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Menopause--challenges for future research.

Abstract

Menopause is a transition in women's lives with biological, personal, social, and cultural dimensions that together influence women's health. Scientists have not yet integrated the perspectives of multiple disciplines to provide a full account of women's experiences. Studies are underway to assess the effects of hormonal therapies used to treat symptoms that may be related to menopause or to prevent future disease. These studies will provide information women need to weigh the benefits and risks associated with hormone therapy. Although the biological dimensions of menopause warrant further study, the behavioral, social, and cultural dimensions also merit further attention. Moreover, there has been limited use of integrative perspectives, and as a result, the possibilities of cultural effects on biological processes of midlife remained understudied. The concerns of women who have been invisible, e.g., women of color, need to be brought into focus. Challenges in developing or refining methods for human research lie in studies that span the traditional disciplinary boundaries to create a more complete account of menopause and health.

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BibTeXRIS

N F Woods. Menopause--challenges for future research.. https://doi.org/10.1016/0531-5565(94)90002-7

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Clinical guidelines for improving compliance with hormone therapy in Latin American women during the menopausal transition and thereafter.

OBJECTIVE: To provide uniform, objective guidance for physicians and other health care workers in Latin America to enhance compliance with hormone therapy (HT), and to provide a tool for continued medical education and a source for answering clinical questions. METHOD: Literature search using MEDLINE; identification of key relevant publications by a five-member expert committee; creation and validation of a 60-item questionnaire used to survey the opinion of 72 physicians participating in a Latin American symposium, "The Faces of Menopause". RESULTS: On the basis of the validated responses, major points were identified to enhance compliance with HT with specific reference to Latin America, and two algorithms were created to provide practical guidance. CONCLUSION: The present guidelines will facilitate optimal compliance with therapy in Latin American postmenopausal women who opt for HT and for whom HT is indicated.

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