The menopause transition: an update.

Abstract:

:The menopausal transition is an area of active clinical investigation and epidemiological research. Recent results from several worldwide cohorts of women are beginning to provide a paradigm by which to explain the epidemiological and clinical manifestations of the ovarian process of follicle attrition. Genetic research has also provided some insight into differential ovarian ageing and disease/risk susceptibility in populations of women. Atresia of follicles occurs throughout reproductive life in women. The ever-shrinking follicle pool does not appear to result in any overt disruption of cycles for most women until they are in their forties. Subtle hormonal changes precede overt cycle disruption in mid-life. Obvious failures of ovulation or folliculogenesis lead to menstrual disturbances, and these provide the first clinical indication that the menopause transition is underway. A variety of hormonal patterns have been identified and an overall physiological progression appears to exist. The likelihood that reproductive hormone patterns influence symptomatology is high, although the analysis of the nature of such relationships is under way. For most women, effective lifestyle changes or hormonal therapy is available for symptoms associated with the menopause transition. This review will cover the existing body of knowledge, particularly regarding the clinical management of women who present with symptomatology during their menopausal transitions.

journal_name

Hum Reprod Update

authors

Santoro N

doi

10.1093/humupd/8.2.155

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

155-60

issue

2

eissn

1355-4786

issn

1460-2369

journal_volume

8

pub_type

杂志文章,评审
  • Role of serum biomarkers in the prediction of outcome in women with threatened miscarriage: a systematic review and diagnostic accuracy meta-analysis.

    abstract:BACKGROUND:Threatened miscarriage affects one in five women and is associated with significant emotional distress. The uncertainty around the prognosis of threatened miscarriage makes it equally challenging to the healthcare professionals. Various biochemical markers have been investigated in the past to predict the ou...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/humupd/dmv054

    authors: Pillai RN,Konje JC,Tincello DG,Potdar N

    更新日期:2016-03-01 00:00:00

  • The role of molecular chaperones in spermatogenesis and the post-testicular maturation of mammalian spermatozoa.

    abstract:BACKGROUND:Spermatogenesis culminates in production of one of the most highly differentiated cells in biology, the spermatozoon. The gametes that emerge from the testes are, however, functionally immature and only acquire full functionality once they have completed a process of post-testicular maturation in the epididy...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dms009

    authors: Dun MD,Aitken RJ,Nixon B

    更新日期:2012-07-01 00:00:00

  • The Transnational Study on Oral Contraceptives and the Health of Young Women. Methods, results, new analyses and the healthy user effect.

    abstract::The results of the Transnational Study on Oral Contraceptives and the Health of Young Women studies are reviewed, potential biases shown, and new analyses are presented. The initial finding was a slight increase in the risk of venous thromboboembolism (VTE) when users of third generation OC (containing the progestins ...

    journal_title:Human reproduction update

    pub_type: 杂志文章

    doi:10.1093/humupd/5.6.707

    authors: Lewis MA

    更新日期:1999-11-01 00:00:00

  • Syncytin: the major regulator of trophoblast fusion? Recent developments and hypotheses on its action.

    abstract::Syncytin is a membrane protein derived from the envelope gene of an endogenous retrovirus of the HERV-W family. The gene appears to be almost exclusively expressed in placenta; the protein was found in particular in syncytiotrophoblast. After transfection into various cell types it has proven to be a very fusogenic pr...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmh039

    authors: Pötgens AJ,Drewlo S,Kokozidou M,Kaufmann P

    更新日期:2004-11-01 00:00:00

  • Hormonal contraception and risk of cancer.

    abstract:BACKGROUND:Fear from increased cancer risk is one of the most significant reasons for low acceptance of reliable contraceptive methods and low compliance. METHODS:In this review, we included all cohort and case-control studies published in English up to December 2008. They were identified through a search of the liter...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmq022

    authors: Cibula D,Gompel A,Mueck AO,La Vecchia C,Hannaford PC,Skouby SO,Zikan M,Dusek L

    更新日期:2010-11-01 00:00:00

  • Individual patient data meta-analysis of randomized evidence to assess the effectiveness of laparoscopic uterosacral nerve ablation in chronic pelvic pain.

    abstract:BACKGROUND:There have been conflicting results in randomized trials of the effects of laparoscopic uterosacral nerve ablation (LUNA) in chronic pelvic pain. Our objective was to perform a meta-analysis using individual patient data (IPD) to provide the most comprehensive and reliable assessment of the effectiveness of ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析

    doi:10.1093/humupd/dmq031

    authors: Daniels JP,Middleton L,Xiong T,Champaneria R,Johnson NP,Lichten EM,Sutton C,Vercellini P,Gray R,Hills RK,Jones KD,Aimi G,Khan KS,International LUNA IPD Meta-analysis Collaborative Group.

