Attention!
You should get a checkup before you start therapy.
This Algorithm allows you to choose the optimal therapy, but it does not replace a doctor's consultation.
Only the doctor prescribes therapy.
Obligatory tests:
Correction personal and family anamnesis:
hysterectomy or ovariectomy;
cancer of the reproductive organs;
thromboses;
porphyria;
osteoporosis/fractures;
cardiovascular diseases;
diseases of the gastrointestinal tract;
diabetes;
dementia;
thyroid disease;
smoking / alcoholism;
nutrition;
physical activity.
General tests:
body mass index;
blood pressure;
complete blood count;
general urine analysis;
gynecological examination;
oncocytological examination – PAP-test;
Ultrasound of the pelvic organs (when the endometrium is up to 4 mm thick MHT not contraindicated, up to 7 mm thick - progestogens during 12-14 days and ultrasound control on the 5th day of menses; more than 7 mm thick- hysteroscopy and separate diagnostic scraping (in attachment);
mammary glands examination: palpation, mammography in 2 projections at 35-50 years of age every 2 years, with an unfavorable anamnesis and after 50 years- every year;
lipidogram (Chol, LDL, HDL);
glucose and thyroid stimulating hormone in the blood.
Conditional tests (with appropriate anamnesis data):
ultrasound of the liver and liver enzymes;
densitometry of lumbar spine and femoral neck;
determination of vitamin D levels;
colonoscopy;
hemostasiogram + D-dimer;
FSH, LH, prolactin, AMH (after hysterectomy or to clarify the ovarian reserve);
blood for thrombophilic mutations.
Assess the severity of symptoms (Green's Scale)
Assess the severity of symptoms (Green's Scale)
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
You don't have objective data for menopause. Consult a doctor.
You don't have menopausal symptoms. Consult a doctor.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not recommended;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel
Main recommendation:
Enteral or parenteral route of administration of MHT;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel;
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
In an intact uterus, combined therapy (estrogens with Progestogens) in a cyclic mode in the menopausal transition phase and in perimenopause.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monophasic combination therapy (estrogen with progestogen) in a continuous mode in postmenopausal women;
Estrogens with Progestogens, low-dose (estradiol/ didrogesterone, 1/5, estradiol/ drospirenone), as well as tibolone, which is metabolized in the body into estrogen, progestogen and androgen.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: oral (tablets) and parenteral (skin - gels/patches; vaginal - tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects.
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: oral (tablets) and parenteral (skin - gels/patches; vaginal - tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: oral (tablets) and parenteral (skin - gels/patches; vaginal - tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: oral (tablets) and parenteral (skin - gels/patches; vaginal - tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: oral (tablets) and parenteral (skin - gels/patches; vaginal - tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: oral (tablets) and parenteral (skin - gels/patches; vaginal - tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additional / alternative recommendations:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with estrogens is prescribed for women with a removed uterus. Drugs containing estradiol 17-beta, estradiol valerate, estradiol hemihydrate, estriol are used. Routes of administration: skin-gels/patches; vaginal-tablets/creams/candles/rings; injection; intermittent courses or continuous mode.
Additionally:
The use of the transdermal form of 17-beta-estradiol is preferable in women with hypertriglyceridemia, obesity, liver and pancreatic diseases, severe migraines and systolic blood pressure >170 mm Hg;
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Prevention and therapy of osteoporosis:
In complex therapy, non-hormonal drugs can be used to increase the effectiveness.
Sodium alendronate, ibandronic acid, and risedronic acid (bisphosphonates) are powerful inhibitors of bone resorption. They reduce the rate of bone loss.
Denosumab (human monoclonal antibody to the nuclear factor B activator receptor ligand (RANKL) - reduces the risk of bone fractures of various localization.
Bazedoxifene and raloxifene (selective modulators of estrogen receptors), reduce the frequency of vertebral fractures.
Teriparatide (parathyroid hormone analog) is used for severe forms of osteoporosis.
A diet including with more calcium and vitamin D.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Parenteral administration of MHT is recommended;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel.
Main recommendation:
If the planned operation for 2-3 weeks should be canceled MHT;
Enteral or parenteral route of administration of MHT;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
Given the risk factors combined oral contraceptives are not recommended.
Main recommendation:
Parenteral administration of MHT is recommended;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week;
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Important!
It is impossible to say unequivocally that You have a period of menopause, because menses is not over yet, so we recommend an additional examination and consultation with a doctor.
If necessary, contraception in perimenopause, as well as for therapeutic purposes: separately, or as part of another therapy ("contraception embedded in MHT "), use combined contraceptives:
Estradiol valerate + dienogest (dynamic dosing mode during the cycle);
Estradiol 17-beta + nomegestrol acetate;
Intrauterine device with levonorgestrel.
