Year: 2022
Type: article
Abstract: Key points Climacteric syndrome is a set of signs and symptoms resulting from the interaction between sociocultural, psychological and endocrine factors occurring in aging women. Its diagnosis is clinical in women with the expected age group for ovarian hypofunction. The term “menopause” refers to the date of the woman's last menstrual bleeding episode and is defined retrospectively. Women in menopausal transition have disease prevention and health promotion needs. Hypoestrogenism associated with aging and metabolic syndrome can lead to lower quality of life and increased occurrence of cardiovascular disease. The medical consultation of climacteric women is an excellent opportunity of screening for chronic diseases and neoplasms. Complementary evaluation for climacteric women must be carried out judiciously. The benefit and risk of each test must be considered. Complementary tests without a specific definition of a diagnostic and therapeutic plan should be avoided. Menopausal hormone therapy (HT) may be indicated to treat climacteric symptoms. Detailed clinical history and rational complementary exams are essential to define the therapeutic plan and follow-up of women undergoing HT. The National Specialty Commission on Climateric of the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO) endorses to this document. The content production is based on scientific studies on a thematic proposal and the findings presented contribute to clinical practice. Publication History Article published online: 13 June 2022 © 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/) Thieme Revinter Publicações Ltda. Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Authors: Luiz Francisco Cintra Baccaro, Lúcia Helena Simões da Costa Paiva, Elizabeth Jeha Nasser, Ana Lúcia Ribeiro Valadares, Célia Regina da Silva, Eliana Aguiar Petri Nahas, Jaime Kulak Junior, Márcio Alexandre Hipólito Rodrigues, Marco Aurélio Albernaz, Maria Celeste Osório Wender, Maria Célia Mendes, Rita de Cassia de Maio Dardes, Rodolfo Strufaldi, Rogerio Cesar Bocardo, Luciano de Melo Pompei
Institutions: Universidade Estadual de Campinas (UNICAMP), Faculdade de Medicina do ABC, Universidade Federal do Rio de Janeiro, Universidade Estadual Paulista (Unesp), Universidade Federal do Paraná, Universidade Federal de Minas Gerais, Universidade Federal de Goiás, Universidade Federal do Rio Grande do Sul, Universidade de São Paulo, Universidade Federal de São Paulo, Faculdade de Medicina de Jundiaí
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4282831366