更年期正常化

An empowerment model for managing menopause -Lancet 2024 (知名医学杂志今年开了专栏聊更年期的事情）
--menopause is ubiquitous, but the experience varies
--个体差异，症状和程度不同
--心理因素，社会环境都在一定程度上可控
--通过了解这个过程，和自身对激素环境变化的反应，让女生自我掌控，自我管理
--医护人员给出全面，平衡的信息，多聆听这个年龄的女生
--不再把正常年龄进入更年期看成"hormone deficiency disorder-激素缺乏的疾病“
--多数女生不需要药物治疗
--过度治疗有风险
--在更年期，要多和懂这些知识的专业人士沟通，和有类似经历的女生沟通
--stage -3, -2, -1, +1, 我应该还在-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.
--女生在用激素代偿治疗的前几个月，可能会出血，这样的情况需要进行检查
--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.
--拒绝年龄歧视
Ref:
https://www.thelancet.com/action/showPdf?pii=S0140-6736%2823%2902799-X