期刊
GEBURTSHILFE UND FRAUENHEILKUNDE
卷 81, 期 6, 页码 612-636出版社
GEORG THIEME VERLAG KG
DOI: 10.1055/a-1361-1948
关键词
perimenopause; postmenopause; hormone (replacement) therapy; diagnosis; therapy; cancer risk; guideline
This interdisciplinary S3 guideline aims to assist physicians in informing women about the physiological changes and treatment options during the perimenopause and postmenopause stages. The recommendations are based on high-quality publications evaluated using evidence-based medicine criteria. Recommendations cover various topics including diagnosis, therapeutic interventions, and risks related to menopausal and postmenopausal women.
Aim The aim of the interdisciplinary S3-guideline Perimenopause and Postmenopause - Diagnosis and Interventions is to provide help to physicians as they inform women about the physiological changes which occur at this stage of life and the treatment options. The guideline should serve as a basis for decisions taken during routine medical care. This short version lists the statements and recommendations given in the long version of the guideline together with the evidence levels, the level of recommendation, and the strength of consensus. Methods The statements and recommendations are largely based on methodologically high-quality publications. The literature was evaluated by experts and mandate holders using evidence-based medicine (EbM) criteria. The search for evidence was carried out by the Essen Research Institute for Medical Management (EsFoMed). To some extent, this guideline also draws on an evaluation of the evidence used in the NICE guideline on Menopause and the S3-guidelines of the AWMF and has adapted parts of these guidelines. Recommendations Recommendations are given for the following subjects: diagnosis and therapeutic interventions for perimenopausal and postmenopausal women, urogynecology, cardiovascular disease, osteoporosis, dementia, depression, mood swings, hormone therapy and cancer risk, as well as primary ovarian insufficiency.
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