医学
泌尿生殖系统
更年期
病理生理学
介绍(产科)
鉴别诊断
妇科
病理
内科学
产科
作者
Amanda Clark,Martha F. Goetsch
出处
期刊:Clinical Obstetrics and Gynecology
[Ovid Technologies (Wolters Kluwer)]
日期:2023-12-11
卷期号:67 (1): 13-26
标识
DOI:10.1097/grf.0000000000000845
摘要
Scientific information is incomplete regarding the genitourinary syndrome of menopause. Both the lower genital and urinary tracts are rich in receptors for reproductive hormones and are highly susceptible to waning ovarian hormones at menopause. Symptoms of dryness and pain emerge in late perimenopause, but they can also result earlier from cancer therapies or bilateral oophorectomy. Lower urinary tract symptoms rise in prevalence at midlife and increase further with advancing age. Because ovarian senescence is typically followed by years of aging, some postmenopausal complaints may be attributable to increasing longevity.
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