泌尿系统随增龄改变。

Genitourinary Changes with Aging.

机构信息

Department of Obstetrics, Gynecology & Reproductive Biology, Vincent Center for Reproductive Biology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

Department of Obstetrics and Gynecology, University of California, Davis, 4860 Y Street, Suite 2500, Sacramento, CA 95817, USA.

出版信息

Obstet Gynecol Clin North Am. 2018 Dec;45(4):737-750. doi: 10.1016/j.ogc.2018.07.010. Epub 2018 Oct 25.

DOI:10.1016/j.ogc.2018.07.010

PMID:30401554

Abstract

Both chronologic aging and menopause affect the physical, physiologic, and microbiological characteristics of the genitourinary tract. The genitourinary syndrome of menopause, characterized by vulvovaginal and lower urinary tract signs and symptoms, is prevalent and has a significant negative impact on women's lives. In this article, the authors detail the genitourinary tract changes associated with menopause and/or aging. They also review the 2014 North American Menopause Society's definition of the genitourinary syndrome of menopause and present the epidemiology and impact of genitourinary aging in midlife and older women, namely, vulvovaginal, urinary, and sexual symptoms.

摘要

生理年龄的增长和绝经都会影响女性生殖泌尿系统的身体、生理和微生物特征。绝经相关的生殖泌尿系统综合征以外阴阴道和下尿路的体征和症状为特征，其发病率高，对女性生活有重大负面影响。本文作者详细介绍了与绝经和/或衰老相关的生殖泌尿系统变化。他们还回顾了 2014 年北美绝经学会对绝经相关生殖泌尿系统综合征的定义，并介绍了围绝经期和老年女性生殖泌尿系统老化的流行病学和影响，包括外阴阴道、尿失禁和性功能障碍。