailes for Women’s Health (JH) note:

“The best way to take care of your bones after menopause is to:

  • Have a healthy lifestyle
  • Have the recommended intake of calcium and vitamin D
  • Do regular weight-bearing exercise
  • Have regular bone health checks”.4

Calcium Bank

How do our bones act like a calcium bank?

In Calcium & Bone Health: Why Is Calcium Important? Healthy Bones Australia elaborate on:

“Bones act like a calcium bank. If there is not enough calcium in your diet, the body will take what is needed from your bones for use in other parts of the body. If this happens, your bone density (bone strength) will gradually decline, and you may be at risk of developing osteoporosis”.5

Osteoporosis

Is osteoporosis a normal part of aging?

No. In Prevention: Healthy Bones: Build Them for Life the (United States) Bone Health & Osteoporosis Foundation explain:

“Osteoporosis and the broken bones it can cause are not part of normal aging. There is a lot you can do to protect your bones throughout your life. You’re never too young or too old to improve the health of your bones. Osteoporosis prevention should begin in childhood. But it shouldn’t stop there. Whatever your age, the habits you adopt now can affect your bone health for the rest of your life. Now is the time to take action”.6

The 5 Steps

What are the 5 steps to healthy bones and a fracture-free future?

In About Osteoporosis: The 5 Steps To Healthy Bones and A Fracture-Free Future the International Osteoporosis Foundation elaborate on:

The 5 Steps To Healthy Bones and A Fracture-Free Future

  1. Healthy Bones“Exercise…
    Exercise regularly – keep your bones and muscles moving…
  2. Nutrition…
    Ensure your diet is rich in bone-healthy nutrients…
  3. Lifestyle…
    Avoid negative lifestyle habits…
  4. Risk Factors…
    Find out whether you have risk factors…
  5. Testing & Treatment…
    Get tested and treated if needed…”.7

Exercise

What is the best exercise for our bones?

In Exercise for Your Bone Health: Which Exercises Are Best for Keeping Bones Healthy? the (United States National Institutes of Health) NIH Osteoporosis and Related Bone Diseases National Resource Center elaborate on:

Healthy Bones“A combination of these types of exercise is best for building and maintaining healthy bones and preventing falls and fractures:

  • Weight-bearing exercises…
  • Resistance training exercises (weight lifting)…
  • Balance training…”.8

Health Care Provider

What if I would like help with healthy bones?

If you would like help with healthy bones, it may be in your best interest to choose to talk to your health care provider about this. In Menopause FAQs: Your Health After Menopause – Q. What can I do to prevent osteoporosis? the North American Menopause Society elaborate on:

“A. …Talk to your healthcare provider about your risk of osteoporosis and what you can do to help keep your bones strong, especially with good nutrition and exercise”.9

The NIH Osteoporosis and Related Bone Diseases National Resource Center caution:

“If you have low bone density (a condition sometimes called osteopenia), osteoporosis, or other physical limitations, talk to a health care provider before starting an exercise program. They can help you choose types of physical activity that are safe for you and good for your bone health”.10

Health Topics A-Z

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Sources

  1. Menopause FAQs: Your Health After Menopause – Q. What Can I Do To Prevent Osteoporosis? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-your-health-after-menopause Accessed: 30 April 2024
  2. Bone Health: What Do We Mean By “Bone Health”? September 2021:2. International Menopause Society https://www.imsociety.org/wp-content/uploads/2021/10/WMD-2021-English-leaflet.pdf Accessed: 30 April 2024
  3. Menopause and Bone Loss. 24 January 2022. Endocrine Society https://www.endocrine.org/patient-engagement/endocrine-library/menopause-and-bone-loss Accessed: 30 April 2024
  4. Healthy Bones: Bone Health After Menopause. Last Updated: 22 April 2024 | Last Reviewed: 11 October 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/bone-health/calcium Accessed: 30 April 2024
  5. Calcium & Bone Health: Why Is Calcium Important? Healthy Bones Australia https://healthybonesaustralia.org.au/your-bone-health/calcium/ Accessed: 30 April 2024
  6. Prevention: Healthy Bones: Build Them for Life. Bone Health & Osteoporosis Foundation https://www.nof.org/prevention/preventing-fractures/ Accessed: 30 April 2024
  7. The 5 Steps To Healthy Bones and A Fracture-Free Future. International Osteoporosis Foundation https://www.worldosteoporosisday.org/about-osteoporosis Accessed: 30 April 2024
  8. Exercise for Your Bone Health: Which Exercises Are Best for Keeping Bones Healthy? Last Reviewed: May 2023. NIH Osteoporosis and Related Bone Diseases National Resource Center https://www.niams.nih.gov/health-topics/exercise-your-bone-health Accessed: 30 April 2024
  9. Menopause FAQs: Your Health After Menopause – Q. What can I do to prevent osteoporosis? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-your-health-after-menopause Accessed: 30 April 2024
  10. Exercise for Your Bone Health: Which Exercises Are Best for Keeping Bones Healthy? Last Reviewed: May 2023. NIH Osteoporosis and Related Bone Diseases National Resource Center https://www.niams.nih.gov/health-topics/exercise-your-bone-health Accessed: 30 April 2024
Topic Last Updated: 07 September 2024 – Topic Last Reviewed: 30 April 2024

“People used to think that osteoporosis was an
inevitable part of aging. Today we know a lot more about
how to prevent, detect, and treat the disease”.1

Umbrella

What may the Osteoporosis Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Low Bone Density/Mass
  • Osteoporosis
  • Porous Bones

Osteopenia

What is osteopenia?

