Ovarian cysts are found in 7.8% of asymptomatic fertile aged women

Ovarian cysts are found in 7.8% of asymptomatic fertile aged women. Post-menopausal women exhibit a prevalence of 2.5 to 18%. An ovarian cyst is detected either as an incidental finding, in ultrasonography performed for lower abdominal pain, or on the basis of a suspicious finding in pelvic examination. With easy availability of ultrasonography asymptomatic ovarian cysts are detected in an increasing number. Most cysts are benign and often vanish spontaneously. Therefore in the absence of suspected malignancy or harmful symptoms, it is unnecessary to expose the woman to the risks of the operation.

Incidental adnexal masses occur with relatively high frequency in post-menopausal women, with a prevalence rate of 3.3-18% in asymptomatic patients. Unilocular, benign-appearing ovarian cysts represent the vast majority of abnormal findings at transvaginal ultrasonography. As many as 80% will resolve over a period of several months; if persistent, unchanged, less than 10 cm, and with normal CA-125 values, the likelihood of an invasive cancer is sufficiently low that observation should be offered. More recent investigations support the use of secondary imaging modalities such as MRI, which may help differentiate benign from malignant masses. Surgical management plays a key role when patients are symptomatic regardless of age, menopausal and have documented changes in cyst characteristics, experience elevations in tumor markers or have symptoms suggestive of a hormone-producing neoplasm. High level, evidence-based screening guidelines have yet to be developed.

From PMID

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Gender And Genes Impact On Fat Storage - Belly Or Hip

The age-old question of why men store fat in their bellies and women store it in their hips may have finally been answered: Genetically speaking, the fat tissue is almost completely different.


Scientists at Gladstone Institutes of Cardiovascular Disease (GICD) and the University of California , San Francisco (UCSF), have uncovered the genetic determinants responsible for fat storage in cells.

"We found that out of about 40,000 mouse genes, only 138 are commonly institute in both male and female fat cells," said Dr. Deborah Clegg, assistant professor of internal medicine at UT Southwestern Medical Center and senior author of the study appearing in the International Journal of Obesity. "This was completely unexpected. We expected the exact fronting - that 138 would be different and the rest would be the same in the middle of the sexes."

The study involved mice, which offer their fat in a sexually dimorphic pattern similar to humans.

"Given the disagreement in gene facial expression profiles, a female fat tissue won't behave anything like a male fat tissue and vice versa," Dr. Clegg said. "The notion that fat cells in the middle of males and females are alike is inconsistent with our findings."

In humans, men are more likely to carry extra weight colse to their guts while pre-menopausal women store it in their butts, thighs and hips. The bad news for men is that belly, or visceral, fat has be associated with diverse obesity-related diseases including endrocrine disease and core disease. Women, on the other hand, are generally protected from these obesity-related disorders until menopause, when their ovarian hormone levels drop and fat storehouse tends to shift from their rear ends to their waists.

"Although our new findings don't explain why women begin storing fat in their bellies after menopause, the results do bring us a step closer to intendment the mechanisms behind the unwanted shift," Dr. Clegg said.

For this study, researchers used a microarray analysis to purpose whether male fat cells and female fat cells were different in the middle of the waist and hips and if they were different based on gender at a genetic level.

Because the fat distribution patterns of male and female mice are similar to those of humans, the researchers used the animals to assess genes from the belly and hip fat pads of male mice, female mice and female mice whose ovaries had been removed - a restriction that closely mimics human menopause. Waist and hip fat (subcutaneous fat) generally accumulates maximum the muscle wall, whereas belly fat (visceral fat), a major health concern in men and postmenopausal women, develops colse to the internal organs.

In totaling to the genetic differences among fat tissues, the researchers institute that male mice that consumed a high-fat diet for 12 weeks gained more weight than female mice on the same diet. The males' fat tissue, particularly their belly fat, became highly inflamed, while the females had lower levels of genes associated with inflammation. The female mice whose ovaries had be removed, however, gained weight on the high-fat diet more like the males and deposited this fat in their bellies, also like the males.

