Genitourinary menopausal syndrome: diagnosis and treatment principles
https://doi.org/10.21518/2079-701X-2019-13-106-111
Abstract
Aim: Presentation of basic clinical scientific data based on modern evidence of anatomical and physiological changes in the urogenital tract in periand postmenopause and the principles of management of women with genitourinary menopausal syndrome.
Material and methods: The review of domestic and foreign sources devoted to prevalence, modern diagnostics and methods of vaginal atrophy treatment was carried out.
Results: the present article contains modern terminology, data on etiopathogenesis, clinic, diagnostics and treatment methods of VVA, clinical examples.
About the Author
E. I. Ermakova
Federal State Budgetary Institution «National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Elena I. Ermakova, Cand. of Sci. (Med), Senior Researcher at the Gynecological Endocrinology Department
4, Oparina str., Moscow, 117997
References
1. Smetnik V.P., YUreneva S.V., Ermakova E.I., Glazunova A.V. Genitourinary menopausal syndrome. Diagnostics and treatment (draft clinical protocol). Climacterium [Klimakteriy]. 2015;(1):1-17. (In Russ.) Available at: https://docplayer.ru/109313713-V-nomere-genitourinarnyymenopauzalnyy-sindrom-ekspertnoemnenie.html.
2. Yureneva S.V., Ermakova E.I., Glazunova A.V. Genitourinary syndrome of menopause in periand postmenopausal patients: Diagnosis and therapy (short clinical guidelines). Akusherstvo i ginekologiya = Obstetrics and Gynecology. 2016;(5):138-144. (In Russ.) doi: 10.18565/aig.2016.5.138-144
3. The 2017 hormone therapy position statement of The North American Menopause Society NAMS. Menopause: The Journal of The North American Menopause Society. 2017;24(7):728753. doi: 10.1097/GME.0000000000000921. Available at: https://www.menopause.org/docs/default-source/2017/nams-2017-hormonetherapyposition-statement.pdf.
4. Griebling T.L., Liao Z., Smith P.G. Systemic and topical hormone therapies reduce vaginal innervation density in postmenopausal women. Menopause. 2012;19(6):630-635. doi: 10.1097/gme.0b013e31823b8983.
5. Smetnik V.P. (ed.) Estrogeny. Prakticheskaya meditsin =. Estrogens. Practical medicine. 2012:128133. (In Russ.) Available at: https://search.rsl.ru/ru/record/01005373152.
6. Frank S.M., Ziegler C., Kokot-Kierepa M., Maamari R., Nappi R.E. Vaginal Health: Insights, Views & Attitudes (VIVA) survey – Canadian cohort. Menopause Int. 2013;19(1):20-27. doi: 10.1258/mi.2012.012034.
7. The North American Menopause Society. Management of symptomatic vulvovaginal atrophy: 2013 position statement of The North American Menopause Society. Menopause. 2013;20(9):888-902. doi: 10.1097/GME.0b013e3182a122c2.
8. Sukhikh G.T, Smetnik V.P., Yureneva S.V., Ermakova E.I., Chernukha G.E., Yakushevskaya O.V. Menopause and women’s climacteric condition. Clinical recommendations. 2016. (In Russ.) Available at https://medi.ru/klinicheskie-rekomendatsii/menopauza-i-klimaktericheskoe-sostoyanieu-zhenschiny_14063/
9. Baber R.J., Panay N., Fenton A., and the IMS Writing Group. 2016 IMS Recommendations on women’s midlife health and menopause hormone therapy. Climacteric. 2016;19(2):109–50. doi: 10.3109/13697137.2015.1129166.
10. Griebling T.L., Liao Z., Smith P.G. Systemic and topical hormone therapies reduce vaginal innervation density in postmenopausal women. Menopause. 2012;19(6):630-635. doi: 10.1097/gme.0b013e31823b8983.
11. Sinha A., Ewies A.A. Non-hormonal topical treatment of vulvovaginal atrophy: an up-todate overview. Climacteric. 2013;16(3):305–312. doi: 10.3109/13697137.2012.756466.
12. Dobrokhotova Yu.E., Ilyina I.Yu., Venediktova M.G., Morozova K.V., Suvorova V.A. Local nonhormonal therapy in patients with genitourinary menopausal syndrome. Rossiyskiy vestnik akushera-ginekologa = Russian Bulletin of Obstetrician-Gynecologist. 2018;18(3):88-94. (In Russ.) doi: 10.17116/rosakush201818288-94.
13. Chernova N.I., Arutyunyan E. Current aspects of treatment in patients with dystrophy and atrophy of the intimate area. What is new? Rossiyskiy vestnik akushera-ginekologa = Russian Bulletin of Obstetrician-Gynecologist. 2018;18(3):95-98. (In Russ.) doi: 10.17116/rosakush201818295-98.
14.
Review
For citations:
Ermakova EI. Genitourinary menopausal syndrome: diagnosis and treatment principles. Meditsinskiy sovet = Medical Council. 2019;(13):106-111. (In Russ.) https://doi.org/10.21518/2079-701X-2019-13-106-111
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