RESUMO
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.
Assuntos
Terapia de Reposição de Estrogênios/psicologia , Ginecologia , Menopausa/psicologia , Médicas/psicologia , Padrões de Prática Médica/estatística & dados numéricos , Adulto , Feminino , Humanos , América Latina , Pessoa de Meia-Idade , Pré-Menopausa/psicologia , Inquéritos e QuestionáriosRESUMO
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
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Feminino , Estradiol , Glucose , Lipólise , Menopausa , Tecido AdiposoAssuntos
Adulto , Pessoa de Meia-Idade , Humanos , Feminino , Glucose , Lipólise , Menopausa , Tecido AdiposoRESUMO
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
