Menopause Update May 2010

In this edition of Menopause Update the following new articles are available for download: May 2010

	Editorial by Dr D.P. Moodley I would like to thank the editorial board for assigning me this challenging but enjoyable task. Once again Menopause Update has delivered the goods. There are three excellent, relevant clinical articles by high calibre authors of international renown. The only need for progestogens to be included as part of hormone therapy is in patients who still have an intact uterus. The adverse cardiovascular and breast side effects are almost solely due to the progestogenic component in hormone therapy ... READ MORE
	Profile : Dr Michael R Davey As far as I am aware there is no other Practising ynaecologist who has managed to successfully practice Menopausal Medicine only as a discipline" in South Africa. This speaks of the man's character of dedication and feel for the menopausal atient and this rewarding discipline. I recall him saying hen he decided to go this route that the generalist has o time and the will to dedicate themselves to this under serviced and poorly remunerated section of ... READ MORE
	Endometrial Protection with hormone replacement therapy & SERMs The incidence of endometrial cancer in postmenopausal women who have not been taking oestrogen therapy is relatively low at about one per thousand women per year. One of the recognised risk factors for endometrial cancer is a delayed or late menopause, and hormone replacement therapy (HRT) effectively prolongs the menopausal age, so it would not be surprising of HRT might be an additional risk factor. Inappropriate use of ... READ MORE
	The Metabolic Syndrome - a concise update The metabolic syndrome (MS) is a constellation of metabolic abnormalities which include abdominal obesity, insulin resistance, atherogenic dyslipidemia, elevated blood pressure, a prothrombotic profile and inflammation. It is also associated with increased risk of type 2 diabetes1, cardiovascular disease2 and mortality3. The prevalence of individuals with this cluster of abnormalities has been steadily increasing over the past two decades. It is more prevalent among ... READ MORE
	Ovarian Cysts in post-menopausal woman The incidence of ovarian cancer rises in the post menopausal women with the incidence going up from 6.6 per 100000 in 20 to 49 year olds to 26.8 per 100000 in the postmenopausal women. When examining a postmenopausal patient we are always thoughtful of a malignancy. Despite our best efforts, the 5 year survival of this disease has not changed in the past 30 years. Early cancers which are stage one have a much better out come with a ... READ MORE
	SAMS Congress 2010 - Reportback SAMS has just completed what was arguably its best congress ever. The Emperor's Palace was an excellent congress venue. If there had been any doubts these were soon dispelled. The approximately 326 delegates found the venue facilities pleasant, comfortable and efficient. The venue was easily accessible by road and air and for those who needed accommodation on site there was a choice of four hotels surrounding the congress venue. There were very few ... READ MORE