Administración de estrógenos y progesterona en mujeres posmenopáusicas: Consenso de julio de 2008 de la Sociedad Norteamericana de Menopausia



Título del documento: Administración de estrógenos y progesterona en mujeres posmenopáusicas: Consenso de julio de 2008 de la Sociedad Norteamericana de Menopausia
Revista: Revista del climaterio
Base de datos: PERIÓDICA
Número de sistema: 000318601
ISSN: 1665-5060
Año:
Periodo: Jul-Ago
Volumen: 11
Número: 65
Paginación: 223-251
País: México
Idioma: Español
Tipo de documento: Artículo
Enfoque: Experimental, caso clínico
Resumen en español el tiempo desde que ocurrió la menopausia en las mujeres que no habían sido tratadas previamente
Resumen en inglés Objective: To update for both clinicians and the lay public the evidence-based position statement published by The North American Menopause Society (NAMS) in March 2007 regarding its recommendations for menopausal hormone therapy (HT) for postmenopausal women, with consideration for the therapeutic benefit-risk ratio al various times through menopause and beyond. Design: An Advisory Panel of clinicians and researchers expert in the field of women’s health was enlisted to review the March 2007 NAMS position statement, evaluate new evidence through an evidence-based analysis, and reach consensus on recommendations. The Panel’s recommendations were reviewed and approved by the NAMS Board of Trustees as an official NAMS position statement. The document was provided to other interested organizations to seek their endorsement. Results: Current evidence supports a consensus regarding the rate of HT in postmenopausal women, when potential therapeutic benefits and risks around the time of menopause are considered. This paper lists all these areas along with explanatory comments. Conclusions that vary from the 2007 position statement are highlighted. Addenda include a discussion of risk concepts, a new component not included in the 2007 paper, and a recommended list of areas for future HT research. A suggested reading list of key references is also provided. Conclusions: Recent data support the initiation of HT around the time of menopause to treat menopauserelated symptoms; to treat or reduce the risk of certain disorders, such as osteoporosis or fractures in select postmenopausal women; or both. The benefit-risk ratio for menopausal HT is favorable close to menopause but decreases with aging and with time since menopause in previously untreated women
Disciplinas: Medicina
Palabras clave: Ginecología y obstetricia,
Terapéutica y rehabilitación,
Menopausia,
Estrógenos,
Progesterona,
Terapia hormonal,
Riesgos,
Indicaciones
Keyword: Medicine,
Gynecology and obstetrics,
Therapeutics and rehabilitation,
Menopause,
Estrogens,
Progesterone,
Hormonal therapy,
Risks,
Indications
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