    更新日期:2010-11-01 00:00:00

  • Structure-function relationship of follicle-stimulating hormone and its receptor.

    abstract::Follicle stimulating hormone (FSH) is one of the two pituitary gonadotrophins involved in the regulation of gonadal function. Structurally, this gonadotrophin is a heterodimer composed of two non-covalently associated subunits containing several heterogenous oligosaccharide residues which play an important role in bot...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/4.3.260

    authors: Ulloa-Aguirre A,Timossi C

    更新日期:1998-05-01 00:00:00

  • IUI for unexplained infertility-a network meta-analysis.

    abstract:BACKGROUND:IUI for unexplained infertility can be performed in a natural cycle or in combination with ovarian stimulation. A disadvantage of ovarian stimulation is an increased risk of multiple pregnancies with its inherent maternal and neonatal complication risks. Stimulation agents for ovarian stimulation are clomiph...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析

    doi:10.1093/humupd/dmz035

    authors: Danhof NA,Wang R,van Wely M,van der Veen F,Mol BWJ,Mochtar MH

    更新日期:2020-01-01 00:00:00

  • The role of the endocannabinoid system in gametogenesis, implantation and early pregnancy.

    abstract::Maternal use of marijuana, in which the exocannabinoid Delta(9)-tetrahydrocannabinol is the most active psychoactive ingredient, is known to have adverse effects on various aspects of reproduction including ovulation, spermatogenesis, implantation and pregnancy duration. Endogenous cannabinoids of which Anandamide is ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmm018

    authors: Taylor AH,Ang C,Bell SC,Konje JC

    更新日期:2007-09-01 00:00:00

  • Meiosis in oocytes: predisposition to aneuploidy and its increased incidence with age.

    abstract::Mammalian oocytes begin meiosis in the fetal ovary, but only complete it when fertilized in the adult reproductive tract. This review examines the cell biology of this protracted process: from entry of primordial germ cells into meiosis to conception. The defining feature of meiosis is two consecutive cell divisions (...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmm043

    authors: Jones KT

    更新日期:2008-03-01 00:00:00

  • Homocysteine--a pathophysiological cornerstone in obstetrical and gynaecological disorders?

    abstract::Homocysteine, a product of the methionine cycle, is known to play an important role in cardiovascular diseases, neurological disorders and embryology, and in very important, fast growing fields concerning obstetrics and gynaecology. Therefore, we attempted an actual overview on possible obstetrical and gynaecological ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/5.1.64

    authors: Obwegeser R,Hohlagschwandtner M,Sinzinger H

    更新日期:1999-01-01 00:00:00

  • Smoking and reproduction: gene damage to human gametes and embryos.

    abstract::Assisted conception is a useful methodology for detecting disturbances in clinical outcome, meiotic maturation, and genetic integrity of human gametes. Germinal cells are vulnerable to genetic damage from smoking, but can repair damage during meiosis. In ejaculated spermatozoa, repair capacity declines drastically. Sm...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/6.2.122

    authors: Zenzes MT

    更新日期:2000-03-01 00:00:00

  • Clinical implications of uterine malformations and hysteroscopic treatment results.

    abstract::Uterine malformations consist of a group of miscellaneous congenital anomalies of the female genital system. Their mean prevalence in the general population and in the population of fertile women is approximately 4.3%, in infertile patients approximately 3.5% and in patients with recurrent pregnancy losses approximate...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/7.2.161

    authors: Grimbizis GF,Camus M,Tarlatzis BC,Bontis JN,Devroey P

    更新日期:2001-03-01 00:00:00

  • Leiomyomata: heritability and cytogenetic studies.