"The fat of the female mice whose ovaries had be removed was inflamed and was starting to look like the unhealthy male fat," Dr. Clegg said. "However, estrogen replacement therapy in the mice shortened the inflammation and returned their fat distribution to that of mice with their ovaries intact."

Dr. Clegg said the results suggest that hormones made by the ovaries may be critical in determining where fat is deposited. Her overall goal is to purpose how fat tissue is affected by sex hormones and whether it would be possible to develop a "designer" hormone replacement therapy that protected postmenopausal women from belly fat and related diseases such as metabolic syndrome.

Researchers from Oregon Health and Science University, Boston University School of Medicine and the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University also contributed to the study. The study was supported by the Society for Women's Health Research.

TAG : Gender Fat Metabolism , Fat Storage Depends , Genes Fat Storage , Genes Responsible for Fat Storage

FROM : medicalnewstoday.com

Hormone Changes During Menopause Increase Risk Of Heart Disease And Stroke

When women hear the word menopause, they often think about hot flashes, hormone shifts and mood swings. But what about heart disease? Studies show a woman's risk of heart disease intensifies drastically around the time of natural menopause, which for most women is around the age of 50. This news may come as a surprise, but experts explain that understanding risk factors is an important first step, and reassure women that there are ways to lower your risk.

"Many women younger than 50 have not yet gone through menopause and still have high levels of the female hormone estrogen in their blood, which is thought to help protect the heart. After menopause, however, the levels of estrogen in a woman's body drop significantly and can contribute to the higher risks of cardiovascular disease," explains Vera Rigolin,MD, associate director of the Center for Women's Cardiovascular Health in the Bluhm Cardiovascular Institute of Northwestern Memorial Hospital.

Weight gain is also a factor that may play a role in postmenopausal risk of heart disease. Maintaining a healthy weight often becomes difficult after your body experiences a change in hormone levels. Extra mass can take a toll on the body causing physical inactivity, high blood pressure, diabetes, and high cholesterol, all risk factors that can lead to heart attack and stroke.

Detecting heart disease in women can be difficult. Many women are unaware that symptoms of the disease may differ from those of men. Although women often experience chest discomfort when presenting with a heart attack, they commonly have other, more subtle symptoms, including fatigue, nausea, shortness of breath, jaw pain and general discomfort in the chest and abdominal area.

"In some women, plaque can build in the smallest blood vessels called the microvascular circulation. These blockages do not show up in an angiogram," says Rigolin. "In these cases, we often use Magnetic Resonance Imaging (MRI) with medication to visualize blood flow within the small blood vessels when other standard tests do not provide us answers."

Women, especially those who are menopausal can reduce the risk of heart disease by adopting a healthy lifestyle.

"If you are a smoker, quit immediately and avoid second hand smoke. Eat a diet rich in fruits and vegetables and exercise at least three times per week to maintain a healthy body weight," says Rigolin.

Rigolin also recommends visiting your health care provider at least once per year to have your blood pressure, blood sugar and cholesterol levels checked.

TAG : cardiovascular disease risks , high blood pressure risks , heart failure risks , hypertension risks , heart disease risk , menopausal hormone therapy pubmed , menopausal hormone therapy cohort study , progesterone therapy menopause , menopause estrogen progesterone

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Short-Term Heart Disease Risks Of Combination Menopausal Hormone Therapy

New analyses from the Women's Health Initiative (WHI) make firm that combination hormone therapy increases the risk of heart disease in healthy postmenopausal women. Researchers appear a trend toward an increased risk of heart disease while the initial two years of hormone therapy among women who began therapy within 10 years of menopause, and a more scarred elevation of risk among women who began hormone therapy more than 10 years after menopause. Analyses predict that overall a woman's risk of heart disease more than doubles within the initial two years of taking combination HT.

