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Menopausale Beschwerden und ihre Behandlung

Menopausal complaints and their treatment

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Zusammenfassung

Die einzigen in epidemiologischen Studien konsistent von Frauen angegebenen Körperempfindungen in den Wechseljahren sind Hitzewallungen und Schweißausbrüche sowie Scheidentrockenheit. Eine ganze Reihe weiterer somatischer und psychischer Beschwerden werden von Frauen in der Lebensmitte angegeben, können aber aufgrund der Studienlage nicht als „typische“ Beschwerden in den Wechseljahren aufgefasst werden. Wünschen Frauen eine Behandlung vasomotorischer Beschwerden, stehen ihnen mit einer Östrogentherapie bzw. einer Östrogen-Gestagen-Kombinationstherapie effektive Behandlungsmöglichkeiten zur Verfügung. Über die Varianz der Verläufe und über Spontanschwankungen von vasomotorischen Beschwerden gibt es wenig gesicherte Erkenntnisse.

Abstract

Hot flashes, sweating, and vaginal dryness are the only symptoms consistently reported by women in epidemiological studies of the climacteric period. Several other somatic and psychological symptoms are reported by midlife women, but based on available data from studies, these symptoms may not be conceptualized as typical symptoms. If women ask for treatment of vasomotor symptoms, estrogen or estrogen/progestin combination therapy is efficacious. Few reliable data exist regarding the longitudinal course and variability of symptoms of vasomotor symptoms.

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Literatur

  1. Avis NE, Assmann SF, Kravitz HM et al (2004) Quality of life in diverse groups of midlife women: assessing the influence of menopause, health status and psychological and demographic factors. Qual Life Res 13:933–956

    Article  CAS  PubMed  Google Scholar 

  2. Avis N, Stellato R, Crawford S (2001) Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Soc Sci Med 52:345–356

    Article  CAS  PubMed  Google Scholar 

  3. Beckmann MW, Braendle W, Brucker C et al (2003) Konsensus-Empfehlungen zur Hormontherapie (HT) im Klimakterium und in der Postmenopause. Geburtshilfe Frauenheilkd 63209–63212

  4. David M, Schalinski A, Borde T (2008) Sozio-kulturelle Aspekte der Menopause und der menopausalen Homontherapie. In: Robert Koch-Institut (Hrsg) Beiträge zur Gesundheitsberichterstattung des Bundes: Hormontherapie bei (post)menopausalen Frauen in Deutschland 2007. Oktoberdruck, Berlin, S 57–63

  5. Gold E, Sternfeld B, Kelsey J (2000) Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40–55 years of age. Am J Epidemiol 152:463–473

    Article  CAS  PubMed  Google Scholar 

  6. Gracia C, Sammel M, Liu L (2004) Predictors of decreased libido in women during the late reproductive years. Menopause 11:144–1450

    Article  PubMed  Google Scholar 

  7. Kato I, Toniolo P, Akhmedkhanov A (1998) Prospective study of factors influencing the onset of natural menopause. J Clin Epidemiol 51:1271–1276

    Article  CAS  PubMed  Google Scholar 

  8. Kravitz H, Ganz P, Bromberger J (2003) Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition. Menopause 10:19–28

    PubMed  Google Scholar 

  9. MacLennan A, Broadbent JL, Lester S et al (2004) Oral oestrogen and combined oestrogen/progestogen therapy versus placebo for hot flushes. Cochrane Database System Rev Issue 4. Art no: CD002978. DOI: 10.1002/14651858.CD002978.pub2

    Google Scholar 

  10. McKinlay S, Bigano N, Mckinlay J (1985) Smoking and age at menopause. Ann Intern Med 103:350–356

    CAS  PubMed  Google Scholar 

  11. Modeska K, Cummings S (2002) Tibolone for postmenopausal women: systematic review of randomized trials. J Clin Endo Metab 87:16–23

    Article  Google Scholar 

  12. Nelson H (2008) Menopause. Lancet 371:760–770

    Article  PubMed  Google Scholar 

  13. Nelson H, Haney E, Humphrey L et al (2005) Management of menopause-related symptoms. Evidence Report/Technology Assessment no. 120. (Prepared by the oregon evidence-based practice center, under Contract No. 290–02–0024.) AHRQ Publication No. 05-E016–2. Agency for Healthcare Research and Quality, Rockville/MD

  14. Schwarz S, Völzke H, Alte D et al (2007) Menopause and determinants of quality of life in women at midlife and beyond: the Study of Health in Pomerania (SHIP). Menopause 14:123–134

    Article  PubMed  Google Scholar 

  15. DGGG (2009) Stufe-3-Leitlinie Hormontherapie in der Peri- und Postmenopause (HT), http://www.dggg.de

  16. Treloar A (1974) Menarche, menopause and intervening fecundability. Hum Biol 46:89–107

    CAS  PubMed  Google Scholar 

  17. Treloar A (1981) Menstrual cyclicity and the pre-menopause. Maturitas 3:249–264

    Article  CAS  PubMed  Google Scholar 

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Interessenkonflikt

Martina Dören berät die Bundeszentrale für gesundheitliche Aufklärung (BZgA) zu verschiedenen Themen der Frauengesundheit, Näheres s. http://www.frauengesundheitsportal.de.

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Authors and Affiliations

  1. Klinisches Forschungszentrum Frauengesundheit, Charité-Universitätsmedizin Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Deutschland

    M. Dören

  2. AKF (Arbeitskreis Frauengesundheit in Medizin, Psychotherapie und Gesellschaft) e.V., Berlin, Berlin, Deutschland

    M.J. Beckermann

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  1. M. Dören
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  2. M.J. Beckermann
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Correspondence to M. Dören.

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Dören, M., Beckermann, M. Menopausale Beschwerden und ihre Behandlung. Gynäkologe 43, 282–286 (2010). https://doi.org/10.1007/s00129-009-2465-0

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  • DOI: https://doi.org/10.1007/s00129-009-2465-0

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