homonereplacementtherapy(hrt)：激素替代療法(hrt)-資料下載頁
2024-10-04 02:24本頁面
【正文】 。 FOLLOW UP OF TAKING HRT! ? Once each year: – Check blood pressure, effectiveness of treatment and adjust to achieve symptom control. – Enquire about adverse effects and manage appropriately. – Consider switching from cyclical HRT to continuous bined HRT, if appropriate. 第四十三頁，共五十四頁。 FOLLOW UP OF TAKING HRT! – Discuss the risks and benefits of HRT. – Perform a breast examination if indicated by personal or family history. – Encourage breast awareness and participation in the national breast screening programme as appropriate for their age. – Pelvic examination is required only if clinically indicated 第四十四頁，共五十四頁。 NON HRT Lifestyle modification Stop smoking Healthy diet Weight control Regular moderateintensity exercise Control blood pressure and cholesterol 第四十五頁，共五十四頁。 NON HRT ? For vasomotor symptoms – A trial (2 weeks) of paroxetine,fluoxetine citalopram or venlafaxine (SSRI) – A trial (2–4 weeks) of clonidine – A progestogen such as norethisterone or megestrol 第四十六頁，共五十四頁。 NON HRT ? For vaginal dryness Vaginal lubricant or moisturizer, such as Replens174。 . 第四十七頁，共五十四頁。 NON HRT ? For osteoporosis – Alendronate (Fosamax ) – Rocaltriol – Alphacalcidol – Raloxifene (Evista) 第四十八頁，共五十四頁。 NON HRT ? For psychological symptoms Selfhelp groups Psychotherapy Other forms of counselling Antidepressants. 第四十九頁，共五十四頁。 NON HRT Complementary therapies ? Remifemin (Cimicifuga rhizome extract) ? Red clover plant ? Soy products ? Evening primrose ? Black cohosh ? Phytoestrogens ? Ginseng 第五十頁，共五十四頁。 NON HRT Complementary interventions ? Acupuncture ? Reflexology Diet and supplements ? Vitamins and minerals ? Vitamin E Homeopathy 第五十一頁，共五十四頁。 Premature menopause? ? Menopausal symptoms in women who are younger than 40 years (1%) ? Offer lifestyle advice. ? Offer systemic hormone replacement therapy (HRT) or the bined oral contraceptive pill (COC) ? Decreased libido: testosterone implants and patches may be considered 第五十二頁，共五十四頁。 THANK YOU 第五十三頁，共五十四頁。 內(nèi)容總結(jié) MENOPAUSE。 Perimenopause “ Climacteric〞。 Pregnancy and breastfeeding。 Renal Profile Baseline。 THANK YOU 第五十四頁，共五十四頁。
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