"Today, most women who take hormone therapy for menopausal symptoms begin therapy shortly after menopause. Based on today's report, even these women appear to be at increased risk of heart disease for several years after starting cartel hormone therapy," noted Susan B. Shurin, M.D., NHLBI acting director. "It is clearer than ever that women who are considering postmenopausal hormone therapy for menopausal symptoms should analyze their risk of heart disease and other risks - such as breast cancer, stroke, and unsafe blood clots - with their doctors before starting therapy."

Jacques E. Rossouw, M.D., chief of the NHLBI Women's Health Initiative Branch and a coauthor of the paper, added, "Although the number of recently menopausal women who would be expected to suffer a heart attack during the first years of joining hormone therapy is small, the risk is likely to be real. Our findings continue to carry FDA recommendations that postmenopausal hormone therapy should not be used for the stoppage of heart disease."

Combination hormone therapy includes progestin in order with estrogen. Adding progestin is known to prevent endometrial cancer in women with a uterus. Today's findings do not apply to women who have had a hysterectomy and take estrogen-only hormone therapy. Similar analyses on the results of the clinical trial of estrogen only therapy are planned.

Researchers from the Harvard School of Public Health and the NHLBI reanalyzed data from the landmark WHI clinical trial of the effects of combination hormone therapy in 16,608 postmenopausal women with an intact uterus, ages 50 to 79 years (average age of 63) at enrollment.

In the new analyses, the researchers compared the effects of hormone therapy on heart disease risk among women who began hormone therapy within 10 years of menopause and women who began therapy more than 10 years after menopause. The researchers used models that adjusted for adherence, or the actual amount of medication that participants took during the reading. They also studied the effects of hormone therapy on heart disease over time (up to eight years). In addition, they compared the findings with related analyses of 34,575 women in the Nurses Health Study, an observational consider with an average follow-up of 9.3 years. The researchers rumour related effects of hormone therapy from both studies.

In the WHI clinical trial of estrogen-plus-progestin, 8,506 participants were randomly assigned to receive a bloc of estrogen (0.625 milligrams of conjugated equine estrogens per day) plus progestin (2.5 mg of medroxyprogesterone acetate), and 8,102 women were given placebo (inactive pill). The education was stopped in 2002 after an average of 5.6 years of treatment due to an expand in breast cancer in the women on hormone therapy. Compared to women on placebo, women on combine hormone therapy were also at increased risk of stroke, perilous blood clots, and heart disease, while their risk of colorectal cancer and hip fractures was lower.

Overall, among the 8,506 women assigned to bloc hormone therapy during the study, there were 188 cases of coronary heart disease (80 in the first two years), compared to 147 heart disease cases (51 in the first two years) among the 8,102 women on placebo. When adjusted for adherence, the analysis shows that women on conspiracy hormone therapy were about 2.4 times more likely to develop heart disease in the first two years. At eight years, the women on coalition hormone therapy were 69 percent more likely to develop heart disease.

The new analyses also showed:

 Women who were within 10 years of menopause had a trend toward an increased risk of heart disease, with a 29 percent higher risk at two years from the start of hormone therapy. Although the increased risk of heart disease was not statistically significant, this finding is compatible with a related analysis of data from the larger Nurses Health Study.

 Women who started combination hormone therapy less than 10 years after menopause remained at increased risk of heart disease on average for about six years, after which those in the treatment group appeared to have a lower risk of heart disease compared to related women who were not on combine hormone therapy. In the nurses study, the initially increased risk on mixture hormone therapy changed toward lower risk of heart disease after about three years.

 In contrast, women who started hormone therapy 10 years or more after menopause were nearly 3 times more likely to develop heart disease within the first two years of treatment compared to women on placebo. These women continued to be at increased risk of heart disease throughout the 8 years of follow-up.

