AMS HP eNews Bulletin 22 February 2016


  Australasian Menopause Society  
Health Professionals eNews22 February 2016
  Welcome to AMS HP eNews for doctors and other healthcare professionals who have a special interest in women's health. The content covers information and resources relevant to menopause, midlife and the promotion of healthy ageing.


Acupuncture for Menopausal Hot Flashes: A Randomized Trial    

acupuncture menopause


This recent Australian study aimed to determine whether acupuncture can reduce hot flushes in women going through the menopause and used a comparison with sham therapy. For this predominantly Caucasian group who had neither breast cancer nor surgical menopause, Chinese medicine acupuncture was not superior to noninsertive sham acupuncture.


The Cochrane review from 2013 compared acupuncture with no treatment and concluded there appeared to be a benefit from acupuncture, but acupuncture appeared to be less effective than menopausal hormone therapy (MHT). The review authors did note that findings should be treated with great caution as the evidence was low or very low quality and the studies comparing acupuncture versus no treatment or MHT were not controlled with sham acupuncture or placebo HT. Data on adverse effects were lacking.  



Physical therapy cuts urine leaks dramatically for women with osteoporosis      

pelvic floor

After menopause, women with osteoporosis struggle more with urinary incontinence than women with healthy bones do. But physical therapy that includes pelvic floor muscle training can produce dramatic improvements, according to a study published online recently. The study is the first-ever randomized, controlled trial of physical therapy for these urinary troubles in postmenopausal women with osteoporosis or low bone mass.


The researchers from the BC Women's Hospital & Health Centre in Vancouver, British Columbia, and the University of Montreal, Quebec, recruited 48 women age 55 and older from an osteoporosis clinic and the waitlist for a continence clinic. All the women had gone through menopause and had incontinence and osteoporosis or low bone density. Incontinence included stress incontinence - leaking with activity that puts pressure on the bladder, such as coughing, laughing, or running, urge incontinence - leaking before reaching the toilet when there is a strong urge to urinate, or a mixture of the two types.




'Stay-at-home' males fuelled menopause evolution   

The evolution of the menopause was 'kick-started' by a fluke of nature, but then boosted by the tendency for sons and grandsons to remain living close to home, was suggested in a study by Liverpool scientists.


Menopause is an evolutionary puzzle, as an early end to reproduction seems contrary to the laws of natural selection, where passing on genes to the next generation is the main purpose of life. Yet female humans, and some other mammals, spend up to a third of their lives unable to reproduce.


Now, for the first time, researchers from the University of Liverpool and Liverpool John Moores University have used a phylogenetic approach to evaluate the most common evolutionary hypotheses for why females outlive their fertility.  



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The Role of Risk-Reducing Surgery in Hereditary Breast and Ovarian Cancer

The risk of breast and ovarian cancer among women with mutations such as BRCA1 and BRCA2 mutations can be mitigated by operations to remove the organs at greatest risk. This review article aims to provide an in-depth look at the issues associated with the care of women in families with hereditary breast and ovarian cancer syndrome. The Mayo Clinic Cancer Center researchers present data to assist in deciding what operation should be performed and when it should occur for women who have not yet developed cancer themselves....

Climacteric E-alert - Volume 19, Number 1

EDITORIAL: Iatrogenic menopause following gynecological malignancy: time for action!
Nick Panay and Anna Fenton
An unfortunate by-product of surgical and medical treatment of gynecological cancers is the loss of ovarian function which usually follows. This often has an impact on quality of life and long-term health. Attention should now be given to funding research into the impact of medical interventions such as hormone therapy and alternatives to optimize effectiveness and confirm safety....

Our Menopause World February 2016 

Hegde V, Jo JE, Andreopoulou P, Lane JM. Effect of osteoporosis medications on fracture healing. Osteoporos Int 2015 Sep 29. Epub ahead of print

This review evaluates the existing literature from animal and clinical models to determine the effects of antiosteoporotic medications on fracture healing. The data suggest that these medications may enhance bone healing, yet more thorough prospective studies are warranted. Pharmacologic agents that influence bone remodeling are an essential component of osteoporosis management. Because many patients are first diagnosed with osteoporosis when presenting with a fragility fracture, it is critical to understand how osteoporotic medications influence fracture healing...


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