Menopause, wellbeing and health: A care pathway from the European Menopause and Andropause Society

•Life expectancy has considerably increased since the last century and thus the menopause can now be considered a midlife event.•Women's health is increasingly recognized as a global health priority and the complications of estrogen deficiency and ageing present an enormous problem to healthcar...

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Published inMaturitas Vol. 163; pp. 1 - 14
Main Authors Lambrinoudaki, Irene, Armeni, Eleni, Goulis, Dimitrios, Bretz, Silvia, Ceausu, Iuliana, Durmusoglu, Fatih, Erkkola, Risto, Fistonic, Ivan, Gambacciani, Marco, Geukes, Marije, Hamoda, Haitham, Hartley, Caiomhe, Hirschberg, Angelica Lindén, Meczekalski, Blazej, Mendoza, Nicolas, Mueck, Alfred, Smetnik, Antonina, Stute, Petra, van Trotsenburg, Mick, Rees, Margaret
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 01.09.2022
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Abstract •Life expectancy has considerably increased since the last century and thus the menopause can now be considered a midlife event.•Women's health is increasingly recognized as a global health priority and the complications of estrogen deficiency and ageing present an enormous problem to healthcare systems.•This clinical guide provides a practical stepwise approach for all health professionals dealing with menopausal and postmenopausal health.•Treatment options should be individualized and range from menopausal hormone therapy to non-hormonal alternatives and lifestyle modifications. This care pathway from the European Menopause and Andropause Society (EMAS) provides an updated pathway for monitoring and guidance of women at midlife, focusing on those approaching the end of the reproductive life-cycle, going through the menopausal transition and beyond. The care pathway is written by professionals involved in women's health and provides a stepwise individualized approach, stratified according to needs, symptoms and reproductive stage. Furthermore, the pathway provides details on screening for chronic diseases related to menopause and ageing. Treatment options for climacteric symptoms range from menopausal hormone therapy to non-hormonal alternatives and lifestyle modifications. Therapy should be tailored to personal needs and wishes. The pathway aims to offer a holistic, balanced approach for monitoring middle-aged women, aiming to control health problems effectively and ensure healthy ageing.
AbstractList This care pathway from the European Menopause and Andropause Society (EMAS) provides an updated pathway for monitoring and guidance of women at midlife, focusing on those approaching the end of the reproductive life-cycle, going through the menopausal transition and beyond. The care pathway is written by professionals involved in women's health and provides a stepwise individualized approach, stratified according to needs, symptoms and reproductive stage. Furthermore, the pathway provides details on screening for chronic diseases related to menopause and ageing. Treatment options for climacteric symptoms range from menopausal hormone therapy to non-hormonal alternatives and lifestyle modifications. Therapy should be tailored to personal needs and wishes. The pathway aims to offer a holistic, balanced approach for monitoring middle-aged women, aiming to control health problems effectively and ensure healthy ageing.
•Life expectancy has considerably increased since the last century and thus the menopause can now be considered a midlife event.•Women's health is increasingly recognized as a global health priority and the complications of estrogen deficiency and ageing present an enormous problem to healthcare systems.•This clinical guide provides a practical stepwise approach for all health professionals dealing with menopausal and postmenopausal health.•Treatment options should be individualized and range from menopausal hormone therapy to non-hormonal alternatives and lifestyle modifications. This care pathway from the European Menopause and Andropause Society (EMAS) provides an updated pathway for monitoring and guidance of women at midlife, focusing on those approaching the end of the reproductive life-cycle, going through the menopausal transition and beyond. The care pathway is written by professionals involved in women's health and provides a stepwise individualized approach, stratified according to needs, symptoms and reproductive stage. Furthermore, the pathway provides details on screening for chronic diseases related to menopause and ageing. Treatment options for climacteric symptoms range from menopausal hormone therapy to non-hormonal alternatives and lifestyle modifications. Therapy should be tailored to personal needs and wishes. The pathway aims to offer a holistic, balanced approach for monitoring middle-aged women, aiming to control health problems effectively and ensure healthy ageing.
