Guest Editorial (President ASPIRE)
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:1] [Pages No:0 - 0]
DOI: 10.5005/jsafoms-2-1-vi | Open Access | How to cite |
Sleep Disturbance in Perimenopausal and Postmenopausal Women: A Cause of Misery
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:1] [Pages No:0 - 0]
DOI: 10.5005/jsafoms-2-1-v | Open Access | How to cite |
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:1] [Pages No:0 - 0]
DOI: 10.5005/jsafoms-2-1-iv | Open Access | How to cite |
Study of Efficacy and Safety of Ormeloxifene in the Management of Dysfunctional Menorrhagia
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:4] [Pages No:1 - 4]
DOI: 10.5005/jp-journals-10032-1022 | Open Access | How to cite |
Comparison of Pap Smear and Colposcopy in Detection of Premalignant Lesions of Cervix
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:4] [Pages No:5 - 8]
DOI: 10.5005/jp-journals-10032-1023 | Open Access | How to cite |
A Clinicopathological Study of Malignant Ovarian Tumors in India
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:9 - 11]
DOI: 10.5005/jp-journals-10032-1024 | Open Access | How to cite |
Diagnostic Approach in Perimenopausal Women with Abnormal Uterine Bleeding
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:12 - 14]
DOI: 10.5005/jp-journals-10032-1025 | Open Access | How to cite |
Clear Cell Carcinoma of Endometrium: A Clinical Review
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:5] [Pages No:15 - 19]
DOI: 10.5005/jp-journals-10032-1026 | Open Access | How to cite |
Topical Nitroglycerin: A New and Safe Treatment Option for Osteoporosis
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:20 - 22]
DOI: 10.5005/jp-journals-10032-1027 | Open Access | How to cite |
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:23 - 25]
DOI: 10.5005/jp-journals-10032-1028 | Open Access | How to cite |
Human Papilloma Virus Vaccination: Recent Trends in Prevalence and Recommendations in India
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:5] [Pages No:26 - 30]
DOI: 10.5005/jp-journals-10032-1029 | Open Access | How to cite |
Successful Pregnancy Outcome with Glioblastoma Multiforme of the Brain
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:31 - 32]
DOI: 10.5005/jp-journals-10032-1030 | Open Access | How to cite |
An Uneventful Pregnancy and Delivery in a Patient with Chronic Myeloid Leukemia
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:33 - 34]
DOI: 10.5005/jp-journals-10032-1031 | Open Access | How to cite |
Role of Uterine Artery Embolization and Methotrexate in Cervical Pregnancy
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:3] [Pages No:35 - 37]
DOI: 10.5005/jp-journals-10032-1032 | Open Access | How to cite |
A Case Report on Placenta Percreta involving Urinary Bladder
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:38 - 39]
DOI: 10.5005/jp-journals-10032-1033 | Open Access | How to cite |
A Rare Presentation of Cervical Pregnancy
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:40 - 41]
DOI: 10.5005/jp-journals-10032-1034 | Open Access | How to cite |
A Case Report of Recurrent Fibrosis in Case of Transverse Vaginal Septum
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:42 - 43]
DOI: 10.5005/jp-journals-10032-1035 | Open Access | How to cite |
A Case of Disseminated Peritoneal Tuberculosis Mimicking Metastatic Ovarian Carcinoma
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:44 - 45]
DOI: 10.5005/jp-journals-10032-1036 | Open Access | How to cite |
Unexplained Unilateral Absence of Fallopian Tube and Ovary: A Rare Occurrence
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:46 - 47]
DOI: 10.5005/jp-journals-10032-1037 | Open Access | How to cite |
A Case of Unilateral Dysmenorrhea
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:48 - 49]
DOI: 10.5005/jp-journals-10032-1038 | Open Access | How to cite |
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:50 - 51]
DOI: 10.5005/jp-journals-10032-1039 | Open Access | How to cite |
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:52 - 53]
DOI: 10.5005/jp-journals-10032-1040 | Open Access | How to cite |
Surgical vs Natural Menopause: Cognitive Issues
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:2] [Pages No:54 - 55]
DOI: 10.5005/jsafoms-2-1-54 | Open Access | How to cite |
Abstract
Women who undergo both natural and surgical menopause experience the loss of cyclic ovarian production of estrogen, but hormonal and demographic differences distinguish these two groups of women. Our objective was to review published evidence on whether the premature cessation of endogenous estrogen production in women who underwent a surgical menopause has deleterious consequences for cognitive aging and to determine whether consequences differ for women if they undergo natural menopause. Studies of estrogen-containing hormone therapy are relevant to this issue. We reviewed evidence-based research, including the systematic identification of randomized clinical trials of hormone therapy with cognitive outcomes that included an objective measure of episodic memory. As inferred from very small, short-term, randomized, controled trials of high-dose estrogen treatment, surgical menopause may be accompanied by cognitive impairment that primarily affects verbal episodic memory. Observational evidence suggests that the natural menopausal transition is not accompanied by substantial changes in cognitive abilities. For initiation of hormone therapy during perimenopause or early postmenopause when the ovaries are intact, limited clinical trial data provide no consistent evidence of short-term benefit or harm. There is stronger clinical trial evidence that initiation of hormone therapy in late postmenopause does not benefit episodic memory or other cognitive skills. Further research is needed on the long-term cognitive consequences of surgical menopause and long-term cognitive consequences of hormone therapy initiated near the time of surgical or natural menopause. A potential short-term cognitive benefit might be weighed when a premenopausal woman considers initiation of estrogen therapy at the time of, or soon after, hysterectomy and oophorectomy for benign conditions, although data are still quite limited and estrogen is not approved for this indication. Older postmenopausal women should not initiate hormone therapy to improve or maintain cognitive skills.
Donald School Basic Textbook of Ultrasound in Obstetrics and Gynecology
[Year:2014] [Month:January-June] [Volume:2] [Number:1] [Pages:1] [Pages No:56 - 56]
DOI: 10.5005/jsafoms-2-1-56 | Open Access | How to cite |