Management of the Perimenopause

被引：89

作者：

Delamater, Lara ^{[1
]}

Santoro, Nanette ^{[1
]}

机构：

[1] Univ Colorado, Sch Med, Dept Obstet & Gynecol, 12631 E 17th Ave,Mail Stop B-198, Aurora, CO 80045 USA

来源：

CLINICAL OBSTETRICS AND GYNECOLOGY | 2018年 / 61卷 / 03期

关键词：

perimenopause; menopause transition; hot flashes; abnormal uterine bleeding; FOLLICLE-STIMULATING-HORMONE; EARLY MENOPAUSAL TRANSITION; LATE REPRODUCTIVE-AGE; WOMENS HEALTH; NATION SWAN; DEHYDROEPIANDROSTERONE-SULFATE; POSTMENOPAUSAL WOMEN; ANTIMULLERIAN HORMONE; INTRAUTERINE SYSTEM; VASOMOTOR SYMPTOMS;

D O I：

10.1097/GRF.0000000000000389

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Perimenopause, or the menopausal transition, represents a period of time during which newly arising symptoms can present complex management decisions for providers. Many women present to care with complaints of hot flashes, vaginal and sexual changes, altered mood and sleep, and changing bleeding patterns. The effect of these symptoms on quality of life, even before a woman enters menopause, can be significant. The appropriate evaluation and evidence-based management of women in this transition is reviewed in this article. Two case vignettes are used to highlight certain evaluation and treatment challenges.

引用

页码：419 / 432

页数：14

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