Author Goulis, Dimitrios
Gambacciani, Marco
Hamoda, Haitham
Geukes, Marije
van Trotsenburg, Mick
Armeni, Eleni
Durmusoglu, Fatih
Hirschberg, Angelica Lindén
Rees, Margaret
Erkkola, Risto
Mueck, Alfred
Stute, Petra
Ceausu, Iuliana
Meczekalski, Blazej
Hartley, Caiomhe
Lambrinoudaki, Irene
Smetnik, Antonina
Fistonic, Ivan
Mendoza, Nicolas
Bretz, Silvia
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  givenname: Irene
  surname: Lambrinoudaki
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  organization: Second Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Greece
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  givenname: Eleni
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  organization: Unit of Reproductive Endocrinology, First Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Greece
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  organization: Clinica Silvia Bretz, Rio de Janeiro, Brazil
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  organization: Istanbul Medipol International School of Medicine, Istanbul, Turkey
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  surname: Fistonic
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  organization: Institute for Women's Health, Zagreb, Croatia
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  organization: Menopause and Osteoporosis Unit, San Rossore Clinical Center, Pisa, Italy
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  organization: Department of Obstetrics and Gynecology, Ziekenhuisgroep Twente (Hospital Group Twente), Post Box 7600, 7600 SZ Almelo, the Netherlands
– sequence: 11
  givenname: Haitham
  surname: Hamoda
  fullname: Hamoda, Haitham
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  givenname: Caiomhe
  surname: Hartley
  fullname: Hartley, Caiomhe
  organization: Menopause Health Clinic, Dublin, Ireland
– sequence: 13
  givenname: Angelica Lindén
  surname: Hirschberg
  fullname: Hirschberg, Angelica Lindén
  organization: Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
– sequence: 14
  givenname: Blazej
  surname: Meczekalski
  fullname: Meczekalski, Blazej
  organization: Department of Gynecological Endocrinology, Poznan University of Medical Sciences, Poznan, Poland
– sequence: 15
  givenname: Nicolas
  surname: Mendoza
  fullname: Mendoza, Nicolas
  organization: Department of Obstetrics and Gynecology, University of Granada, Spain
– sequence: 16
  givenname: Alfred
  surname: Mueck
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  organization: Department of Women's Health, University Hospital Tuebingen, Germany
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  surname: Smetnik
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  organization: Department of Gynecological Endocrinology, National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation, Moscow, Russia
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  givenname: Petra
  surname: Stute
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  organization: Department of Obstetrics and Gynecology, University Clinic Inselspital, Bern, Switzerland
– sequence: 19
  givenname: Mick
  surname: van Trotsenburg
  fullname: van Trotsenburg, Mick
  organization: Department of Obstetrics and Gynecology, University Hospital St. Poelten-Lilienfeld, Austria
– sequence: 20
  givenname: Margaret
  surname: Rees
  fullname: Rees, Margaret
  organization: Women's Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK
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Keywords Hot flushes
Women
Osteoporosis
Menopause
Night sweats
Cardiovascular disease
Climacteric
Breast cancer
Hormone replacement therapy
Language English
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Webber, Davies, Anderson, Bartlett, Braat, Cartwright, Cifkova, De Muinck Keizer-Schrama, Hogervorst, Janse, Liao, Vlaisavljevic, Zillikens, Vermeulen (bb0140) 2016; 31
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Mishra, Pandeya, Dobson, Chung, Anderson, Kuh, Sandin, Giles, Bruinsma, Hayashi, Lee, Mizunuma, Cade, Burley, Greenwood, Goodman, Simonsen, Adami, Demakakos, Weiderpass (bb0035) 2017; 32
Kravitz, Janssen, Bromberger, Matthews, Hall, Ruppert, Joffe (bb0205) 2017; 3
Di Donato, Schiavi, Iacobelli, D’oria, Kontopantelis, Simoncini, Muzii, Benedetti Panici (bb0725) 2019; 121
bb0310
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Vinogradova, Dening, Hippisley-Cox, Taylor, Moore, Coupland (bb0530) 2021; 374
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CDC (bb0345) 2021
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Pagana, Pagana, Pagana (bb0580) 2019
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ESC (bb0240) 2021; 42
NICE (bb0130) 2015
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Slopien, Wender-Ozegowska, Rogowicz-Frontczak, Meczekalski, Zozulinska-Ziolkiewicz, Jaremek, Cano, Chedraui, Goulis, Lopes, Mishra, Mueck, Rees, Senturk, Simoncini, Stevenson, Stute, Tuomikoski, Paschou, Anagnostis, Lambrinoudaki (bb0065) 2018; 117
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NICE (10.1016/j.maturitas.2022.04.008_bb0230)
Jin (10.1016/j.maturitas.2022.04.008_bb0810) 2019; 20
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Snippet •Life expectancy has considerably increased since the last century and thus the menopause can now be considered a midlife event.•Women's health is increasingly...
This care pathway from the European Menopause and Andropause Society (EMAS) provides an updated pathway for monitoring and guidance of women at midlife,...
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SubjectTerms Breast cancer
Cardiovascular disease
Climacteric
Hormone replacement therapy
Hot flushes
Medicin och hälsovetenskap
Menopause
Night sweats
Osteoporosis
Women
Title Menopause, wellbeing and health: A care pathway from the European Menopause and Andropause Society
URI https://dx.doi.org/10.1016/j.maturitas.2022.04.008
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