    abstract::Leiomyomata represent the most common gynaecological tumour in women of reproductive age, and are the primary indication for hysterectomy in the USA. Cytogenetic and genetic studies have, in recent years, advanced our understanding of the aetiology of these tumours. Cytogenetic aberrations involving chromosomes 6, 7, ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/7.1.8

    authors: Ligon AH,Morton CC

    更新日期:2001-01-01 00:00:00

  • The role of ovarian volume in reproductive medicine.

    abstract::The human ovary is a dynamic organ which continually changes in size and activity through life, as an integral part of the changes that the female is going through before during and after her reproductive life. Following the rapid increase in the use of transvaginal scan in recent years, the measurement of ovarian vol...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/5.3.256

    authors: Lass A,Brinsden P

    更新日期:1999-05-01 00:00:00

  • Laparoscopic procedures for treatment of infertility related to polycystic ovarian syndrome.

    abstract::The use of laparoscopic techniques for the treatment of polycystic ovarian syndrome (PCOS) has included many different approaches in the 1980s and 90s. Broadly similiar results have been obtained using biopsy, cauterization, multi-electrocoagulation and laser surgery; i.e. > 50% ovulation and a mean pregnancy rate of ...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/2.4.337

    authors: Cohen J

    更新日期:1996-07-01 00:00:00

  • Ovarian tissue cryopreservation and transplantation: preliminary findings and implications for cancer patients.

    abstract::Cancer treatment modalities are increasingly more effective in achieving complete remission and cure. Aggressive chemotherapy and radiotherapy, as well as bone marrow transplantation, results in >90% cure in many cancers of children and young women. As a result of this success however, a new problem has arisen. Many y...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/7.6.526

    authors: Oktay K

    更新日期:2001-11-01 00:00:00

  • Contemporary genetic technologies and female reproduction.

    abstract:BACKGROUND:The Fifth Evian Annual Reproduction (EVAR) Workshop Meeting discussed knowledge regarding contemporary genetics in female reproduction. METHODS:Specialist reproductive medicine clinicians and geneticists delivered presentations based on published literature and current research. The content of this report i...

    journal_title:Human reproduction update

    pub_type:

    doi:10.1093/humupd/dmr033

    authors: Evian Annual Reproduction (EVAR) Workshop Group 2010.,Fauser BC,Diedrich K,Bouchard P,Domínguez F,Matzuk M,Franks S,Hamamah S,Simón C,Devroey P,Ezcurra D,Howles CM

    更新日期:2011-11-01 00:00:00

  • G-Protein-coupled receptors as potential drug candidates in preeclampsia: targeting the relaxin/insulin-like family peptide receptor 1 for treatment and prevention.

    abstract:BACKGROUND:Important roles for G-protein-coupled receptors (GPCRs) have been identified in the maternal physiological adaptations to pregnancy and in the pathogenesis of preeclampsia. On this basis, GPCRs are potential therapeutic targets for preeclampsia. OBJECTIVES AND RATIONALE:In this review, vasopressin and apeli...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmw021

    authors: Conrad KP

    更新日期:2016-09-01 00:00:00

  • Neonatal exposure to potent and environmental oestrogens and abnormalities of the male reproductive system in the rat: evidence for importance of the androgen-oestrogen balance and assessment of the relevance to man.

    abstract::The effects on reproductive tract development in male rats, of neonatal exposure to potent (reference) oestrogens, diethylstilboestrol (DES) and ethinyl oestradiol (EE), with those of two environmental oestrogens, octylphenol and hisphenol A were systematically compared. Other treatments, such as administration of a g...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/7.3.236

    authors: Williams K,McKinnell C,Saunders PT,Walker M,Fisher JS,Turner KJ,Atanassova N,Sharpe M

    更新日期:2001-05-01 00:00:00

  • Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century.

    abstract:BACKGROUND:Infertility is estimated to affect as many as 186 million people worldwide. Although male infertility contributes to more than half of all cases of global childlessness, infertility remains a woman's social burden. Unfortunately, areas of the world with the highest rates of infertility are often those with p...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmv016

    authors: Inhorn MC,Patrizio P

    更新日期:2015-07-01 00:00:00

  • Reproductive, obstetric, and perinatal outcomes of women with adenomyosis and endometriosis: a systematic review and meta-analysis.

    abstract:BACKGROUND:The reproductive impact of adenomyosis and endometriosis is widely researched but the extent of these impacts remains elusive. It has been demonstrated that endometriosis, in particular, is known to result in subfertility but endometriosis and adenomyosis are increasingly linked to late pregnancy complicatio...