DotS the definition of osteopenia may vary. In Osteopenia the authors’ definition is:

“Osteopenia describes a decrease in bone mineral density (BMD) below normal reference values, yet not low enough to meet the diagnostic criteria for osteoporosis”.2

Osteoporosis

What is osteoporosis?

DotS the definition of osteoporosis may vary. The International Osteoporosis Foundation’s (IOF) definition is:

“Osteoporosis literally means ‘porous bone’. It is a condition where bones become thin and lose their strength, as they become less dense and their quality is reduced. This can lead to broken bones, which cause pain, disability, and make everyday activities extremely difficult”.3

Women

Why are women more likely to get osteoporosis than men?

In What Women Need To Know the (United States) Bone Health & Osteoporosis Foundation (BHOF) note:

“There are multiple reasons why women are more likely to get osteoporosis than men, including:

  • Women tend to have smaller, thinner bones than men
  • Estrogen, a hormone in women that protects bones, decreases sharply when women reach menopause, which can cause bone loss. This is why the chance of developing osteoporosis increases as women reach menopause”.4

Menopause

Is there an association between menopause and bone loss?

In What Women Need To Know: Menopause: A Time for Action the BHOF elaborate on:

“When a woman reaches menopause, her estrogen levels drop and can lead to bone loss. For some women, this bone loss is rapid and severe.

Two major factors that affect your chance of getting osteoporosis are:

  • The amount of bone you have when you reach menopause. The greater your bone density is to begin with, the lower your chance of developing osteoporosis. If you had low peak bone mass or other risk factors that caused you to lose bone, your chance of getting osteoporosis is greater.
  • How fast you lose bone after you reach menopause. For some women, bone loss happens faster than for others. In fact, a woman can lose up to 20% of her bone density during the five – seven years following menopause. If you lose bone quickly, you have a greater chance of developing osteoporosis”.5

Common or Not

How common is osteoporosis?

In the United States, according to the BHOF:

“About 54 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis”.6

In the United Kingdom (UK), according to the Royal Osteoporosis Society:

“Over three and a half million people in the UK are living with osteoporosis”.7

Women

How many women have osteoporosis?

In the United States, the BHOF explain:


Osteoporosis

  • “Of the estimated 10 million Americans with osteoporosis, about eight million or 80% are women”.8

Silent Disease

Why is osteoporosis called the ‘silent disease’?

In What Is Osteoporosis? About Osteoporosis the IOF explain:

“Osteoporosis is often called the ‘silent disease’ because most people don’t know they have osteoporosis until they suffer a broken bone from a minor fall or bump – something that would not normally have caused such a drastic injury. In fact, even after breaking a bone, around 80% of patients are still not diagnosed and treated for osteoporosis, the underlying disease which has caused the fracture”.9

In What Is Osteoporosis and What Causes It? Osteoporosis Can Sneak Up on You the BHOF also note:

“Osteoporosis is often called a silent disease because one can’t feel bones weakening. Breaking a bone is often the first sign of osteoporosis or a patient may notice that he or she is getting shorter or their upper back is curving forward. If you are experiencing height loss or your spine is curving, be sure to consult your doctor or healthcare professional immediately”.10

Risk Factors

How may we become aware of any potential risk factors?

In About Osteoporosis: Have Risk Factors? Talk To Your Doctor, Ask for Testing the IOF note:

“To become aware of any potential risk factors, take the IOF Osteoporosis Risk Check”.11

Osteoporosis

Diagnosis

How is osteoporosis diagnosed?

In Diagnosis the IOF explain:

“If you have risk factors for osteoporosis it is important that you ask your doctor for a bone health assessment.

As part of your bone health ‘check-up’ your doctor should take a complete medical history that includes information on any recent fractures. As well your doctor will likely estimate your future risk by using a fracture risk assessment tool such as FRAX®.

Depending on the results of your fracture risk assessment, a Bone Mineral Density (BMD) test may be recommended. In some countries (e.g. U.S.A.), BMD testing is recommended for all women and men at age 65, regardless of whether they have risk factors”.12

Health Care Provider

What if I think I may be at risk for osteoporosis?

If you think you may be at risk for osteoporosis, it may be in your best interest to choose to talk to your health care provider about this.