It is not explicit why the heart disease risk appears to be higher in women who start compound hormone therapy a decennary after menopause than in women who begin combination hormone therapy within 10 years after menopause. According to Sengwee Toh, Sc.D., lead author of the paper and now an instructor in the Department of Population Medicine, Harvard Medical School, "This examine suggests that the risk of heart disease may depend on when women start their union hormone therapy and how long they are on this treatment. Future investigations should consider both of these aspects."

The WHI is a crucial 15-year investigation program designed to address the most regular causes of death, disability, and shabby quality of life in postmenopausal women: cardiovascular disease, cancer, and osteoporosis. The principal findings from the two WHI hormone therapy trials, which studied 27,347 postmenopausal women on estrogen plus progestin, estrogen-alone, or placebo, establish that the overall risks of long-term use of hormone therapy outweigh the benefits. Both of these trials were stopped early because of increased health risks and failure to prevent heart disease, a key question of the studies.

The NHLBI collaborates on the WHI with the National Cancer Institute, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the National Institute on Aging, and the Office of Research on Women's Health, all parts of the NIH. Wyeth-Ayerst Research provided the medication and placebo for the hormone inspection.

TAG : cardiovascular disease risks , high blood pressure risks , heart failure risks , hypertension risks , heart disease risk , menopausal hormone therapy pubmed , menopausal hormone therapy cohort study , progesterone therapy menopause , menopause estrogen progesterone , facts about menopausal hormone therapy , hormone replacement therapy , menopause hormone therapy after menopause

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Calcium Effective Against Bone Loss In Postmenopausal Women

With Osteoporosis  an increasing concern among women of all ages, a up-to-date statement in the medical periodical Osteoporosis International  found that women taking the AAACa (AdvaCAL®) calcium supplements had the highest bone density enlarge among 32 distinct calcium studies conducted between 1977 and 2008. The 32 studies involved 3,169 postmenopausal women, 79 skeletal measures and 7 separate types of calcium, including dairy.

The repute entitled "The Effect of Calcium Supplementation on Bone Loss in 32 Controlled Trials in Postmenopausal Women" was authored by calcium researcher Christopher Nordin, M.D. of Australia. Nordin concluded that calcium intake obviated bone loss in postmenopausal women for at least four years. Results from the 32 studies showed a wide range of bone density changes from taking unusual types of calcium. Most changes were negative, meaning many women taking calcium still lost bone mass each year. However, AdvaCAL calcium users averaged a 1.5% bone density expand per year, the highest extend among all 79 skeletal measures. Research details are available at http://www.stoposteo.com.

These results dovetail with other published calcium research. A 2007 essay in the newspaper The Lancet showed that AdvaCAL produced the most favorable change to fracture-risk among 17 different calcium studies between 1992 and 2006. The 17 fracture studies complex men and women aged 50+, taking 6 different calciums either alone or with vitamin D.

ABOUT AdvaCAL

AdvaCAL is natural ionic calcium from Japan. Oyster shells are smelted at inebriated temperatures, creating a bioavailable calcium ash. Smelting also removes lead and other impurities. Finally, the calcium is blended with HAI, an amino acid complicated from seaweed. HAI has been scientifically shown to boost calcium absorption. Both the calcium and HAI in AdvaCAL have been awarded patents.

"We are pleased but not shocked by AdvaCAL's top ranking in both reports" comments Andrew Lane, president of LaneLabs, the US supplier of AdvaCAL. "The FDA recommends adequate calcium intake with vitamin D, along with physical activity to degrade the risk of osteoporosis in later life. These two reports highlight some differences among calcium supplements. AdvaCAL is a unique Osteoporosis fighter."

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TAG : screening for osteoporosis in postmenopausal women , post menopausal , osteoporosis , premenopausal women , calcium supplementation bone loss , postmenopausal women , Bone Loss In Postmenopausal Women

Bone Loss In Postmenopausal Women

At an international consensus development conference, osteoporosis was defined as "a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk." In 1994, a World Health Organization (WHO) working group proposed that, in epidemiologic studies, osteoporosis could be determined when bone density at the hip, spine, or forearm is 2.5 standard deviations or more below the mean for healthy, young, adult women (a value defined as the T-score), or when a history of a fracture is present in the absence of trauma. The group also proposed that osteopenia be determined when the bone density was 1.0 to 2.5 standard deviations below the mean for young, healthy women.