    journal_title:Human reproduction update

    pub_type: 杂志文章,meta分析

    doi:10.1093/humupd/dmz012

    authors: Horton J,Sterrenburg M,Lane S,Maheshwari A,Li TC,Cheong Y

    更新日期:2019-09-11 00:00:00

  • Pregnancy and child outcome after oocyte donation.

    abstract::During the last decade oocyte donation has been highly successful for treating women previously thought to be hopelessly infertile. The pregnancy rate after oocyte donation is among the highest reported for any fertility-enhancing procedure. Most investigators have noted an increased rate of obstetric complications in...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/7.1.28

    authors: Söderström-Anttila V

    更新日期:2001-01-01 00:00:00

  • Endocrine approaches in the therapy of prostate carcinoma.

    abstract::At present, the management of non-organ confined prostate cancer, whether it is a recurrence or metastasis, continues to evolve based on prostate cancer detection using prostate-specific antigen and the development of medications as alternatives for the classical orchiectomy, which induced irreversible implications fo...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmi004

    authors: d'Ancona FC,Debruyne FM

    更新日期:2005-05-01 00:00:00

  • Endometriosis: a dysfunction and disease of the archimetra.

    abstract::Endometriosis is considered primarily a disease of the endometrial-subendometrial unit or archimetra. The clinical picture of endometriosis characterises this disease as a hyperactivation of genuine archimetrial functions such as proliferation, inflammatory defence and peristalsis. While the aetiology of the disease r...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/4.5.752

    authors: Leyendecker G,Kunz G,Noe M,Herbertz M,Mall G

    更新日期:1998-09-01 00:00:00

  • Anticardiolipin antibodies and recurrent early pregnancy loss: a century of equivocal evidence.

    abstract::In 1987, Nigel Harris cautioned against over-diagnosing the antiphospholipid syndrome (APS). In what was a rather prophetic editorial titled 'The Syndrome of the Black Swan', he suggested that while patients with APS do indeed exist, they are probably much more unusual than many medical professionals might like to bel...

    journal_title:Human reproduction update

    pub_type: 社论

    doi:10.1093/humupd/dms020

    authors: Clark CA,Laskin CA,Spitzer KA

    更新日期:2012-09-01 00:00:00

  • Insulin-like growth factor binding protein-1 (IGFBP-1): a multifunctional role in the human female reproductive tract.

    abstract::Insulin-like growth factor-1 (IGFBP-1) is particularly important in human female reproductive physiology, where it is involved with other factors in a complex system which regulates menstrual cycles, puberty, ovulation, decidualization, implantation and fetal growth. This has implications for clinical obstetrics and g...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/6.5.495

    authors: Fowler DJ,Nicolaides KH,Miell JP

    更新日期:2000-09-01 00:00:00

  • Intrauterine devices and intrauterine systems.

    abstract::From a public health viewpoint, the intrauterine device (IUD) is the most widely used contraceptive method in the world. Prevalence rates range among countries from 2 to 80% of contraceptive users. During 5 years of IUD use, pregnancy occurs in less than 2 per 100 insertions. Bleeding and pain are the most common reas...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/dmn003

    authors: ESHRE Capri Workshop Group.

    更新日期:2008-05-01 00:00:00

  • Varicocele--the most common cause of male factor infertility?

    abstract::Varicocele is often cited as the most common cause of male factor infertility. Arguments in support of this statement include reports of increased prevalence of varicocele in populations of infertile men compared with fertile or otherwise unselected men, association of varicocele with abnormal semen parameters, and im...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/8.1.53

    authors: Redmon JB,Carey P,Pryor JL

    更新日期:2002-01-01 00:00:00

  • Assisted reproduction practice in Europe: legal and ethical aspects.

    abstract::This report describes the ethical and legal aspects of assisted reproductive technologies (ART) that have been instituted in European countries. The data were collected from questionnaires circulated to fertility centres in 39 countries in Europe. Ninety six ART centres were located in 30 of these countries. Nine coun...

    journal_title:Human reproduction update

    pub_type: 杂志文章,评审

    doi:10.1093/humupd/3.2.173

    authors: Schenker JG

    更新日期:1997-03-01 00:00:00