In About Osteoporosis: Have Risk Factors? Talk To Your Doctor, Ask for Testing the IOF note:

“If you are over the age of 50 and you have one or more risk factors you should discuss these with your doctor and ask for an assessment of your bone health status. Lifestyle changes may be recommended and, for those at high risk, medication may be prescribed for optimal protection against fractures”.13

Health Topics A-Z

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Sources

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Sources

  1. What Women Need To Know: Now the Good News. Bone Health & Osteoporosis Foundation https://www.nof.org/prevention/general-facts/what-women-need-to-know/ Accessed: 30 April 2024
  2. Varacallo, M., Seaman, T. J., Jagmohan S., Jandu, J. S., Pizzutillo, P. Osteopenia. Last Update: 04 August 2023 https://www.ncbi.nlm.nih.gov/books/NBK499878/ Accessed: 30 April 2024
  3. What Is Osteoporosis? About Osteoporosis. International Osteoporosis Foundation https://www.osteoporosis.foundation/patients/about-osteoporosis Accessed: 30 April 2024
  4. What Women Need To Know. Bone Health & Osteoporosis Foundation https://www.nof.org/preventing-fractures/general-facts/what-women-need-to-know/ Accessed: 30 April 2024
  5. What Women Need To Know: Menopause: A Time for Action. Bone Health & Osteoporosis Foundation https://www.nof.org/preventing-fractures/general-facts/what-women-need-to-know/ Accessed: 30 April 2024
  6. What Is Osteoporosis and What Causes It? Osteoporosis Is Common. Bone Health & Osteoporosis Foundation https://www.bonehealthandosteoporosis.org/patients/what-is-osteoporosis/ Accessed: 30 April 2024
  7. Osteoporosis and Bone Health. Royal Osteoporosis Society https://theros.org.uk/ Accessed: 30 April 2024
  8. What Women Need To Know. Bone Health & Osteoporosis Foundation https://www.nof.org/prevention/general-facts/what-women-need-to-know/ Accessed: 30 April 2024
  9. What Is Osteoporosis? About Osteoporosis. International Osteoporosis Foundation https://www.osteoporosis.foundation/patients/about-osteoporosis Accessed: 30 April 2024
  10. What Is Osteoporosis and What Causes It? Osteoporosis Can Sneak Up on You. Bone Health & Osteoporosis Foundation https://www.nof.org/patients/what-is-osteoporosis/ Accessed: 30 April 2024
  11. About Osteoporosis: Have Risk Factors? Talk To Your Doctor, Ask for Testing. International Osteoporosis Foundation http://worldosteoporosisday.org/about-osteoporosis Accessed: 30 April 2024
  12. Diagnosis. International Osteoporosis Foundation https://www.osteoporosis.foundation/patients/diagnosis Accessed: 30 April 2024
  13. About Osteoporosis: Have Risk Factors? Talk To Your Doctor, Ask for Testing. International Osteoporosis Foundation http://worldosteoporosisday.org/about-osteoporosis Accessed: 30 April 2024
Topic Last Updated: 19 September 2024 – Topic Last Reviewed: 30 April 2024

“The benefits of hormone therapy outweigh the risks
for most healthy symptomatic women who are
aged younger than 60 years and within 10 years of…”.1

Umbrella
What may the Hormone Therapy and Aging Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Hormone Replacement Therapy (HRT) and Aging/Prevention/Protection
  • Hormone Therapy (HT) and Aging/Prevention/Protection
  • Menopausal Hormone Therapy (MHT) and Aging/Prevention/Protection

Benefits and Risks

What are the benefit and risks of hormone therapy (HT) associated with aging?

On page one in The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement published 07 July June 2022, the North American Menopause Society (NAMS) explain:

  • “The benefits of hormone therapy outweigh the risks for most healthy symptomatic women who are aged younger than 60 years and within 10 years of menopause onset”.2

Disease Prevention

Is HT recommended for disease prevention?

On page four in the 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, one of the recommendations is:

“HRT should not be recommended for the primary or secondary prevention of chronic disease in women experiencing the menopause in keeping with national and international guidelines”.3

2022 USPSTF Recommendations

What were the United States Preventative Services Task Force (USPSTF) recommendations about HT for the primary prevention of chronic conditions, published 01 November 2022?

Hormone Therapy and AgingIn Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions – Recommendation Summary, the USPSTF recommend:

“Postmenopausal persons
The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal persons”.4

Hormone Therapy and AgingIn Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions – Recommendation Summary, the USPSTF recommended:

“Postmenopausal persons who have had a hysterectomy
The USPSTF recommends against the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal persons who have had a hysterectomy”.5

Heart Disease

How may heart disease be prevented?

In Menopause FAQs: Your Health After Menopause – Q. Do I have to start worrying about heart disease? the NAMS elaborate on:

“A. You do. Although many women think of heart disease as a man’s disease, the number one killer of women in North America is cardiovascular disease, that is, diseases of the heart and circulatory system. After age 55, more than half of all the deaths in women are caused by cardiovascular disease. Risk for this disease increases after menopause. Be sure to talk to your healthcare team about what your risks are and how you can reduce them”.6

Bone Loss and Fractures

Does HT prevent bone loss and fractures in postmenopausal women?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause: Menopausal Hormone Therapy, published online 30 October 2023, the authors include:

  • “MHT prevents bone loss and fractures in postmenopausal women”.7

Stop or Not

If I am an older than 60 years, do I need to discontinue HT?

On page one in The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement the NAMS note:

Hormone Therapy and Aging

  • “Hormone therapy does not need to be routinely discontinued in women aged older than 60 or 65 years and can be considered for continuation beyond age 65 for persistent VMS, quality-of-life issues, or prevention of osteoporosis after appropriate evaluation and counseling of benefits and risks”.8

Health Care Provider

What if I would like to choose to use HT?

If you choose to use HT, it may be in your best interest to also choose to talk to your health care provider about this.

