更年期正常化

An empowerment model for managing menopause -Lancet 2024 (知名醫學雜誌今年開了專欄聊更年期的事情）
--menopause is ubiquitous, but the experience varies
--個體差異，症狀和程度不同
--心理因素，社會環境都在一定程度上可控
--通過了解這個過程，和自身對激素環境變化的反應，讓女生自我掌控，自我管理
--醫護人員給出全麵，平衡的信息，多聆聽這個年齡的女生
--不再把正常年齡進入更年期看成"hormone deficiency disorder-激素缺乏的疾病“
--多數女生不需要藥物治療
--過度治療有風險
--在更年期，要多和懂這些知識的專業人士溝通，和有類似經曆的女生溝通
--stage -3, -2, -1, +1, 我應該還在-1
--Natural menopause at the average age is associated with an increased incidence of some health problems and a reduced incidence of others. Although bone density is known to decline after menopause, whether menopause at the average age increases other chronic conditions
such as diabetes, dementia, or cardiovascular disease is uncertain。
--a small increase in weight gain of 0·25 kg per year over the menopause transition, which stabilized postmenopause.
The average absolute weight gain associated with menopause was 1·6 kg.
--The primary indication for MHT （menopausal hormone therapy) is the treatment of problematic vasomotor symptoms. MHT might improve sleep, memory, and concentration in women taking it for vasomotor symptoms but it is unlikely to have any effect in women without vasomotor symptoms.
--Vaginal dryness is best managaed with vaginal estrogen.
--女生在用激素代償治療的前幾個月，可能會出血，這樣的情況需要進行檢查
--My Meno Plan tool APP
--https://henpicked.net/
--https://womenlivingbetter.org/
--Normalizing menopause and providing realistic and balanced information about the likely nature, severity, and duration of symptoms can be empowering for women and help them to make decisions about management 
--women with neutral or positive attitudes towards menopause tended to have a greater sense of control than women with more negative attitudes. On the basis of a systematic review of qualitative studies, clinicians can offer reassurance that many women experience growing confidence and assertiveness, freedom from some responsibilities, shifts in family relationships, and accepting and embracing age.
--拒絕年齡歧視
Ref:
https://www.thelancet.com/action/showPdf?pii=S0140-6736%2823%2902799-X