According to the National Health and Nutrition Examination Survey (NHANES III), an estimated 14 million American women over age 50 years are affected by low bone density at the hip, and 5 million more have bone density that measures 2.5 standard deviations or more below the mean at the hip. The prevalence of osteoporosis in Mexican-American women is similar to that in white women, while rates in black women are approximately half that of the first two groups. The prevalence of osteoporosis increases with age for all sites, and by the WHO definition up to 70 percent of women over age 80 years have osteoporosis.

Furthermore, age is an important factor in the relationship between bone density and the absolute risk of fracture. An increase in age of 13 years increases the risk of hip fracture by the same amount as a decrease in bone density of one standard deviation. Older women have a much higher fracture rate than younger women who have the same bone density, because of increasing risk from other factors, such as a change in bone quality and the tendency to fall.

Women with osteoporosis are more likely to experience fractures. Demographic trends for hip fracture parallel those for osteoporosis. Hip-fracture incidence in white women rises from 50 per 100,000 at age 50 years to 237 per 100,000 at age 65 years. White women are generally two to three times more likely than nonwhite women to suffer a hip fracture. Hip fractures are associated with high rates of mortality and loss of independence. Wrist fracture incidence tends to increase at earlier ages than does that of hip fractures.

Vertebral fractures have also been associated with significant morbidity. Sixteen percent of postmenopausal women have osteoporosis of the lumbar spine; furthermore, five percent of 50-year-old white women and 25 percent of 80-year-old women have had at least one vertebral fracture. Vertebral fractures can cause severe pain and are associated with more than five million days of restricted activity in those age 45 years or older.

The disease burden of osteoporosis extends beyond consequences of low bone density and fractures. For example, the act of screening, diagnosis, and subsequent treatment can also affect the quality of life. Fear of fracture itself can reduce the quality of life in women who have been diagnosed as having osteoporosis.

In 1995, the total direct medical expenditure in the United States for the treatment of osteoporotic fractures in adults older than 45 years was estimated at $13.8 billion. The majority of this total ($8.6 billion) was spent for inpatient care. Hip fracture alone accounted for $8.7 billion (63 percent) of osteoporosis-related costs, while fractures at sites other than the hip accounted for approximately 37 percent of the total expenditure (about $5.1 billion). In addition to these costs is the cost of lost productivity for women with fractures, or for their family or other caregivers. As the median age of the U.S. population increases, the costs associated with osteoporotic fractures are also likely to increase.

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Little Effect Of Soy Isoflavones On Bone Loss In Postmenopausal Women

A prior six-month study by Iowa State University researchers had indicated that consuming modest amounts of soy protein, rich in isoflavones, lessened lumbar spine bone loss in midlife, perimenopausal women. But now an outstretched three-year study by some of those same researchers does not show a bone-sparing effect in postmenopausal women who ingested soy isoflavone tablets, except for a modest effect at the femoral (hip) neck among those who took the highest dosage.

The multi-center clinical trial of 224 postmenopausal women -- led by D. Lee Alekel, professor of nutrition and interim connect director of the Nutrition and Wellness Research Center (NWRC) at Iowa State, and supported by the National Institute of Arthritis, Musculoskeletal and Skin Diseases, one of the research institutes of the National Institutes of Health (NIH) -- was the longest ever conducted on the effects of soy isoflavones on bone mineral density (BMD). It compared the effects of either ingesting daily 80-mg daily or 120-mg soy isoflavone tablets, compared to placebo tablets on BMD and other health outcomes.

Iowa State NWRC researchers collaborated with research physiologist Marta D. Van Loan and her colleagues at the USDA Agricultural Research Service's Western Human Nutrition Research Center, located at the University of California, Davis. The primary results of their study were published in the January issue of The American Journal of Clinical Nutrition.