On page two in the 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, one of the recommendations is:

  • “The decision whether to take HRT, the dose and duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. This should be considered in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use. Discussions with women should also cover aspects such as when to consider stopping HRT and how this can be done (by gradually reducing the dose of HRT). No arbitrary limits should be set on age or duration of HRT intake”.9

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy and Aging?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Hormone Therapy and Aging?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 29 April 2024
  2. 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: 29 April 2024
  3. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 29 April 2024
  4. Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions – Clinician Summary: To Whom Does This Recommendation Apply. 01 November 2022. U.S. Preventative Services Task Force https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/menopausal-hormone-therapy-preventive-medication Accessed: 29 April 2024
  5. Hormone Therapy In Postmenopausal Persons: Primary Prevention of Chronic Conditions – Clinician Summary: To Whom Does This Recommendation Apply. 01 November 2022. U.S. Preventative Services Task Force https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/menopausal-hormone-therapy-preventive-medication Accessed: 29 April 2024
  6. 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: Menopausal Hormone Therapy. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 29 April 2024
  7. The North American Menopause Society Releases Its 2022 Hormone Therapy Position Statement. 07 July 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/press-release/ht-position-statement-release.pdf Accessed: 29 April 2024
  8. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Optimising the Menopause Transition: 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 2022:2 https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 29 April 2024
Topic Last Updated: 29 April 2024 – Topic Last Reviewed: 29 April 2024

“Having erection trouble from time to time
isn’t necessarily a cause for concern. If erectile dysfunction
is an ongoing issue, however, it can cause stress…”.1

Umbrella

What may the Sexual Health and Erectile Dysfunction Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Erectile Dysfunction (ED)
  • Impotence
  • Male Impotence

Definition

What is erectile dysfunction (ED)?

DotS the definition of ED may vary. In Erectile Dysfunction: Symptoms & Causes – Overview the (United States) Mayo Clinic’s definition is:

“Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex”.2

Symptoms

What are symptoms of ED?

In Erectile Dysfunction: What Are the Symptoms of Erectile Dysfunction the (Australian) HealthDirect note:

“Symptoms of erectile dysfunction include:

  • Difficulty getting an erection
  • Difficulty keeping an erection
  • Difficulty engaging in sexual intercourse, due to your penis not being hard enough”.3

Common or Not

How common is ED?

In Erectile Dysfunction: Overview – How Common Is Erectile Dysfunction? according to the (United States) Cleveland Clinic:

“Erectile dysfunction is the most common sex-related condition that men and people assigned male at birth (AMAB) report to healthcare providers, especially as they age and develop other health issues”.4

In Erectile Dysfunction (Impotence): About Erectile Dysfunction according to the (Scottish) NHS Inform:

“Erectile dysfunction is a very common condition, particularly in older men. It is estimated that half of all men between the ages of 40 and 70 will have it to some degree”.5

In Erectile Dysfunction: Key Facts according to the (Australian) HealthDirect:

  • “Erectile dysfunction is very common, affecting up to 2 in 3 males over age 45 years”.6

Concern or Not

Is ED a concern?

In Erectile Dysfunction: Symptoms & Causes – Overview the Mayo Clinic explain:

“Having erection trouble from time to time isn’t necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease”.7

Cause

What causes ED?

In Erectile Dysfunction: Symptoms & Causes – Causes [+ Images] the Mayo Clinic elaborate on physical causes, psychological causes and risk factors and also note:

“Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction”.8

On page one in Hormones and Erectile Dysfunction: What You Need To Know – Causes the (United States) Endocrine Society explain:

“The most common causes of ED are underlying health problems that affect blood vessels and blood flow in the penis. These include hardening of the arteries (atherosclerosis), diabetes, obesity, smoking, high blood pressure, and high cholesterol”.9

Cause: Medicines and Drugs

Can some medicines and drugs cause ED?

In Drugs That May Cause Erection Problems, review date 01 January 2023, the (United States) MedlinePlus list “some medicines and drugs that may cause impotence in men”.

Treatment

How is ED treated?

In Erectile Dysfunction (Impotence): Treatments for Erectile Dysfunction the NHS elaborate on:

“Treatment can usually help improve erectile dysfunction.

  • Medicines for erectile dysfunction…
  • Vacuum pumps…
  • Treating the cause of erectile dysfunction…
  • Finding private counsellors or sex therapists…”.10

Oral Medicines

What are oral medicines for ED?

In Erectile Dysfunction: Viagra and Other Oral Medications, dated 24 June 2023, the Mayo Clinic explain:

“Medicines that you take by mouth are called oral medicines. They’re often the first line of treatment for trouble getting or keeping an erection, called erectile dysfunction (ED). Oral medicines for ED usually work well and cause few side effects”.11

Sexual Health and Erectile DysfunctionMain Oral Medicines

What are the four main oral medicines for ED?

In Erectile Dysfunction: Viagra and Other Oral Medications the Mayo Clinic elaborate on:

“The four main medicines taken by mouth for erectile dysfunction are:

  • Avanafil (Stendra)
  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil.

These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. This boosts blood flow and helps you get an erection from sexual activity”.12

Health Care Provider

What if I think I have ED or I think my partner has ED?

In Erectile Dysfunction: Diagnosis & Treatment — Treatment the Mayo Clinic explain:

“The first thing your doctor will do is to make sure you’re getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction.

Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Your partner’s preferences also might play a role in your treatment choices”.13

Health Topics A-Z

Where may I find Health Topics related to Sexual Health and Erectile Dysfunction?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Sexual Health and Erectile Dysfunction?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Erectile Dysfunction: Symptoms & Causes – Overview. 29 March 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776 Accessed: 22 April 2024
  2. Erectile Dysfunction: Symptoms & Causes – Causes. 29 March 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776 Accessed: 22 April 2024
  3. Erectile Dysfunction: What Are the Symptoms of Erectile Dysfunction? Last Reviewed: March 2023. HealthDirect https://www.healthdirect.gov.au/erectile-dysfunction Accessed: 22 April 2024
  4. Erectile Dysfunction: Overview – How Common Is Erectile Dysfunction? Last Reviewed: 28 August 2023. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/10035-erectile-dysfunction Accessed: 22 April 2024
  5. Erectile Dysfunction (Impotence): About Erectile Dysfunction. Last Updated: 10 February 2023. NHS Inform https://nhsinform-n1.azurewebsites.net/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/ Accessed: 22 April 2024
  6. Erectile Dysfunction: What Are the Symptoms of Erectile Dysfunction? Last Reviewed: March 2023. HealthDirect https://www.healthdirect.gov.au/erectile-dysfunction Accessed: 22 April 2024
  7. Erectile Dysfunction: Symptoms & Causes – Overview. 29 March 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776 Accessed: 22 April 2024
  8. Erectile Dysfunction: Symptoms & Causes – Causes. 29 March 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776 Accessed: 22 April 2024
  9. Hormones and Erectile Dysfunction: What You Need To Know – Causes. 17 February 2022. Endocrine Society https://www.endocrine.org/-/media/endocrine/files/patient-engagement/hormones-and-series/hormones_and_erectile_dysfunction_what_you_need_to_know.pdf Accessed: 22 April 2024
  10. Erectile Dysfunction (Impotence): Treatment for Erectile Dysfunction. Page Last Reviewed: 28 July 2023. NHS https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/#treatment Accessed: 22 April 2024
  11. Erectile Dysfunction: Viagra and Other Oral Medications. 24 June 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/in-depth/erectile-dysfunction/art-20047821 Accessed: 22 April 2024
  12. Erectile Dysfunction: Viagra and Other Oral Medications. 24 June 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/in-depth/erectile-dysfunction/art-20047821 Accessed: 22 April 2024
  13. Erectile Dysfunction: Diagnosis & Treatment — Treatment. 29 March 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/diagnosis-treatment/drc-20355782 Accessed: 22 April 2024
Topic Last Updated: 21 September 2024 – Topic Last Reviewed: 22 April 2024

“Vulval irritation
is when different products and chemicals
affect the sensitive skin of the vulva”.1

Umbrella

What may the Vulval Irritation Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Genital Itch
  • Vestibulitis
  • Vestibulodynia
  • Vulva/Vulval/Vulvar Discomfort/Irritation/Pain
  • Vulva/Vulval/Vulvar Skin Conditions
  • Vulvar Itching
  • Vulval Vestibulitis
  • Vulvitis
  • Vulvovaginal Discomfort/Pain

Vulva

What is the vulva?

DotS the definition of the vulva may vary. The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“Your vulva is the external part of your female genitals that you can see. Your vagina is inside your body”.2

Vulval Irritation

What is vulval irritation?

DotS the definition of vulval irritation may vary. In Vulva Irritation: What Is Vulval Irritation? the JH explain:

“Vulval irritation is when different products and chemicals affect the sensitive skin of the vulva”.3

What are vulval irritation symptoms?

In Vulva Irritation: Symptoms the JH explain:

“Vulval irritation can be associated with other signs and symptoms, including:

  • Burning
  • Itching
  • Redness
  • Swelling
  • Vaginal discomfort
  • Vaginal discharge
  • Skin cracking or splitting (fissuring)
  • Whitening of skin (leukoplakia)
  • Pain during sex (dyspareunia)”.4

Vulvitis

What is vulvitis?

DotS the definition of vulvitis may vary. In Vulvitis: Overview – What Is Vulvitis? the (United States) Cleveland Clinic’s definition is:

“Vulvitis is inflammation in your vulva, or your genitals. Your vulva includes the soft folds of skin that surround your vagina, including your labia majora (the outer folds), labia minora (vaginal lips) and your clitoris. Your vulva may become inflamed because of an infection, allergic reaction or injury that irritates your skin”.5

Cause

What can cause vulval irritation?

In Vulval Irritation: What Causes Vulval Irritation the JH note:


Vulval Irritation
“Vulval irritation can be caused by many things. Common causes are listed below.

  • Bodily functions…
  • Products…
  • Clothes…
  • Skin conditions…
  • Infections…
  • Sexually transmitted infections (STIs)…
  • Other conditions…
  • Hormones…
  • Medicines…
  • Cancer…”.6

Douching

What is douching?

