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Smoking and hot flushes

It is known that women who smoke tend to have an earlier menopause than non-smokers and are more likely to experience hot flushes [1]. A recent paper reports a study to test the hypothesis that cigarette smoking is associated with hot flushes through a mechanism involving levels of androgen, progesterone and sex hormone binding globulin… Read More

Vertebral fracture risk reduction in women who lose femoral neck bone mineral density on teriparatide treatment

In a recent paper, Watts and colleagues examined the clinical significance in non-responders of bone mineral density (BMD) measured at the femoral neck after 12-month treatment with teriparatide, a parathyroid hormone analogue, compared to placebo in terms of vertebral fracture risk reduction [1]. A BMD change from baseline of > 4% was considered to be… Read More

Nurses for the care of menopausal women

Several abstracts presented at the Annual meeting of the British Menopause Society and published in Menopause International discuss the role of nurses in providing menopausal care. In one study, the authors discuss the various roles that nurses may provide in menopausal care, ranging from those nurses who may serve as chaperones in exam rooms to… Read More

Approach to the patient with menopausal symptoms

In a recent paper, using a case history of a patient with classical menopausal symptoms, Martin and Manson have reviewed in short the recent data and controversies over hormone replacement therapy (HRT) and discussed hormonal regimens (oral, transdermal) and dosage, duration of therapy and alternative treatment options [1]. The main motif of the article is… Read More

FRAX: A fracture risk assessment tool

The 10-year probability of fracture in an individual can be calculated using the FRAX® fracture risk assessment tool. FRAX is available online [1] or as a paper model. The calculation of fracture risk, as well as utilization in management algorithms, is country-specific. In a recent article [2], Kanis and colleagues explain that FRAX was developed… Read More

Changes in serum estradiol through the menopausal transition and lower urinary tract symptoms

For women, urinary incontinence and other related lower urinary tract symptoms (e.g. nocturia, urinary urgency, frequency) are common, often increasing in frequency as women age. Urinary incontinence, however, is more than just a physiologic loss of urine. Emotional distress is also a significant issue for incontinent individuals. Researchers and clinicians are increasingly aware of the… Read More

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