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Jianhong Zhou|Care for the women’s health problem with menopausal symptoms

Date:2017-08-13Author:

Speaker  



周坚红W.jpg


  

Jianhong Zhou

Ph.D. Adviser

Director

The First Affiliated Hospital of Medical School of Zhejiang University


She is the standing committee member of the 13th Zhejiang Committee of the Revolutionary Committee of the Chinese Kuomintang, the vice chairman of Zhejiang University Committee of the Revolutionary Committee of the Chinese Kuomintang, and the "Proud Person" of Zhejiang Committee of the Revolutionary Committee of the Chinese Kuomintang in 2016. She is also the member of infection cooperation group in Obstetrics and Gynecology Branch of Chinese Medical Association, one of the founders of Chinese Society of Gynecology Endocrinology affiliated to International Society of Gynecology Endocrinology (ISGE), the chairman of Menopause Disease Prevention and Control Specialized Committee in Zhejiang Preventive Medicine Association, and the executive vice director of Zhejiang Quality Control Center for Perimenopause Health Care.

She has long engaged in the clinic, teaching and scientific research work on obstetrics and gynecology, presided over 1 project of National Natural Science Foundation of China, 2 projects of Science Technology Department of Zhejiang Province, and 1 province-ministry co-construction project of Health Department of Zhejiang Province. She has published more than 60 papers, and the monographs of obstetrics and gynecology as chief editor, such as Clinical Guidelines in Obstetrics and Gynecology and Practical Geriatric Gynecology, and the popular science book Keeping Women's Youth.

She assisted the creation of Zhejiang University Caring Women's Health Commonweal Foundation, aiming to support the research on hotspots of women's health, talents training of obstetrics and gynecology discipline, and the public service activities on women's health, such as popular science publicizing, free clinic, lectures, etc.


Topic of Lecture: Care for the women’s health problem with menopausal symptoms 


Abstract: During the late stages of the perimenopausal transition, almost three quarters of women report symptoms such as night sweats or hot flushes, and women with moderate-to-severe symptoms often experience them for a decade or longer. Hot flushes often disrupt sleep and may cause mood disturbances, difficulty concentrating, and impairment of memory. Untreated menopausal symptoms are also associated with higher health care costs and loss of work productivity.

Leading medical societies devoted to the care of menopausal women agree that menopausal hormone therapy (MHT) is the most effective treatment currently available for these symptoms and should be recommended for women with moderate-to-severe vasomotor symptoms, in the absence of contraindications. The benefits and risks of MHT vary greatly in individual circumstances. The safety of MHT largely depends on age and time since menopause. Healthy women younger than 60 years should not be unduly concerned about the safety profile of MHT. MHT is necessary method, not only in the alleviation of troublesome menopausal symptoms, but also in the prevention of diseases of aging. Reluctance to treat menopausal symptoms has derailed and fragmented the clinical care of midlife women, creating a large and unnecessary burden of suffering.

With a rapidly growing population of women in midlife and beyond, it is imperative that further research continues in midlife women to optimize quality of life and long-term well-being. Increasing data indicate benefits for primary prevention of osteoporotic fractures and coronary artery disease and a reduction in all-cause mortality for women who initiate MHT around the time of menopause.

Counselling should convey the benefits and risks of MHT in clear and comprehensible terms. This allows a woman to make a well-informed decision about MHT .Written information about risks and benefits as well as decision aids may be useful. Clinicians who stay current regarding hormonal and nonhormonal treatments can put menopause management back on track by helping women make informed treatment choices. In addition, we must train and equip health care providers with the skills to address the current and future needs of menopausal population.