DotS the definition of douching may vary. In Douching: What Is Douching? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov’s definition is:

“The word “douche” means to wash or soak. Douching is washing or cleaning out the inside of the vagina with water or other mixtures of fluids. Most douches are sold in stores as prepackaged mixes of water and vinegar, baking soda, or iodine. The mixtures usually come in a bottle or bag. You squirt the douche upward through a tube or nozzle into your vagina. The water mixture then comes back out through your vagina”.7

Is douching different from washing the outside of your vagina during a bath or shower?

Yes. Womenshealth.gov explain:

“Douching is different from washing the outside of your vagina during a bath or shower. Rinsing the outside of your vagina with warm water will not harm your vagina. But, douching can lead to many different health problems.

Most doctors recommend that women do not douche”.8

Vulval Clinics

Are there clinics specializing in vulval conditions?

DotC (Depending on the Country) there may be clinics specializing in vulval conditions with gynecologists, dermatologists, physiotherapists and other multidisciplinary staff.

These multidisciplinary clinics may be called:

  • Genito-Urinary Medicine Clinics
  • Multidisciplinary Vulva/Vulval/Vulvar Clinics
  • Vulva/Vulval/Vulvar Clinics
  • Vulvovaginal Clinics

Health Care Provider

What if I think I have vulval irritation?

If you think you have vulval irritation, it may be in your best interest to choose to talk to your health care provider about this. The JH encourage us to seek help and explain:

“If you are experiencing vulval irritation and your symptoms are not getting better, it’s important to see your doctor. They will take your medical history and ask about your symptoms. If they don’t check your vulva, ask for an examination. You might also need to have a urine test, vulval or vaginal swab, blood test or vulval biopsy. This process will ensure you get the right diagnosis and treatment.

The sooner you seek help, the sooner your symptoms will improve”.9

Health Topics A-Z

Where may I find Health Topics A-Z related to the Vulval Irritation?

In Health Topics A-Z you may find:

Where may I find Links related to Vulval Irritation?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Vulval Irritation: What Is Vulval Irritation? Last Updated: 19 January 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-irritation Accessed: 21 April 2024
  2. Vulval Irritation Last Updated: 19 January 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-irritation Accessed: 21 April 2024
  3. Vulval Irritation: What Is Vulval Irritation? Last Updated: 19 January 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-irritation Accessed: 21 April 2024
  4. Vulval Irritation: Symptoms. Last Updated: 19 January 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-irritation Accessed: 21 April 2024
  5. Vulvitis: Overview – What Is Vulvitis? Last Reviewed: 21 June 2022. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/15175-vulvitis Accessed: 21 April 2024
  6. Vulval Irritation: What Causes Vulval Irritation? Last Updated: 19 January 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-irritation Accessed: 21 April 2024
  7. Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 21 April 2024
  8. Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 21 April 2024
  9. Vulval Irritation: When To See Your Doctor. Last Updated: 19 January 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-irritation Accessed: 21 April 2024
Topic Last Updated: 12 June 2024 – Topic Last Reviewed: 21 April 2024

“As a woman ages, estrogen levels are fluctuating
from one minute to the next, and erratic.
Less progesterone is produced (but stabilizes…”.1

Umbrella
What may the Menopause Mood Swings Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Menopause Mood Swings
  • Perimenopause Mood Swings

Menopause

Is there an association between menopause and mood swings?

In Menopause: Mood Swings the (United States) Endocrine Society elaborate on:

Menopause Mood SwingsMenopause Mood SwingsMenopause Mood SwingsMenopause Mood Swings

 

“As a woman ages, estrogen levels are fluctuating from one minute to the next, and erratic. Less progesterone is produced (but stabilizes at low levels in post menopause, around age 55). Estrogen is related to production of serotonin, a mood-regulating neurotransmitter. Fluctuating estrogen and progesterone levels, plus other factors, cause serotonin production disruption, leading to more mood swings. Mood disorders are common during this time”.2

Bipolar Disorder

Are menopause mood swings different to bipolar disorder?

Yes. Menopause mood swings are different to bipolar disorder. In Bipolar Disorder: What Is Bipolar Disorder? the (United States) National Institute of Mental Health’s definition of bipolar disorder is:

“Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental illness that causes unusual shifts in a person’s mood, energy, activity levels, and concentration. These shifts can make it difficult to carry out day-to-day tasks”.3

Depression

Are menopause mood swings different to depression?

Yes. Menopause mood swings are different to depression. In Depression: Overview the World Health Organization explain:

“Depressive disorder (also known as depression) is a common mental disorder. It involves a depressed mood or loss of pleasure or interest in activities for long periods of time.

Depression is different from regular mood changes and feelings about everyday life. It can affect all aspects of life, including relationships with family, friends and community. It can result from or lead to problems at school and at work”.4

Self-Help Measures

What are some self-help measures which may help mood changes?

The Endocrine Society explain:

“Mood swings are a part of aging for many women, but the good news is that you can take steps to help prevent them and manage them when they occur. Often, a healthy lifestyle is the first step in preventing mood swings.

  • Avoid caffeine, alcohol, and spicy foods
  • Eat a balanced, health diet with fruits, vegetables, and whole grains
  • Talk to a therapist or counselor
  • Get enough sleep
  • Exercise regularly
  • Find healthy ways to deal with stress”.5

Health Care Provider

What if I would like help with menopause mood swings?Menopause Mood Swings

If you would like help with menopause mood swings, it may be in your best interest to choose to talk to your health care provider about this.

