An individualized approach to the management of vaginal atrophy in Latin America
| Autor: | Rossella E. Nappi, Maria Celeste Osório Wender, Marla Shapiro, Santiago Palacios, Rogério Bonassi Machado, César Eduardo Fernandes, Cuauhtémoc Celis-González, Jaime Kulak, Luis Danckers, Dolores P. Pardini, Rita Pizzi, José A. Hernández-Bueno, P. Villaseca, Nilson Roberto de Melo, Eduardo Storch, Mabel Martino |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Health Knowledge Attitudes Practice Latin Americans General Mathematics Vaginal Diseases MEDLINE 030209 endocrinology & metabolism Health knowledge 03 medical and health sciences 0302 clinical medicine parasitic diseases Medicine Humans Physician-Patient Relations 030219 obstetrics & reproductive medicine business.industry Applied Mathematics Obstetrics and Gynecology medicine.disease Menopause Latin America Family medicine Female Vaginal atrophy Atrophy business |
| Zdroj: | Menopause (New York, N.Y.). 26(8) |
| ISSN: | 1530-0374 |
| Popis: | In the absence of guidelines specific for Latin America, a region where the impact of menopause is becoming increasingly important, an evidence-based specialist opinion on management of vaginal atrophy will help improve outcomes.An advisory board meeting was convened in São Paulo, Brazil, to discuss practical recommendations for managing vaginal atrophy in women in Latin America. Before the meeting, physicians considered various aspects of the condition, summarizing information accordingly. This information was discussed during the meeting. The expert consensus is now summarized.In Latin America, given the relatively early age of menopause, it will be beneficial to raise awareness of vaginal atrophy among women before they enter menopause, considering cultural attitudes and involving partners as appropriate. Women should be advised about lifestyle modifications, including attention to genital hygiene, clothing, and sexual activity, and encouraged to seek help as soon as they experience vaginal discomfort. Although treatment can be started at any time, prompt treatment is preferable. A range of treatments is available. By addressing the underlying pathology, local estrogen therapy can provide effective symptom relief, with choice of preparation guided by patient preference. An individualized treatment approach should be considered, giving attention to patients' specific situations.It is critical that women are empowered to understand vaginal atrophy. Educating women and healthcare providers to engage in open dialogue will facilitate appreciation of the benefits and means of maintaining urogenital health, helping to improve outcomes in middle age and beyond. Women should receive this education before menopause. |
| Databáze: | OpenAIRE |
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