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12 de nov. de 2015 · The guideline includes recommendations on: individualised care. diagnosis of perimenopause and menopause. information and advice. managing short-term menopausal symptoms. long-term benefits and risks of hormone replacement therapy. diagnosing and managing premature ovarian insufficiency.
12 de nov. de 2015 · Urogenital atrophy Thinning and shrinking of the tissues of the vulva, vagina, urethra and bladder caused by oestrogen deficiency. This results in multiple symptoms such as vaginal dryness, vaginal irritation, a frequent need to urinate and urinary tract infections.
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The stages in the progression to cancer include chronic gastritis, gastric atrophy (GA), gastric intestinal metaplasia (GIM) and dysplasia. The key to early detection of cancer and improved survival is to non-invasively identify those at risk before endoscopy.
2 de abr. de 2019 · Consider vaginal oestrogen for women with pelvic organ prolapse and signs of vaginal atrophy. For managing urogenital atrophy, see the recommendations in managing short-term menopausal symptoms in the NICE guideline on menopause .
Diagnosis of menopause and perimenopause. Menopause: When should I suspect a diagnosis of menopause or perimenopause? Last revised in September 2022. Suspect a diagnosis of perimenopause if: There is an initial change to the menstrual pattern — the menstrual cycle length may shorten to 2–3 weeks or lengthen to many months.
Topical oestrogen for vaginal atrophy. Topical oestrogens are available as estradiol pessaries and vaginal rings, and as estriol pessaries, cream and gel. They are used to treat the symptoms of vaginal atrophy related to oestrogen deficiency in postmenopausal women.