Health Topics A-Z

Where may I find Health Topics A-Z related to Menopause Mood Swings?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause Mood Swings?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. Menopause: Mood Swings. Last Updated: 24 January 2022. Endocrine Society https://www.endocrine.org/patient-engagement/endocrine-library/menopause Accessed: 21 April 2024
  2. Menopause: Mood Swings. Last Updated: 24 January 2022. Endocrine Society https://www.endocrine.org/patient-engagement/endocrine-library/menopause Accessed: 21 April 2024
  3. Bipolar Disorder: Overview. Last Reviewed: February 2024. National Institute of Mental Health https://www.nimh.nih.gov/health/topics/bipolar-disorder Accessed: 21 April 2024
  4. Depression: Overview. 31 March 2023. World Health Organization https://www.who.int/en/news-room/fact-sheets/detail/depression Accessed: 21 April 2024
  5. Menopause: Mood Swings. Last Updated: 24 January 2022. Endocrine Society https://www.endocrine.org/patient-engagement/endocrine-library/menopause Accessed: 21 April 2024
Topic Last Updated: 21 April 2024 – Topic Last Reviewed: 21 April 2024

“Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual…”.1

Umbrella

What may the Sexual Health Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Sexual Health
  • Sexuality

Definition

What is sexual health?

DotS the definition of sexual health may vary. In World Sexual Health Day: From the Absence of Disease To Well-Being: The Continuum of Sexual Health the World Health Organization (WHO) explain “The World Health Organization (WHO) working definition of sexual health emphasises a positive and respectful approach to sexuality and sexual relationships, one that cannot be separated from sexual well-being”:

“Sexual health is a state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction or infirmity.

Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled”.2

Sexual Health

Women’s Sexual Health

Why does women’s sexual health matter?

In Women’s Sexual Health Matters the (United States) Patty Brisben Foundation for Women’s Sexual Health elaborate on:

“It matters because it impacts all women, and it impacts our quality of life. It has an effect on our overall health and wellness, and directly contributes to self-image and confidence. It helps to shape how we view and enjoy intimacy, affecting our relationships and families”.3

Health Care Provider

What if I would like help with my sexual health?

If you would like help with your sexual health it may be in your best interest to choose to talk to your health care provider about this.

In Sexual Health & Menopause Online the NAMS reassure:

“Sex and menopause are totally appropriate subjects for discussion in the healthcare setting, and solutions to midlife sexual problems are out there for the taking”.4

In Sexual Health & Menopause Online: Talking To Your Healthcare Provider About Your Problem the NAMS also note:

“If your provider asks about your sex life or sexual function, don’t miss the opportunity to be frank and look for help. More important, if your provider doesn’t ask specifically about your sexual function, don’t be afraid to bring up a distressing sexual problem yourself when you’re asked, “How are you feeling?” Most providers today are comfortable addressing such a problem; if your provider is not, consider looking for another. There is absolutely no need to suffer (or let your relationship suffer) in silence”.5

Health Topics A-Z

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In Health Topics A-Z you may find:

Links

Where may I find Links related to Sexual Health?

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Sources

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Sources

  1. World Sexual Health Day: From the Absence of Disease To Well-Being: The Continuum of Sexual Health. 04 September 2023. World Health Organization https://www.who.int/news-room/events/detail/2023/09/04/default-calendar/world-sexual-health-day Accessed: 26 July 2024
  2. World Sexual Health Day: From the Absence of Disease To Well-Being: The Continuum of Sexual Health. 04 September 2023. World Health Organization https://www.who.int/news-room/events/detail/2023/09/04/default-calendar/world-sexual-health-day Accessed: 26 July 2024
  3. Women’s Sexual Health Matters. Patty Brisben Foundation http://pattybrisbenfoundation.org/sexual-health/what-is-womens-sexual-health/#what Accessed: 26 July 2024
  4. Sexual Health & Menopause Online. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online Accessed: 26 July 2024
  5. Sexual Health & Menopause Online: Talking To Your Health Care Provider About Your Problem. North America Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/effective-treatments-for-sexual-problems/talking-to-your-healthcare-provider-about-your-problem Accessed: 26 July 2024
Topic Last Updated: 26 July 2024 – Topic Last Reviewed: 26 July 2024

“While you may have had normal blood pressure most of your life, your chances of developing high blood pressure increase considerably after menopause”.1

Umbrella

What may the High Blood Pressure and Women Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Essential Hypertension
  • High Blood Pressure (HBP)
  • Hypertension
  • Idiopathic Hypertension
  • Primary Hypertension
  • Women

Blood Pressure

What is blood pressure (BP)?

DotS the definition of BP may vary. In High Blood Pressure: About High Blood Pressure – Definition of Blood Pressure the (United States) Centers for Disease Control and Prevention’s definition is:

“Blood pressure is the pressure of blood pushing against the walls of your arteries. Arteries carry blood from your heart to other parts of your body”.2

High Blood Pressure

What is high blood pressure (HBP) or hypertension?

DotS the definition of HBP may vary. The American Heart Association’s definition is:

“High blood pressure, also referred to as hypertension, is when your blood pressure, the force of blood flowing through your blood vessels, is consistently too high”.3

Risk

Who is at risk of HBP?

