Luis Fernando Vidal-Neira, José Luis Neyro, Genessis Maldonado, Osvaldo Daniel Messina, Mario Moreno-Alvarez, Carlos Ríos
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引用次数: 0
Abstract
Fibromyalgia (FM) and climacteric conditions share common epidemiological and clinical features, with FM symptoms often beginning during menopause. Musculoskeletal pain, arthralgia, myalgia and other symptoms are frequently seen in both conditions. Some research suggests a link between the cessation of sex hormones and FM symptoms. Women with FM tend to experience more severe symptoms after menopause, and the severity of FM symptoms can worsen in women who have had a hysterectomy with or without oophorectomy. Despite these similarities, it is essential to treat FM and climacteric conditions separately and follow established guidelines for management. However, it is also important to recognize that both conditions can coexist in the same patient. It is crucial to note that there is limited evidence supporting the effectiveness of menopausal hormone therapy for primary FM management. Therefore, menopausal hormone therapy should not be recommended for FM unless the patient also has climacteric syndrome.
纤维肌痛(FM)和更年期症状具有共同的流行病学和临床特征,更年期症状通常始于更年期。肌肉骨骼疼痛、关节痛、肌痛和其他症状经常出现在这两种疾病中。一些研究表明,性激素的停止与调频症状之间存在联系。患有 FM 的女性在绝经后往往会出现更严重的症状,而切除或未切除子宫的女性 FM 症状的严重程度也会加重。尽管存在这些相似之处,但必须将 FM 和更年期症状分开治疗,并遵循既定的治疗指南。不过,同样重要的是,要认识到这两种病症可以在同一患者身上同时存在。值得注意的是,支持更年期激素治疗对治疗原发性 FM 有效的证据有限,这一点至关重要。因此,除非患者同时患有更年期综合征,否则不应建议对 FM 进行更年期激素治疗。
期刊介绍:
Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women.
Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments.
The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.