Gynecological pathology in the menopause (excluding cancers)

John Eden
In: Managing the Menopause · 2015 · pp. 108–117 · doi:10.1017/cbo9781316091821.016 · W2475709389
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This article reviews non-malignant gynecological pathologies occurring during menopause, providing clinical insights into conditions prevalent in this demographic.

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This chapter reviews non-neoplastic gynecological conditions affecting women during the menopausal transition, covering topics such as pelvic organ prolapse, vulvo-vaginal atrophy, and abnormal uterine bleeding. It discusses the pathophysiology and management of these disorders, including the use of hormonal therapies like hormone replacement therapy and intrauterine systems to alleviate symptoms associated with declining estrogen levels. The text also addresses musculoskeletal changes and psychological aspects linked to menopause, providing a broad overview of benign health issues in this demographic. Relevance to endometriosis: listed among other benign gynecological pathologies in the context of menopause, though the paper's main focus is general gynecological health rather than specifically endometriosis or adenomyosis.

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Abstract

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Temporary Disruption We have implemented additional assurance measures to protect our systems. As a result, we have suspended some of our systems and services. We apologise for any temporary disruption some customers may experience. Managing the Menopause Buy print or eBook [Opens in a new window] 21st Century Solutions - Managing the Menopause21st Century Solutions - Managing the Menopause - Copyright page - Contents - Contributors - Foreword - Preface - Chapter 1 Physiology of the menstrual cycle and changes in the perimenopause - Chapter 2 The ovarian reserve: predicting the menopause - Chapter 3 The history and politics of menopause - Chapter 4 Clinical features of the menopause transition - Chapter 5 Hormone replacement therapy and cardiovascular disease - Chapter 6 Pelvic organ prolapse and incontinence in association with the menopause - Chapter 7 Vulvo-vaginal atrophy - Chapter 8 Musculoskeletal system and the menopause - Chapter 9 Osteoporosis recognition and assessment - Chapter 10 Hormonal management of osteoporosis during the menopause - Chapter 11 Psychological aspects of the menopause - Chapter 12 Memory and mood in the menopause - Chapter 13 Libido and sexual function in the menopause - Chapter 14 Gynecological pathology in the menopause (excluding cancers) - Chapter 15 Estrogens used in current menopausal therapies - Chapter 16 Progestogens used in hormone replacement therapy - Chapter 17 Androgen therapy for postmenopausal women - Chapter 18 Selective estrogen receptor modulators used for postmenopausal women - Chapter 19 Non-hormonal treatments for menopausal symptoms - Chapter 20 Alternative therapies for the management of menopausal symptoms - Chapter 21 Contraception for the perimenopausal woman - Chapter 22 Hormone replacement therapy and cancer - Chapter 23 Hormone replacement therapy and venous thrombosis - Chapter 24 Fertility and premature menopause - Chapter 25 The risk-benefit analysis of hormone replacement therapy in the menopause - Chapter 26 Premature ovarian insufficiency: hormonal aspects and long-term health - Chapter 27 Male menopause – similarities and differences with the female menopause - Index - References Published online by Cambridge University Press: 05 September 2015 By Book contents - Managing the Menopause21st Century Solutions - Managing the Menopause - Copyright page - Contents - Contributors - Foreword - Preface - Chapter 1 Physiology of the menstrual cycle and changes in the perimenopause - Chapter 2 The ovarian reserve: predicting the menopause - Chapter 3 The history and politics of menopause - Chapter 4 Clinical features of the menopause transition - Chapter 5 Hormone replacement therapy and cardiovascular disease - Chapter 6 Pelvic organ prolapse and incontinence in association with the menopause - Chapter 7 Vulvo-vaginal atrophy - Chapter 8 Musculoskeletal system and the menopause - Chapter 9 Osteoporosis recognition and assessment - Chapter 10 Hormonal management of osteoporosis during the menopause - Chapter 11 Psychological aspects of the menopause - Chapter 12 Memory and mood in the menopause - Chapter 13 Libido and sexual function in the menopause - Chapter 14 Gynecological pathology in the menopause (excluding cancers) - Chapter 15 Estrogens used in current menopausal therapies - Chapter 16 Progestogens used in hormone replacement therapy - Chapter 17 Androgen therapy for postmenopausal women - Chapter 18 Selective estrogen receptor modulators used for postmenopausal women - Chapter 19 Non-hormonal treatments for menopausal symptoms - Chapter 20 Alternative therapies for the management of menopausal symptoms - Chapter 21 Contraception for the perimenopausal woman - Chapter 22 Hormone replacement therapy and cancer - Chapter 23 Hormone replacement therapy and venous thrombosis - Chapter 24 Fertility and premature menopause - Chapter 25 The risk-benefit analysis of hormone replacement therapy in the menopause - Chapter 26 Premature ovarian insufficiency: hormonal aspects and long-term health - Chapter 27 Male menopause – similarities and differences with the female menopause - Index - References A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content. - Type - Chapter - Information - Managing the Menopause21st Century Solutions, pp. 108 - 117Publisher: Cambridge University PressPrint publication year: 2015 Van Voorhis, B. A 41-year-old woman with menorrhagia, anemia and fibroids. JAMA 2009; 301: 82–93.CrossRefGoogle ScholarPubMed Bergeron, C, Amant, F, Ferenczy, A. Pathology and pathophysiology of adenomyosis. Best Prac Res Clin Obstet Gynaecol 2006; 20: 511–21.CrossRefGoogle ScholarPubMed McCluggage, WG. Ovarian borderline tumours: a review with emphasis on controversial areas. Diag Histopath 2011; 17: 178–91.Google Scholar Munro, MG, Critchley, HOD, Fraser, IS. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fert Ster 2011; 95: 2204–8.Google ScholarPubMed Briggs, P. The management of heavy menstrual bleeding associated with uterine fibroids using Ulipristal acetate, 5 mg daily (Esmya®, Preglem) followed by the introduction of a Levonorgestrel – Intrauterine System (LNG-IUS, Mirena®, Bayer). Giorn Ital Ostet Ginecol 2013; XXXV: 150–2.Google Scholar Bhanot, Martin J, Athreya, S. Complications and reinterventions in uterine artery embolization for symptomatic uterine fibroids: a literature review and meta-analysis. Cardiovasc Intervent Radiol 2013; 36: 395–402.Google Scholar Gallos, I, Shehmar, M, Thangaratinam, S, et al. Oral progestogens vs levonorgestrel-releasing intrauterine system for endometrial hyperplasia: a systematic review and meta-analysis. Am J Obstet Gynecol 2010; 547: e1–10.Google Scholar Heliövaara-Peippo, S, Hurskainen, R, Teperi, R, et al. Quality of life and costs of levonorgestrel-releasing intrauterine system or hysterectomy in the treatments of menorrhagia: a 10 year randomized controlled trial. Am J Obstet Gynecol 2013; 209: 535e1–e14.CrossRefGoogle ScholarPubMed Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Gynecological pathology in the menopause (excluding cancers) - - Book: Managing the Menopause - Online publication: 05 September 2015 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - Gynecological pathology in the menopause (excluding cancers) - - Book: Managing the Menopause - Online publication: 05 September 2015 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Gynecological pathology in the menopause (excluding cancers) - - Book: Managing the Menopause - Online publication: 05 September 2015

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