In High Blood Pressure: Causes and Risk Factors – Sex the (United States) National Heart, Lung, and Blood Institute note:

“Men are more likely than women to develop high blood pressure throughout middle age. But in older adults, women are more likely than men to develop high blood pressure”.4

Women

In women, how common is HBP?

In High Blood Pressure and Women the (United States) Go Red for Women explain:

“A common misconception is that high blood pressure (HBP or hypertension) rarely affects women. However, nearly half of all adults with high blood pressure are women. In fact, women that are just 20 pounds or more overweight, have a family history of HBP or have reached menopause are known to increase a woman’s risk”.5

Menopause

Is there an association between menopause and HBP?

In High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause Go Red for Women also note:

High Blood Pressure and Women“While you may have had normal blood pressure most of your life, your chances of developing high blood pressure increase considerably after menopause.

Heart disease risk rises for everyone as they age, but for women symptoms can become more evident after the onset of menopause”.6

In Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? the (United States) Mayo Clinic note:

“Blood pressure generally goes up after menopause. Some health care providers think changing hormones related to menopause may cause blood pressure to rise. Others think an increase in body mass index (BMI) during menopause may be to blame.

Changes in hormones during menopause can lead to weight gain. The changes also can make blood pressure more sensitive to salt in the diet. When this happens, blood pressure can go up. Some types of hormone therapy for menopause also may lead to higher blood pressure”.7

Death

Is there an association between women and deaths from HBP?

In High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause Go Red for Women also note:

“Women represent almost 52% of deaths from high blood pressure”.8

Control and Prevent

What can help control and prevent HBP?

In Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? the Mayo Clinic encourage women:

“To control your blood pressure both before and after menopause, focus on a healthy lifestyle:

  • Maintain a healthy weight
  • Eat heart-healthy foods. Choose whole grains, fruits and vegetables
  • Limit salt and processed foods
  • Exercise most days of the week
  • Manage stress
  • Limit or avoid alcohol
  • If you smoke, stop

If necessary, your health care team may suggest medicines to help lower blood pressure”.9

DASH Diet

What is the DASH Diet?

In DASH Diet: Healthy Eating To Lower Your Blood Pressure the Mayo Clinic elaborate on:

“DASH stands for Dietary Approaches to Stop Hypertension.

The DASH diet is a healthy-eating plan designed to help prevent or treat high blood pressure, also called hypertension. It also may help lower cholesterol linked to heart disease, called low density lipoprotein (LDL) cholesterol.

High blood pressure and high LDL cholesterol levels are two major risk factors for heart disease and stroke”.10

Health Care Provider

What if I think I have HBP?

If you think you have HBP, it may be in your best interest to choose to talk to your health care provider about this. In High Blood Pressure – Symptoms and Treatment: Symptoms of High Blood Pressure the British Heart Foundation explain:

“Many people with high blood pressure feel fine. But even if you feel fine, you should still have your blood pressure checked regularly. If you’re a healthy adult over 40, it’s recommended that you get it checked at least once every five years. But if you’re at increased risk of high blood pressure, you should have it checked more often, ideally once a year”.11

Health Topics A-Z

Where may I find Health Topics A-Z related to High Blood Pressure and Women?

In Health Topics A-Z you may find:

Links

Where may I find Links related to High Blood Pressure and Women?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause. Go Red for Women https://www.goredforwomen.org/en/know-your-risk/high-blood-pressure-and-women Accessed: 20 April 2024
  2. High Blood Pressure: About High Blood Pressure – Definition of Blood Pressure. 15 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/high-blood-pressure/about/ Accessed: 27 July 2024
  3. High Blood Pressure: The Facts About High Blood Pressure. American Heart Association https://www.heart.org/en/health-topics/high-blood-pressure Accessed: 20 April 2024
  4. High Blood Pressure: Causes and Risk Factors – Sex. Last Updated: 30 April 2024. National Heart, Lung, and Blood Institute https://www.nhlbi.nih.gov/health/high-blood-pressure/causes Accessed: 27 July 2024
  5. High Blood Pressure and Women. Go Red for Women https://www.heart.org/en/health-topics/high-blood-pressure/why-high-blood-pressure-is-a-silent-killer/high-blood-pressure-and-women Accessed: 20 April 2024
  6. High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause. Go Red for Women https://www.goredforwomen.org/en/know-your-risk/high-blood-pressure-and-women Accessed: 20 April 2024
  7. Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? 11 July 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/menopause-and-high-blood-pressure/faq-20058406 Accessed: 20 April 2024
  8. High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause. Go Red for Women https://www.goredforwomen.org/en/know-your-risk/high-blood-pressure-and-women Accessed: 20 April 2024
  9. Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? 11 July 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/menopause-and-high-blood-pressure/faq-20058406 Accessed: 20 April 2024
  10. DASH Diet: Healthy Eating To Lower Your Blood Pressure. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/dash-diet/art-20048456 Accessed: 20 April 2024
  11. High Blood Pressure – Symptoms and Treatment: Symptoms of High Blood Pressure. British Heart Foundation https://www.bhf.org.uk/informationsupport/risk-factors/high-blood-pressure/symptoms-and-treatment Accessed: 20 April 2024
Topic Last Updated: 27 July 2024 – Topic Last Reviewed: 20 April 2024