Main recommendation:
Enteral or parenteral route of administration of MHT;
Monotherapy with progestogens is prescribed in the menopausal transition phase or in perimenopause to regulate the cycle and treat endometrial hyperplastic processes. Used micronized progesterone (oral or vaginal), dydrogesterone, oral. It is possible to introduce an intrauterine spiral with levonorgestrel for contraceptive and therapeutic purposes.
Additional / alternative recommendations:
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders;
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additionally:
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additional / alternative recommendations:
Менопаузальная гормональная терапия не рекомендуется при наличии климактерических проявлений слабой степени. Дополнительно проконсультируйтесь с врачом.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additional / alternative recommendations:
Менопаузальная гормональная терапия не рекомендуется при наличии климактерических проявлений слабой степени. Дополнительно проконсультируйтесь с врачом.
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Main recommendation:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Additional / alternative recommendations:
Менопаузальная гормональная терапия не рекомендуется при наличии климактерических проявлений слабой степени. Дополнительно проконсультируйтесь с врачом.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
Основные рекомендации:
Menopausal hormone therapy is not recommended;
Paroxetine is not contraindicated;
The Red clover’s and Black Cohosh Preparations;
Clonidine and gabapentin reduce vasomotor symptoms and are an alternative to MHT, but their use is limited due to side effects;
Venlafaxine, desvenlafaxine, paroxetine, citalopram and escitalopram effectively reduce hot flushes in women, reduce anxiety, depression, irritability, and sleep disorders
Preparations of beta-alanine, tofizepam anxiolytic, vitamin Ε, magnesium + vitamin B6.
Дополнительные рекомендации:
Менопаузальная гормональная терапия не рекомендуется при наличии климактерических проявлений слабой степени. Дополнительно проконсультируйтесь с врачом.
Local (vaginal) estrogen therapy in low doses is preferable for women with complaints of vaginal dryness, dyspareunia, or sexual discomfort. Estriol preparations are used in various doses - from 0.5 to 0.03 mg both as monotherapy and in combination with lactobacilli. At the beginning of treatment, drugs are prescribed daily, as they improve-2 times a week.
It is recommended to use vaginal moisturizers and lubricants, as well as regular sex life.
Recommended medications, methods of use and doses:
Section in development.
General recommendation:
Menopausal hormone therapy does not have a contraceptive effect.
Regular exercise is recommended to reduce cardiovascular and overall mortality.
It is optimal to recommend at least 150 minutes of medium intensity exercise per week. Two additional sessions per week with the inclusion of resistance exercises can provide additional benefits.
The recommended intensity of aerobic exercise should take into account the physical condition of elderly patients.
A reduction in body weight of only 5-10% is sufficient to improve many disorders associated with insulin resistance syndrome.
There are main components of a healthy diet: several servings of fruits, vegetables and whole grains per day, fish twice a week and low overall fat intake (but olive oil to use is good option). Salt consumption should be limited. The daily amount of alcohol should not exceed 20 g for women.
You should stop Smoking.
Lifestyle changes include social interaction and physical and intellectual activity.
=================================
Profile:
Premature menopause (up to 40 years).
Early menopause (40-45 years).
Timely menopause (46-54 years).
Late menopause (over 55 years of age).
Postmenopausal.
The period of menopausal transition.
Menopausal hormone therapy is not recommended if the age is more than 60 years, or the last menstruation is more than 10 years ago.
Menopausal hormone therapy is contraindicated (absolute contraindications). Consult a doctor.
Menopausal hormone therapy is contraindicated (relative contraindications). Consult a doctor.
Menopausal hormone therapy is not recommended in the presence of low degree. Consult your doctor in addition.
Climacteric manifestations of a weak degree. Irregular menstrual cycle.
Climacteric manifestations of the medium degree.
Climacteric manifestations of severe degree.
Menopausal manifestations of a weak degree.
Paroxetine should be avoided in women receiving tamoxifen.
Obesity is not.
Overweight (pre-obesity).
Degree I obesity.
Degree II obesity.
Degree III obesity.
Information:
mPro.Menopause - algorithm for selecting personalized therapy for women in menopause (stage 1).
Sources:
Recommendations of the International menopause society (IMS) 2016 on the health of Mature women and menopausal hormone therapy (http://dx.doi.org/10.3109/13697137.2015.1129166)
Clinical recommendations "Menopause and menopausal state in women" (Ministry of health of the Russian Federation, 2016)
Clinical recommendations "Menopausal hormone therapy" (letter of the Ministry of health of the Russian Federation dated 02.10.2015 no. 15-4/10/2-5804)
Prevention of premature aging in women. Methodological recommendations / O. N. Tkacheva, Yu. E. Dobrokhotova, E. N. Dudinskaya, Yu. V. Kotovskaya, N. K. Runikhina, A. Z. Khashukoeva/ "Russian national research medical University named after N. I. Pirogov" - Moscow, 2018
Menopause clinical guidelines American Association of clinical endocrinologists (AACE)/The American College of endocrinology (ACE) - Menopause Update, Endocr Pract. 2017;23(No. 7) 871