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女性早绝经和卵巢早衰患者的激素治疗应用。

Use of Hormone Therapy in Women with Early Menopause and Premature Ovarian Insufficiency.

机构信息

Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado.

出版信息

Semin Reprod Med. 2020 Sep;38(4-05):302-308. doi: 10.1055/s-0040-1721719. Epub 2021 Feb 4.

Abstract

Women with early menopause or primary ovarian insufficiency (POI) experience a menopausal state a decade or more earlier than their peers. The health consequences for POI are vast and varied with detrimental effects seen on neurological, psychological, bone, and cardiovascular systems. The risk profile of POI patients requires special attention, as they differ from a typical menopausal population. This review will explore the health risks associated with POI and examine the various treatment options and also the risks associated with hormone therapy. Given the risks and benefits, POI patients should be strongly encouraged to start hormone therapy until the median age of menopause.

摘要

患有早发性卵巢功能不全(POI)或早期绝经的女性会比同龄人早经历十年甚至更长时间的绝经期。POI 对健康的影响广泛而多样,对神经系统、心理、骨骼和心血管系统都有不利影响。POI 患者的风险状况需要特别关注,因为她们与典型的绝经人群不同。本文将探讨与 POI 相关的健康风险,并检查各种治疗选择,以及激素治疗相关的风险。鉴于风险和收益,强烈鼓励 POI 患者开始激素治疗,直到绝经的中位数年龄。

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