Thuraisingham Chandramani, Nalliah Sivalingam
MBBS, FAFP, FRACGP, AM, DRM, PDOH, Department of Family Medicine, International Medical University, Clinical Campus Seremban, Seremban, Negeri Sembilan, Malaysia. Email:
MBBS, MCGP, FRCOG, FAMM, FICS, M Ed, MIDT, Department of Obstetrics & Gynaecology, International Medical University, Clinical Campus Seremban, Seremban, Negeri Sembilan, Malaysia.
Malays Fam Physician. 2023 Aug 30;18:49-100. doi: 10.51866/cm.264. eCollection 2023.
Menopause is an important phase in the life of older women. Women's life expectancy has increased worldwide. As women experience and perceive menopause differently depending on their personal, family and sociocultural backgrounds, perimenopausal symptoms can often go unnoticed and missed by general practitioners. General practitioners are uniquely placed in the healthcare delivery pyramid to close this gap and improve patients' quality of life by identifying perimenopausal signs and symptoms early. This article shares knowledge about continuing medical education for general practitioners to close the existing gap. As there is great variability within each menopausal woman's experience as well as among individual women, there is a need to individualise and render personalised care. By being able to discuss accepted and safe standards of care and by advocating for a holistic approach incorporating both non-pharmacological and pharmacological strategies, general practitioners would be able to improve the confidence of their patients for better health outcomes.
更年期是老年女性生命中的一个重要阶段。全球女性的预期寿命都有所增加。由于女性根据其个人、家庭和社会文化背景对更年期的体验和认知不同，围绝经期症状往往容易被全科医生忽视和漏诊。全科医生在医疗服务体系中处于独特地位，能够通过早期识别围绝经期体征和症状来缩小这一差距，提高患者的生活质量。本文分享了关于全科医生继续医学教育的知识，以弥合现有差距。由于每位更年期女性的经历以及个体之间存在很大差异，因此需要进行个性化和提供个性化护理。通过能够讨论公认的安全护理标准，并倡导采用包括非药物和药物策略的整体方法，全科医生将能够提高患者的信心，以实现更好的健康结果。
