Endometriosis and menopause—management strategies based on clinical scenarios
Abstract Endometriosis is largely considered a premenopausal disease with symptoms often improving during menopausal transition. However, 2%–4% of postmenopausal women are affected by endometriosis symptoms. At the same time, many peri‐ and postmenopausal women experience menopausal symptoms and inq...
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Acta Obstetricia et Gynecologica Scandinavica |
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| Online Access: | https://doi.org/10.1111/aogs.14583 |
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| author | Ivika Jakson Angelica Lindén Hirschberg Sebastian B. Gidlöf |
| author_facet | Ivika Jakson Angelica Lindén Hirschberg Sebastian B. Gidlöf |
| author_sort | Ivika Jakson |
| collection | DOAJ |
| description | Abstract Endometriosis is largely considered a premenopausal disease with symptoms often improving during menopausal transition. However, 2%–4% of postmenopausal women are affected by endometriosis symptoms. At the same time, many peri‐ and postmenopausal women experience menopausal symptoms and inquire about treatment. Because of the estrogen‐dependent nature of endometriosis, treatment with menopausal hormone therapy requires careful assessment of the patient but should nevertheless be considered. Recurrence of endometriosis symptoms and risk for malignant transformation are potential risks to weigh when prescribing menopausal hormonal therapy. Choice of treatment should be guided by the presence and severity of current endometriosis symptoms, nature of menopausal symptoms, risk assessment of potential contraindications for treatment in patient history, and preferences of the woman after an informative discussion. Recurrence of endometriosis symptoms in a postmenopausal patient should always prompt rigorous evaluation, both in the presence and absence of hormonal treatment. Many recommendations on the topic are based on expert opinion and new studies are urgently needed to obtain evidence for optimal patient care. |
| format | Article |
| id | doaj-art-5cbda270e70347798ba6ae5334de2244 |
| institution | Kabale University |
| issn | 0001-6349 1600-0412 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acta Obstetricia et Gynecologica Scandinavica |
| spelling | doaj-art-5cbda270e70347798ba6ae5334de22442025-08-20T03:31:01ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122023-10-01102101323132810.1111/aogs.14583Endometriosis and menopause—management strategies based on clinical scenariosIvika Jakson0Angelica Lindén Hirschberg1Sebastian B. Gidlöf2Department of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenDepartment of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenDepartment of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenAbstract Endometriosis is largely considered a premenopausal disease with symptoms often improving during menopausal transition. However, 2%–4% of postmenopausal women are affected by endometriosis symptoms. At the same time, many peri‐ and postmenopausal women experience menopausal symptoms and inquire about treatment. Because of the estrogen‐dependent nature of endometriosis, treatment with menopausal hormone therapy requires careful assessment of the patient but should nevertheless be considered. Recurrence of endometriosis symptoms and risk for malignant transformation are potential risks to weigh when prescribing menopausal hormonal therapy. Choice of treatment should be guided by the presence and severity of current endometriosis symptoms, nature of menopausal symptoms, risk assessment of potential contraindications for treatment in patient history, and preferences of the woman after an informative discussion. Recurrence of endometriosis symptoms in a postmenopausal patient should always prompt rigorous evaluation, both in the presence and absence of hormonal treatment. Many recommendations on the topic are based on expert opinion and new studies are urgently needed to obtain evidence for optimal patient care.https://doi.org/10.1111/aogs.14583endometriosismenopausal hormone therapymenopausal symptomsmenopauseperimenopause |
| spellingShingle | Ivika Jakson Angelica Lindén Hirschberg Sebastian B. Gidlöf Endometriosis and menopause—management strategies based on clinical scenarios Acta Obstetricia et Gynecologica Scandinavica endometriosis menopausal hormone therapy menopausal symptoms menopause perimenopause |
| title | Endometriosis and menopause—management strategies based on clinical scenarios |
| title_full | Endometriosis and menopause—management strategies based on clinical scenarios |
| title_fullStr | Endometriosis and menopause—management strategies based on clinical scenarios |
| title_full_unstemmed | Endometriosis and menopause—management strategies based on clinical scenarios |
| title_short | Endometriosis and menopause—management strategies based on clinical scenarios |
| title_sort | endometriosis and menopause management strategies based on clinical scenarios |
| topic | endometriosis menopausal hormone therapy menopausal symptoms menopause perimenopause |
| url | https://doi.org/10.1111/aogs.14583 |
| work_keys_str_mv | AT ivikajakson endometriosisandmenopausemanagementstrategiesbasedonclinicalscenarios AT angelicalindenhirschberg endometriosisandmenopausemanagementstrategiesbasedonclinicalscenarios AT sebastianbgidlof endometriosisandmenopausemanagementstrategiesbasedonclinicalscenarios |