New study expands upon earlier research

"Our six-month preliminary study, published in 2000, indicated that soy protein, rich in isoflavones, exerted the greatest impact in slowing the loss of bone mineral density in the lumbar spine," Alekel said. "But we believed that we needed to duplicate these results in a study with a greater sample size and longer duration, which is what we did with this three-year intervention.

"In this longer study, we had enough power to detect change," she continued. "We monitored adverse events, had excellent compliancy throughout, and accounted for potential confounding factors."

NWRC research staff members Laura Hanson, Jeanne Stewart and Kathy Hanson also joined Kenneth Koehler and C. Ted Peterson from statistics as part of the eight-member ISU team that conducted the research.

The researchers ran statistical analyses to determine dress in BMD at the lumbar spine, total proximal femur (hip), femoral neck and whole body. They accounted for treatment, age, whole body fat plurality and bone removal (using a biochemical marker).

While the 120-mg dose soy isoflavones did reveal a small protective effect on femoral neck bone BMD, researchers institute no significant effect of treatment on lumbar spine, total hip, or whole-body BMD.

"This trial used isoflavones extracted from soy protein, compressed into tablet form, consumed over the course of three years, which is very different than either providing soy protein or soy foods," Alekel said. "In our recent study, we did not demonstrate an significant biological effect on BMD or bone turnover." Research questions bone loss value of soy isoflavones

The new study calls into question the value of postmenopausal women consuming soy isoflavone tablets to help lessen bone loss and minimize the effect of osteoporosis.

"The preponderance of studies that have been published -- particularly the longer term, more carefully conducted studies, like our own -- have shown little to no biological effects of soy isoflavones on BMD," she said. "This field of research has attracted 'believers,' making it difficult to convince them otherwise. They may continue to accept what they want to believe, rather than what the evidence shows."

And when it comes to minimizing the consequences of osteoporosis in postmenopausal women, Alekel urges a more holistic approach.

"People, in general, would like an easy fix. We would all like soy isoflavones to be that magic pill, but this study has found that they are not," she said.

Results from other health outcomes from this research have been published in six manuscripts to date, with six additional manuscripts underway. The NWRC research team will continue to study factors that direct bone mineral density and health outcomes in postmenopausal women.

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Home relief For Postmenopausal Ovarian Cyst

Even though ovarian cysts after the menopause are less common, instances do crop up and may cause difficulties. Post-menopausal women with an ovarian cyst that is not suitable for conservative management may have to have an oophorectomy. This operation is done to take out the ovary within a bag so as not to have the cyst break open in the peritoneal cavity. Post-menopausal women are recommended to take a sonographical CA125 test using transvaginal grayscale. Magnetic resonance imaging (MRI), computed tomography (CT), and Doppler scans are not as good for the detection of post-menopausal cysts. Transvaginal ultrasound is the best way to understand the situation of ovarian cysts because it gives enhanced detail and more sensitivity. Larger cysts nevertheless should be examined transabdominally.

Six percent of women will develop an ovarian cyst after menopause. Granted that you're more likely to develop a cyst before menopause, but if you're one of the women living with a postmenopausal ovarian cyst you know that it's painful and frustrating. Naturally the first step when you develop a cyst after your childbearing years are over is to consult with your doctor. If he or she determines the cyst is non-cancerous, you've got a few treatment options available to you including going an all natural route.

A woman's body is a delicate, complex machine. When something is amiss we know it intuitively and if we're able to correct the problem without surgery or strong medications, that's the route we want to take. If you have developed a postmenopausal ovarian cyst making a few changes in your diet can work wonders.

Fresh vegetables and fruits can really make a difference in the pain and uncomfortable feeling associated with a postmenopausal ovarian cyst. Eating the vegetables and fruits raw has even more benefit. Adding legumes to your diet is another great idea. You'll also want to eat more whole grains which can easily be found in many breakfast cereals as well as bread products.

