ABSTRACT
OBJECTIVE: To evaluate whether menopausal status and symptoms among female gynecologists would influence their clinical behavior related to menopausal hormone therapy (MHT). METHODS: Female gynecologists of 11 Latin American countries were requested to fill out the Menopause Rating Scale and a questionnaire containing personal information and that related to MHT use. RESULTS: A total of 818 gynecologists accepted to participate (86.4%). Overall, the mean age was 45.0 ± 10.7 years, 32.2% were postmenopausal, and 17.6% worked in an academic position; 81.8% reported that they would use MHT if they have symptoms, regardless of menopausal status. Academic gynecologists favor personal MHT use at a higher rate (p = 0.04) and have a higher MHT prescription rate as compared to non-academic ones (p = 0.0001). The same trend was observed among post- as compared to premenopausal ones (p = 0.01) and among those who had hysterectomy alone as compared to those experiencing natural menopause (p = 0.002). The presence of menopausal symptoms did not influence their MHT prescription. Current use of MHT and alternative therapy was higher among post- than premenopausal gynecologists (both, p = 0.0001) and among those who had undergone hysterectomy than those experiencing natural menopause. A 38.5% perceived breast cancer as the main risk related to MHT, and a high proportion prescribed non-hormonal drugs (86.4%) or alternative therapies (84.5%). CONCLUSION: Most female gynecologists in this survey would use MHT if menopausal symptoms were present. Postmenopausal physicians use MHT and prescribe it to their symptomatic patients at a higher rate than premenopausal physicians.
Subject(s)
Estrogen Replacement Therapy/psychology , Gynecology , Menopause/psychology , Physicians, Women/psychology , Practice Patterns, Physicians'/statistics & numerical data , Adult , Female , Humans , Latin America , Middle Aged , Premenopause/psychology , Surveys and QuestionnairesSubject(s)
Adipose Tissue/metabolism , Glucose/metabolism , Lipolysis , Menopause , Adult , Body Weight , Estradiol/metabolism , Female , Humans , Lipid Metabolism , Middle Aged , Progesterone/metabolismABSTRACT
Se determino el metabolismo de glucosa y lipolisis en tejido adiposo de mujeres con funcion ovarica normal respecto a mujeres con funcion ovarica normal respecto a mujeres con 3, 5 y 10 anos de postmenopausia. Los resultados mostraron menor utilizacion de glucosa manifestada con una lipogenesis y lipolisis basal disminuida, lo que sugiere que el desequilibrio hormonal en la postmenopausia altera el metabolismo lipidico
Subject(s)
Adult , Middle Aged , Humans , Female , Estradiol , Glucose , Lipolysis , Menopause , Adipose TissueABSTRACT
Se determino el metabolismo de glucosa y lipolisis en tejido adiposo de mujeres con funcion ovarica normal respecto a mujeres con funcion ovarica normal respecto a mujeres con 3, 5 y 10 anos de postmenopausia. Los resultados mostraron menor utilizacion de glucosa manifestada con una lipogenesis y lipolisis basal disminuida, lo que sugiere que el desequilibrio hormonal en la postmenopausia altera el metabolismo lipidico
