Does the menopausal status of female gynecologists affect their prescription of menopausal hormone therapy?

Vallejo, María S.; Ojeda, Eliana; Mostajo, Desireé; Morera, Flory; Meruvia, N; Martino, Mabel; Lima, Selva; Espinoza, María T.; Castillo, O; Campostrini, B; Danckers, Luis; Blümel, Juan E.; Tserotas, Konstantinos; Sánchez, Hugo; Salinas, Carlos Aguilar; Saavedra, Javier E.; Rojas, José Antonio; Onatra, William; Monterrosa, Álvaro; Montaño, Armando; Martínez, Jaime; Gonzalez, Erik; Gómez, Gustavo; Calle, Andrés; Broutin, Gerardo; Bencosme, Ascanio; Arteaga, Eugenio; Ayala, Félix; Chedraui, Peter

doi:10.1080/13697137.2016.1191460

Cited by 9 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Still, all physicians revealed that they were hesitant in opening a dialogue on menopause with their patients and, instead, waited for patients to take that initiative. However, research shows that women prefer speaking with female physicians about menopause, 14–16 which would thus preclude opportunities for patients to converse with male practitioners. Physicians in this study observed that they would have been able to begin a conversation with their patients if there were means to measure menopause symptoms severity, indicating they were oblivious to the Menopause Rating Scale, 17 which is a standardized and widely used tool (internationally and in India) to assess severity of menopause symptoms 4,7,18–20 .…”

Section: Discussionmentioning

confidence: 99%

Indian physicians' attitudes and practice regarding menopause and its management: a focus group discussion

et al. 2022

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Indian physicians' attitudes and practice regarding menopause and its management: a focus group discussion

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Las dudas concernientes a riesgos y beneficios sobre THM, que surgieron luego de presentados los resultados del WHI, han hecho cambiar el pensar de médicos y pacientes en cuanto a su uso, no solo en los Estados Unidos y Europa, sino también en América Latina 13 , lo que a su vez ha incrementado el interés por alternativas a los estrógenos para el manejo del climaterio. Un reciente estudio de la REDLINC (Red Latinoamericana de Investigación en Climaterio) muestra que esta tendencia sigue igual 14 y aunque las ginecólogas están prestas a usar THM para tratar sus síntomas o las de sus pacientes, la mayoría (>80%) realmente prescriben drogas no hormonales o alternativas para tratarlas.…”

Section: Discussionunclassified

“…Han pasado más de diez años y las cifras de uso de THM nunca volvieron a niveles como antes del WHI 12 . Es por esto que médicos y pacientes han cambio su actitud frente a su uso 13 , teniendo ahora mayor interés por alternativas de las hormonas 14 . En esta categoría se ubican los fitoestrógenos, que son moléculas derivadas de las plantas que exhiben efectos estrogénicos y representadas principalmente por las isoflavonas 15 .…”

Section: Introductionunclassified

Efecto positivo de la suplementación con isoflavonas derivadas de la soya sobre síntomas menopáusicos

Mora¹,

Chedraui²,

Ruiz³

et al. 2016

rcslibre

View full text Add to dashboard Cite

Antecedente: En los últimos años han aumentado los tratamientos alternativos para el manejo de los síntomas de la menopausia, sobre todo en poblaciones de alto riesgo que tienen contraindicaciones para el uso de estrógenos. Objetivo: Evaluar el efecto de la suplementación con isoflavonas derivadas de la soya sobre síntomas climatéricos en mujeres postmenopáusicas. Método: Sesenta y seis mujeres postmenopáusicas entre 40 y 65 años de edad participaron en este estudio para recibir 50 mg/día de isoflavonas derivadas de soya durante 3 meses. Se evaluaron los síntomas de la menopausia al inicio del estudio y a los 45 y 90 días mediante la Escala de Puntuación de la Menopausia (MRS: Menopause Rating Scale). Resultados: La suplementación con isoflavonas derivadas de la soya tuvo un efecto positivo sobre síntomas de la menopausia. Así, los puntaje totales de la MRS disminuyeron significativamente de 23.0±8.7 (al basal) a 12.8±7 y 4.3±4.5 (45 y 90 días, respectivamente, ambos p<0.05). Se observó la misma tendencia para los puntajes de las sub-escalas del MRS (somática, psicológica y urogenital) y de cada uno de los síntomas componentes de las subescalas. Conclusión: En esta muestra de mujeres postmenopáusicas, la suplementación con isoflavonas derivadas de la soya ejerció un efecto positivo sobre los síntomas de la menopausia.

show abstract

“…4 The current practices are guided by factors such as physician knowledge 7 , their own menopausal status and geographical location including acceptance as per social norms. 8 Pakistan studies show that most providers are not expert gynecologists, and hence are unaware about potential benefits and risks of MHT. Therefore, are unlikely to recommend it, whereas evidence demonstrates 75% women may consider MHT if recommended by their care providers.…”

Section: Introductionmentioning

confidence: 99%

“… 4 The current practices are guided by factors such as physician knowledge 7 , their own menopausal status and geographical location including acceptance as per social norms. 8 …”

Section: Introductionmentioning

confidence: 99%

Prescribing practices of Hormone Therapy for Menopausal females by OBGYN of Pakistan

Shah¹,

Tariq²,

Khan³

et al. 2022

Pak J Med Sci

View full text Add to dashboard Cite

Objectives: To assess the prescribing practice of obstetricians and gynecologists (OBGYN) regarding Menopausal Hormone therapy (MHT) for menopausal females and assess the knowledge regarding indications for prescribing MHT and identify the barriers to HRT. Methods: This was a cross-sectional study conducted from May 2021 to December 2021. The participants were OBGYN experts (MCPS, FCPS, MRCOG) and senior experts. The tool was formulated after looking at contemporary literature and then validated by experts for face, content and construct validity. It was piloted and hence fourth given to study participants after approval by IRB of JSMU. Data was analyzed by SPSS version 22. Mean and Standard Deviation of categories in Likert scale were calculated. Results: Majority of the participant gynecologists prescribed HRT for Hot flushes and vaginal dryness having the highest mean scores nearing 4 on a Likert scale of (1-5). The prescription for other menopausal symptoms was observed to be less. The highest score for category of women in whom hormone therapy is specifically justified was “Premature ovarian failure” (4.37) followed by “Hysterectomy with bilateral oophorectomy before the age of 50” (4.23). Conclusion: Pakistani gynecologists are more cautious in their management strategies concerning MHT. Most of the gynecologists showed good and up to date information while prescribing MHT however knowledge for preventing fractures, alleviating anxiety/depression and weight gain was less among the gynecologist of Pakistan. We recommend refresher courses and online webinars for updated information on menopause and its management. doi: https://doi.org/10.12669/pjms.39.1.6176 How to cite this: Shah N, Tariq H, Khan F, Shah N. Prescribing practices of Hormone Therapy for Menopausal females by OBGYN of Pakistan. Pak J Med Sci. 2023;39(1):---------. doi: https://doi.org/10.12669/pjms.39.1.6176 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

Does the menopausal status of female gynecologists affect their prescription of menopausal hormone therapy?

Abstract: 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.

Cited by 9 publications

References 27 publications

Indian physicians' attitudes and practice regarding menopause and its management: a focus group discussion

Indian physicians' attitudes and practice regarding menopause and its management: a focus group discussion

Efecto positivo de la suplementación con isoflavonas derivadas de la soya sobre síntomas menopáusicos

Prescribing practices of Hormone Therapy for Menopausal females by OBGYN of Pakistan

Contact Info

Product

Resources

About