Just as important as adding fruits, vegetables and whole grains to your diet, there are a few things that you'll need to avoid if you have a postmenopausal ovarian cyst. Caffeine is a no-no so if you're accustomed to a strong cup of coffee to get your day started, you'll need to switch to a decaffeinated version. There's a lot of debate about the benefits of red meat but for women with ovarian cysts, they need to take it off their menu plan. The same is true of eggs. There are many suitable egg substitutes that taste great and can be used instead.

Dealing with the pain, discomfort and uncertainty of an ovarian cyst is difficult. You can treat an ovarian cyst naturally at home. If you're hesitant to take medications or undergo surgery to cure the cyst, take the natural approach instead.

Ovarian cysts pain can be overwhelming at times. If it's making it difficult for you to function and you are tired of waiting for it to cure itself, take the natural approach now. You don't have to live like this any longer.

From : themedguru.com , ezinearticles.com

How Postmenopausal Ovarian Cysts are formed?

If you know how ovarian cysts are formed, than you may wonder if you can get ovarian cysts post menopause. When past menopause, you no longer have eggs in your ovary so it may be surprising to know that the ovaries can still form cysts. In fact, it is interesting that these cysts are more common in those that have ceased menstruating than women who are pre-menopausal.

This information may cause some post-menopausal women to worry, however most of these cysts are found to be benign and have less problems than those of younger women. It has been shown in studies that often these cysts disappear rather quickly and a woman with them may not even know she had them.

Six percent of women will develop an ovarian cyst after menopause. Granted that you're more likely to develop a cyst before menopause, but if you're one of the women living with a postmenopausal ovarian cyst you know that it's painful and frustrating. Naturally the first step when you develop a cyst after your childbearing years are over is to consult with your doctor. If he or she determines the cyst is non-cancerous, you've got a few treatment options available to you including going an all natural route.

A woman's body is a delicate, complex machine. When something is amiss we know it intuitively and if we're able to correct the problem without surgery or strong medications, that's the route we want to take. If you have developed a postmenopausal ovarian cyst making a few changes in your diet can work wonders.

While most cysts in post-menopausal women may not even be diagnosed or noticed by the patient, those that are should be referred to a doctor. This is because the incidence of cancer does increase with age. For this reason, your doctor should perform a sonogram as well as some blood tests to rule out a malignant or cancerous cyst. Sometimes women that have benign cysts still opt to have them removed due to either discomfort of fear of rupture.

Whether or not you are pre- or postmenopausal, most cysts can be easily managed with natural remedies and the help and attention of a doctor. Only in extreme cases will a hysterectomy or even surgery to remove the cyst be necessary. This statement becomes even more true as you age and cease menstruation, even though the occurrence of ovarian cysts can increase.

From : ezinearticles

The Significance of Bleeding after the Menopause

The Significance of Bleeding after the Menopause

Bleeding after the menopause or "post-menopausal bleeding" ("PMB") can be defined as the resumption of vaginal bleeding at least 6 months after a woman experiences her last menstrual period. This assumes of course that she is indeed menopausal ie. in her late 40's, perhaps having hot flashes and night sweats, mood swings, insomnia, perhaps experiencing some vaginal dryness. The bleeding pattern most women experience as they approach menopause is one where the periods become lighter, shorter in duration, and the interval between periods changes so that the periods are either somewhat closer together (between 21-26 days apart) or intervals greater than her customary 28 days. Cycles may be missed entirely for a couple of months.

There are many causes of postmenopausal bleeding, and the most common is hormone replacement therapy. Women who are taking hormone replacement therapy very often may develop PMB because the uterine lining is very sensitive to estrogen, which promotes growth of the endometrium, just as it does in the normal reproductive cycle that was operative prior to menopause. Lack of estrogen, on the other hand, may cause atrophy of the lining, and in this condition, the blood vessels of the uterine lining become so fragile because of estrogen lack that they spontaneously break and then bleed.

