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奥培米芬用于绝经后泌尿生殖综合征:患者选择

Ospemifene for Genitourinary Syndrome of Menopause: Patient Selection.

作者信息

Marchetti Giulia, Taithongchai Annika, Robinson Dudley

机构信息

Urogynaecology Department, Irmandade de Misericórdia da Santa Casa de São Paulo, Sao Paulo, Brazil.

Urogynaecology Department, King's College Hospital, London, UK.

出版信息

Int J Womens Health. 2024 Jun 5;16:1049-1053. doi: 10.2147/IJWH.S431520. eCollection 2024.

Abstract

Vulvar vaginal atrophy is a common condition affecting postmenopausal women, significantly impacting their quality of life. Fortunately, various treatment options are available, ranging from hormonal to non-hormonal therapies. Ospemifene has emerged as a promising non-hormonal alternative for managing vulvar vaginal atrophy. Its targeted approach, unique mechanism of action, favorable safety profile particularly for breast tissue, and efficacy make it a valuable option for women seeking relief from symptoms such as vaginal pain, dryness and dyspareunia and cannot receive estrogen supplementations. This is particularly the case for breast cancer survivors or women with a significant family history of estrogen-dependent cancers. Hence, tailored treatment plans, considering individual preferences and health circumstances, are essential in optimizing outcomes and improving the overall well-being of affected individuals.

摘要

外阴阴道萎缩是一种影响绝经后女性的常见病症,严重影响她们的生活质量。幸运的是,有多种治疗选择,从激素疗法到非激素疗法。奥司米芬已成为治疗外阴阴道萎缩的一种有前景的非激素替代药物。其靶向治疗方法、独特的作用机制、特别是对乳腺组织有利的安全性以及疗效,使其成为寻求缓解阴道疼痛、干燥和性交困难等症状且无法接受雌激素补充治疗的女性的一个有价值的选择。对于乳腺癌幸存者或有雌激素依赖性癌症家族病史的女性尤其如此。因此,考虑个体偏好和健康状况制定个性化的治疗方案,对于优化治疗效果和改善受影响个体的整体健康至关重要。

相似文献

1
Ospemifene for Genitourinary Syndrome of Menopause: Patient Selection.奥培米芬用于绝经后泌尿生殖综合征:患者选择
Int J Womens Health. 2024 Jun 5;16:1049-1053. doi: 10.2147/IJWH.S431520. eCollection 2024.
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Ospemifene May Not Treat Vulvar Atrophy: A Report of Two Cases.奥培米芬可能无法治疗外阴萎缩:两例报告
Sex Med. 2016 Sep;4(3):e217-20. doi: 10.1016/j.esxm.2016.05.002. Epub 2016 Jun 29.
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Ospemifene for vulvar and vaginal atrophy: an overview.奥司米芬治疗外阴和阴道萎缩:概述
Drugs Context. 2020 Jul 1;9. doi: 10.7573/dic.2020-3-2. eCollection 2020.

本文引用的文献

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Ospemifene efficacy and safety data in women with vulvovaginal atrophy.奥昔布宁治疗女性阴道萎缩的疗效和安全性数据。
Gynecol Endocrinol. 2020 Jul;36(7):569-577. doi: 10.1080/09513590.2020.1757058. Epub 2020 Apr 24.
7
Genitourinary Syndrome of Menopause.绝经泌尿生殖综合征
Clin Obstet Gynecol. 2018 Sep;61(3):508-516. doi: 10.1097/GRF.0000000000000380.
9
Vulvar vestibular effects of ospemifene: a pilot study.奥司米芬对女性外阴前庭的影响:一项初步研究。
Gynecol Endocrinol. 2018 Jul;34(7):631-635. doi: 10.1080/09513590.2018.1427717. Epub 2018 Jan 15.

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