Hot flushes and night sweats are the most common symptoms seen in peri and postmenopausal women and known as vasomotor symptoms (VMS). Hot flushes originate as a sudden onset sensation of heat, arising from the neck and the central chest, and then rapidly generalized into the other parts of the body1. Hot flushes are usually last for 1-5 minutes, but it can be last up to 15-60 minutes2. The occurrence of hot flushes during sleep is termed night sweats1. Other symptoms associatLeading Article
{"title":"Vasomotor Symptoms (VMS): Pharmacological Management and Updates","authors":"J. Jayalath","doi":"10.4038/sljom.v3i1.39","DOIUrl":"https://doi.org/10.4038/sljom.v3i1.39","url":null,"abstract":"Hot flushes and night sweats are the most common symptoms seen in peri and postmenopausal women and known as vasomotor symptoms (VMS). Hot flushes originate as a sudden onset sensation of heat, arising from the neck and the central chest, and then rapidly generalized into the other parts of the body1. Hot flushes are usually last for 1-5 minutes, but it can be last up to 15-60 minutes2. The occurrence of hot flushes during sleep is termed night sweats1. Other symptoms associatLeading Article","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"08 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134353680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality Care for Menopause Under Challenging Circumstances","authors":"S. Akmeemana","doi":"10.4038/sljom.v3i1.40","DOIUrl":"https://doi.org/10.4038/sljom.v3i1.40","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121123074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ovarian serous eystadenofibroma: Towards a preoperative diagnosis","authors":"C. Ekanayake, D. Dissanayake, I. Kumarasinghe","doi":"10.4038/sljom.v2i2.27","DOIUrl":"https://doi.org/10.4038/sljom.v2i2.27","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"330 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134299383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W.W.M.H.W.J.B. Wickramasinghe, W. Wanasinghe, S. Lanerolle
{"title":"Updates in diagnosis and management of osteoporosis in post menopausal women","authors":"W.W.M.H.W.J.B. Wickramasinghe, W. Wanasinghe, S. Lanerolle","doi":"10.4038/sljom.v2i2.25","DOIUrl":"https://doi.org/10.4038/sljom.v2i2.25","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129780358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Ekanayake, R. Herath, S. Fernando, G. Mahendra, J. Balawardene, A. D. De Silva
{"title":"Possible progression of an atypical leiomyoma to a leiomyosarcoma: a case report","authors":"C. Ekanayake, R. Herath, S. Fernando, G. Mahendra, J. Balawardene, A. D. De Silva","doi":"10.4038/sljom.v2i2.26","DOIUrl":"https://doi.org/10.4038/sljom.v2i2.26","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126036126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unscheduled bleeding following HRT - assessment and management","authors":"J. Jayalath, M. Ifla","doi":"10.4038/sljom.v2i2.24","DOIUrl":"https://doi.org/10.4038/sljom.v2i2.24","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122805067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Menopausal replacement therapy following the treatment of gynaecological malignancies including the breast","authors":"P. Randombage, N. Abeysekara, M. Sathanandan","doi":"10.4038/sljom.v2i1.35","DOIUrl":"https://doi.org/10.4038/sljom.v2i1.35","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131075828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Menopausal symptoms can have a significant impact on a woman's quality of life. Information on availability of menopausal hormone therapy (MHT) in National Essential Medicines Lists (NEMLs) of South Asian (SA) countries has not been widely studied. Objective To review the availability of non-injectable MHT included in NEMLs of SA countries and to assess differences in availability compared to the recommended MHT preparations in the World Health Organization (WHO) model essential medicines list and the list of MHT available to women of a developed country in the Asia Pacific Region, while comparing with the healthcare expenditure and country's economic status. Methods Most recent NEMLs were obtained from all eight SA counties by visiting the Ministry of health/regulatory website of the respective country. Latest WHO model essential medicines list and Pharmaceuticals Benefits Scheme (PBS) schedule from Australia were obtained from the WHO and PBS websites respectively. Per capita health expenditure was obtained from The WHO Global Health Expenditure Database. Two investigators extracted the non-injectable MHT preparations independently from NEMLs and conducted the comparison. Results Except in two countries, in all other SA countries NEMLs were updated within the preceding five years. According to available data, seven SA countries had at least one separate preparation of oestrogen suitable for MHT while all countries had a separate progesterone preparation suitable for MHT. The oestrogen preparations available in the SA NEMLs were limited to either ethinyl estradiol or conjugated oestrogen tablets whilst in the WHO model, oestrogen preparations were not specified. In Australia, estradiol tablets were the only available oral oestrogen while there were four more different dosage forms of oestrogens available through the PBS Scheme. Progesterone preparations found in SA countries, WHO list and PBS schedule were similar, but oestrogen progesterone combination MHT preparations were only available in the PBS schedule. Per capita health expenditure was much higher in Australia compared to SA countries where a wide variation was observed. Conclusions The available evidence suggests that a larger population of SA women have access only to a very limited number of options if in need of MHT. In contrast, importance of MHT is highlighted in PBS Schedule. Although per capita health expenditure was low in SA countries, given that MHT products are relatively low cost and that there is a large proportion of women in menopausal age in this region, it would be imperative to update the WHO model list and NEMLs of SA countries to address the growing need of safe MHT and to improve the quality of life of postlnenopausal women in our region.
