Menopause-Related Genitourinary Syndrome

Yıl 2017, Cilt: 14 Sayı: 3, 122 - 126, 01.07.2017

Hediye Karakoç Nebahat Özerdoğan Arzu Kul Uçtu

Öz

The terms vulvo vaginal atrophy and atrophic vaginitis are thought to be in sufficient to define the menopause syndromes related with the changes observed in vulva, vagina and lower urinary system depending on estrogen deficiency. The International Society for the Study of Women’s Sexual Health and North American Menopause Society have established a study group for a more accurate and inclusive terminology, and developed and approved the term menopause-related genitourinary syndrome for the symptoms observed in vulva, vagina and lower urinar ysystem in the menopausal period. By this compilation, it was aimed to explain the symptoms, prevalence, diagnosis, treatment and midwifery are care of the genitourinary syndrome related with menopausal period.

Anahtar Kelimeler

Menopause, women, genitourinary syndrome

Menopozla İlgili Genitoüriner Sendrom

Öz

Vulvovajinal atrofi ve atrofik vajinit terimlerinin, östrojen eksikliğine bağlı vulva, vajina ve alt üriner sistemde görülen değişiklikler ile ilgili menopoz semptomlarını tanımlamada yetersiz olduğu düşünülmektedir. The International Society for the Study of Women’s Sexual Health ve North American Menopause Society, daha doğru ve kapsayıcı bir terminoloji için çalışma grubu oluşturmuş ve menopoz döneminde vulva, vajina ve alt üriner sistemde görülen semptomlar için menopozla ilgili genitoüriner sendrom terimini geliştirmiş ve onaylamışlardır. Bu derleme ile menopoz dönemi ile ilgili genitoüriner sendromun semptomları, görülme sıklığı, tanı, tedavi ve ebelik bakımının açıklanması amaçlanmıştır.

Anahtar Kelimeler

Menopoz, kadın, genitoüriner sendrom

Kaynakça

• Tan O, Bradshaw K, Carr BR. Management of vulvovaginal atrophy- related sexual dysfunction in postmenopausal women: an up-to-date review. Menopause 2012;19(1):109-17.
• Nappi R, Palacios S. Impact of vulvovaginal atrophy on sexual health and quality of life at postmenopause. Climacteric 2014;17(1):3-9.
• Mac Bride MB, Rhodes DJ, Shuster LT. Vulvovaginal atrophy. Mayo Clinic Proceedings 2010;85(1):87-94.
• Australasian Menopause Society. Genitourinary syndrome of menopause. Erişim Tarihi:20.03.2016. http://www.menopause.org.au. 2015.
• Portman DJ, Gass ML. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and The North American Menopause Society. Climacteric 2014;17(5):557-63.
• Hutchinson-Colas J, Segal S. Genitourinary syndrome of menopause and the use of laser therapy. Maturitas 2015;82(4):342-5.
• Panay N. Genitourinary syndrome of the menopause–dawn of a new era? Climacteric 2015;18(sup1):13-7.
• Sturdee D, Panay N. Recommendations for the management of postmenopausal vaginal atrophy. Climacteric 2010;13(6):509-22.
• Labrie F, Archer DF, Koltun W, Vachon A, Young D, Frenette L, et al. Efficacy of intravaginal dehydroepiandrosterone (DHEA) on moderate to severe dyspareunia and vaginal dryness, symptoms of vulvovaginal atrophy, and of the genitourinary syndrome of menopause. Menopause 2016;23(3):243-56.
• Karram M, Sokol ER, Salvatore S. Genitourinary syndrome of menopause: Current and emerging therapies. OBG Manag 2015; 27 (8):e1-e6.
• Simon JA, Nappi RE, Kingsberg SA, Maamari R, Brown V. Clarifying Vaginal Atrophy’s Impact on Sex and Relationships (CLOSER) survey: emotional and physical impact of vaginal discomfort on North American postmenopausal women and their partners. Menopause 2014;21(2):137- 42.
• Pastore LM, Carter RA, Hulka BS, Wells E. Self-reported urogenital symptoms in postmenopausal women: Women’s Health Initiative. Maturitas 2004;49(4):292-03.
• Goldstein I. Recognizing and treating urogenital atrophy in postmenopausal women. Journal of Women’s Health 2010;19(3):425-32.
• Santoro N, Komi J. Prevalence and impact of vaginal symptoms among postmenopausal women. The Journal of Sexual Medicine 2009;6(8):2133-42.
• Calleja-Agius J, Brincat M. Urogenital atrophy. Climacteric 2009;12(4):279-85.
• Nappi R, Kokot-Kierepa M. Vaginal Health: Insights, Views & Attitudes (VIVA)–results from an international survey. Climacteric 2012;15(1):36- 44.
• NAMS. Management of symptomatic vulvovaginal atrophy: 2013 position statement of The North American Menopause Society. Menopause: The Journal of The North American Menopause Society. Menopause 2013;20(9):888-902.
• Parish SJ, Nappi RE, Krychman ML, Kellogg-Spadt S, Simon JA, Goldstein JA, et al. Impact of vulvovaginal health on postmenopausal women: A review of surveys on symptoms of vulvovaginal atrophy. International Journal of Women’s Health 2013;5:437-47.
• Nappi RE, Lachowsky M. Menopause and sexuality: Prevalence of symptoms and impact on quality of life. Maturitas 2009;63(2):138-41.
• Levine KB, Williams RE, Hartmann KE. Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women. Menopause 2008;15(4):661-6.
• Lester J, Pahouja G, Andersen B, Lustberg M. Atrophic vaginitis in breast cancer survivors: a difficult survivorship issue. Journal of Personalized Medicine 2015;5(2):50-66.
• Palacios S, Mejía A, Neyro J. Treatment of the genitourinary syndrome of menopause. Climacteric 2015;18(sup1):23-9.
• Suckling J, Lethaby A, Kennedy R. Local oestrogen for vaginal atrophy in postmenopausal women. Cochrane Database Syst Rev 2006;18(4):CD001500.
• Biglia N, Bounous VE, Sgro LG, D’Alonzo M, Pecchio S, Nappi RE. Genitourinary syndrome of menopause in breast cancer survivors: Are we facing new and safe hopes? Clinical Breast Cancer 2015;15(6):413- 20.
• Bachmann GA, Komi JO, Group OS. Ospemifene effectively treats vulvovaginal atrophy in postmenopausal women: Results from a pivotal phase 3 study. Menopause 2010;17(3):480-6.
• Utian W. A decade post WHI, menopausal hormone therapy comes full circle–need for independent commission. Climacteric 2012;15(4):320- 5.
• Lee MS. Treatment of vaginal relaxation syndrome with an erbium: YAG laser using 90 and 360 scanning scopes: A pilot study & short-term results. Laser Therapy 2014;23(2):129-38.
• Özgür G, Yıldırım S, Komutan A. Menopoz sonrası kadınların öz bakım gücü ve etki eden faktörler. Journal of Anatolia Nursing and Health Sciences 2010;13(1):35-43.
• TÜİK. Türkiye İstatistik Kurumu. Erişim tarihi: 09.04.2016. http://www. tuik.gov.tr/HbPrint.do?id=10910.
• TÜİK. Türkiye İstatistik Kurumu. Erişim tarihi: 09.04.2016. http:// wwwtuikgovtr/PreHaberBultenlerido?id=18522 2013.
• Kadıoğlu A, Başar B, Semerci B, Orhan İ, Aşçı R, Yaman M, et al. Erkek ve kadın cinsel sağlığı. İstanbul: Türk Androloji Derneği Yayını 2004:615-8.