Menopause Update Jun 2009
In this edition of Menopause Update the following new articles are available for download: June 2009
 | SAMS NewsThis edition of Menopause Update is sponsored and distributed by Adcock Ingram. We thank them for their support in ensuring the continued success on this journal... READ MORE
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| Understand Bone PhysiologyOsteoporosis is a common worldwide health issue, with serious long-term consequences. The lifetime risk of any fracture occurring in a woman aged 50 or over is more than 40%. The incidence of all types of fractures starts to rise after the menopause. Wrist fractures, an early manifestation of osteoporosis occur in younger postmenopausal women. Vertebral fractures occur slightly later, 75% without significant trauma. ... READ MORE
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| Photo CornerLandscape photography stimulates one to commune with nature. The best photos are those taken soon after sunrise and close to sunset. The light is lateral and soft at this time and creates wonderful modelling. High contrast which is difficult to handle at the best of time, is kept to a minimum. Stepping out into nature when the day is fresh and the air is clean is a balm to the stressful lives we all lead in medicine. ... READ MORE
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| Osteoporosis - EditorialIam honoured to be the guest editor of this edition of Menopause Update on osteoporosis. Osteoporosis and the gynaecologist have come a long way. In 1977, I used the text book Principles of Gynaecology (4th edition) by Sir Norman Jeffcoate as my principle source of reference. Sir Norman states the following: Page 4: "Oestrogen therapy does not improve senile osteoporosis although it is said that it may prevent it if given prophylactically from the time of menopause onwards. This is unproven" ... READ MORE
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| Fracture Risk AssessmentOsteoporosis is defined as a systemic disease characterised by deterioration in bone strength with an increased tendency to fracture. The aim of all forms of osteoporosis treatment should be the prevention of fracture. It thus makes sense that treatment intervention thresholds should be primarily based on the individual's risk of fracture. This will enable scarce and expensive resources to be applied to that part of the population that will enjoy maximal benefit. ... READ MORE
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| Pitfalls of Bone DensitometryThe widespread availability of dual energy xray absorptiometry (DXA) which began in the mid to late 1990's created a mini-revolution in osteoporosis diagnosis and management. The publication of the WHO T- and Z-score criteria for osteoporosis diagnosis in 1994 made it possible to more easily diagnose osteoporosis and predict fracture risk. This latter prediction was based on a doubling of fracture risk for each unit Standard Deviation drop in density below the young adult average mean. ... READ MORE
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| Adcock Ingram - Livifem
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| Adcock Ingram - Estradot |