{"title":"Do South Asian women with menopausal symptoms have access to optimal therapy?","authors":"S. Abhayaratna, J. Pinidiyapathirage","doi":"10.4038/sljom.v2i1.34","DOIUrl":"https://doi.org/10.4038/sljom.v2i1.34","url":null,"abstract":"Background Menopausal symptoms can have a significant impact on a woman's quality of life. Information on availability of menopausal hormone therapy (MHT) in National Essential Medicines Lists (NEMLs) of South Asian (SA) countries has not been widely studied. Objective To review the availability of non-injectable MHT included in NEMLs of SA countries and to assess differences in availability compared to the recommended MHT preparations in the World Health Organization (WHO) model essential medicines list and the list of MHT available to women of a developed country in the Asia Pacific Region, while comparing with the healthcare expenditure and country's economic status. Methods Most recent NEMLs were obtained from all eight SA counties by visiting the Ministry of health/regulatory website of the respective country. Latest WHO model essential medicines list and Pharmaceuticals Benefits Scheme (PBS) schedule from Australia were obtained from the WHO and PBS websites respectively. Per capita health expenditure was obtained from The WHO Global Health Expenditure Database. Two investigators extracted the non-injectable MHT preparations independently from NEMLs and conducted the comparison. Results Except in two countries, in all other SA countries NEMLs were updated within the preceding five years. According to available data, seven SA countries had at least one separate preparation of oestrogen suitable for MHT while all countries had a separate progesterone preparation suitable for MHT. The oestrogen preparations available in the SA NEMLs were limited to either ethinyl estradiol or conjugated oestrogen tablets whilst in the WHO model, oestrogen preparations were not specified. In Australia, estradiol tablets were the only available oral oestrogen while there were four more different dosage forms of oestrogens available through the PBS Scheme. Progesterone preparations found in SA countries, WHO list and PBS schedule were similar, but oestrogen progesterone combination MHT preparations were only available in the PBS schedule. Per capita health expenditure was much higher in Australia compared to SA countries where a wide variation was observed. Conclusions The available evidence suggests that a larger population of SA women have access only to a very limited number of options if in need of MHT. In contrast, importance of MHT is highlighted in PBS Schedule. Although per capita health expenditure was low in SA countries, given that MHT products are relatively low cost and that there is a large proportion of women in menopausal age in this region, it would be imperative to update the WHO model list and NEMLs of SA countries to address the growing need of safe MHT and to improve the quality of life of postlnenopausal women in our region.","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"305 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122802704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. L. Weerasinghe, M. Dissanayake, M. G. S. C. R. Ferdinandez, N. Palihakkara, N. Vithanage, W. L. A. Damayanthi, P. Atapattu
{"title":"Comparison of prevalence of osteoporosis and the association between bone mineral density and selected risk factors among premenopausal and postmenopausal women attending a health camp in urban Sri Lanka","authors":"R. L. Weerasinghe, M. Dissanayake, M. G. S. C. R. Ferdinandez, N. Palihakkara, N. Vithanage, W. L. A. Damayanthi, P. Atapattu","doi":"10.4038/sljom.v2i1.33","DOIUrl":"https://doi.org/10.4038/sljom.v2i1.33","url":null,"abstract":"","PeriodicalId":158679,"journal":{"name":"Sri Lanka Journal of Menopause","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114281103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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