Menopause - Menopause Carolyn Voorhees Womens Health 471...

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Menopause Carolyn Voorhees Women’s Health 471 Friday, Feb 25, 2011
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Quotes “My mom never talked to me about menopause. She says her mother never talked about it either” “I’m not sad I’m past menopause. I’m glad those monthly periods are over” “Is it hot in here, or is it me?”
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Menopause or “Change of Life” Effects each woman in a different way Hot flashes/sleep problems may trouble some New sense of freedom and energy others Not aware of change at all
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Introduction Older Population by Age, 1900–2050
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Perspectives on Menopause Economic and Global Dimensions Total annual costs of menopause: $2.2 billion Urogenital tract health issues = $125 million Menopause/physiological disturbances = $480 million Skeletal issues and osteoporosis = $540 million Cardiovascular and cerebral disease = $1.1 million
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Biological Basis 100 years ago, signaled the end of life Women are living longer…20-30 years beyond menopause
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Menopause and Expanding Life Expectancy for Women Menopause signals the end of childbearing years Recast as transition to old age and fragility Plays on our fears of losing youthful looks and sexuality, dependancy and disability Medicalization of Menopause “estrogen deficiency disease”
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Menopause in other cultures Japanese women report symptoms at lower rate than North American Women Japanese women tend to use herbal preparation rather than medication and are less likely to use hormones at menopause. Is menopause different. .less stressful in a culture that values aging/older people? Where womens roles/choices expand in later life…
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Onset Average age 51 (range mid 40’s to late 50’s) Cessation of periods before 40 known as premature menopause. Smokers ave 2 years earlier Other seizure disorder may experience early
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Menopause Menopause = Cessation of regular periods Four stages of menopause Premenopause—entirety of a woman’s reproductive life, from menstruation to menopause Perimenopause—stage immediately prior to menopause where physical changes begin to occur Menopause—once a woman has gone through 12 consecutive months without menstruating Postmenopause—life after the final menstrual period
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Natural Menopause Surgically Induced Menopause Ovaries begin to fail to respond to the luteinizing and follicle-stimulating hormones Ovaries producing levels of estrogen and progesterone in response Ovulation becomes erratic Menstruation ceases Surgical removal of both ovaries, usually during a hysterectomy
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Four Types of Hysterectomy
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This note was uploaded on 10/25/2011 for the course HLTH 471 taught by Professor Carolynvoorhees during the Spring '11 term at Maryland.

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Menopause - Menopause Carolyn Voorhees Womens Health 471...

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