Polyps and fibroids are common benign growths that develop in the uterine cavity. The former is most often associated with irregular light spotting, staining or actual light bleeding. The latter may also present this way, but in fact may be associated with much heavier bleeding.

Overgrowths of the uterine lining are called "hyperplasias", may be the cause of abnormal post-menopausal bleeding, Some specific types are associated with a malignant potential. About 20 % of true post-menopausal bleeders may have cancer of the endometrium (the uterine lining)

What should one consider doing for the diagnosis of post-menopausal bleeding? The first thing to consider is always the medical history. Is the patient taking hormones or not? Does she have a history of known uterine fibroids? A thorough pelvic examination of the vulva, vagina and cervix (including a PAP smear) should exclude causes in the lower genital tract. A uterine biopsy requires the passing of a small tube-like device through the cervix and into the uterine cavity, suction is applied and small fragments of tissue are removed for microscopic examination. Alternatively, the Doctor might order a special ultrasound examination, as this study can delineate the thickness of the uterine lining, and perhaps the presence of a polyp or fibroid. Thickened endometrial lining can be seen spontaneously without significant underlying pathology, as a result of hormone therapy, in cases of hyperplasias or cancer, or because of other benign growths. One must remember that ultrasound examinations are the sophisticated interpretations of "shadows" and do not make an absolute diagnosis, as is the case with microscopic analysis. Thus, an abnormal ultrasound examination requires further investigation.

Hysteroscopy is a special test that entails the passing of a tiny telescope through the cervix allowing the actual visualization of the uterine cavity. Fibroids or polyps can be seen and removed, and suspicious area of tissue biopsied under direct vision.

A "D&C" is an old essentially obsolete procedure whereby a sharp spoon-like instrument is passed blindly through the cervix, and a scraping of the lining is performed in order to obtain tissue for microscopic analysis. More often than not, because it is truly a blind procedure, polyps and fibroids will be missed, as well perhaps as an early cancer. Hysteroscopy is far more precise and accurate. In this author's opinion, a "D&C" should be used only to evacuate the products of conception from the uterine cavity at the time of a miscarriage. A "D&C" is marginally useful for establishing an accurate diagnosis in the case of post-menopausal bleeding and is almost worthless for treatment.

What about treatment options? This of course depends on the cause of the bleeding. Hormone related post-menopausal bleeding ("PMB") is usually controlled by manipulation and alteration of the hormone regimen. Certain hyperplasias may require extra progesterone-like supplementation in order to reverse this process. Polyps or fibroids protruding into the uterine cavity can removed with the hysteroscope, and the lining may then be sealed with electrical energy ("endometrial ablation") to minimize any further PMB.

DESCRIPTION OF METHODS USED TO FORMULATE THE RECOMMENDATIONS

The Chair of the Committee was selected by the Regional Chief of Obstetrics and Gynecology for Kaiser Permanente Southern California. The remaining members of the Committee were selected by the chairs of each of the 12 medical centers.

Face to face meetings were planned monthly with ad hoc face to face or teleconference-based meetings held as necessary.

After an introductory discussion on the general and Southern California Permanente Medical Group (SCPMG)-specific issues involved in the general problem of post menopausal bleeding (PMB), the committee met as a whole to review methods of guideline development, agree on terms for evidence classification, and to come to consensus on the scope of the guideline(s) to be developed. The Working Group Chair prepared a shell document to aid the guideline development process.

A subgroup of three individuals was charged with leading the investigation and developing draft documents for meetings of the whole group. Drafts were electronically distributed to the whole group and monthly face to face meetings were used to obtain feedback from each of the members of the committee.

The recommendations were created and classified according to the strength of the evidence, classified according to the system used by the American College of Obstetricians and Gynecologists (see rating scheme below).

Related : What is postmenopausal bleeding?

from : guideline.gov , obgyn

Postmenopausal Vaginal Bleeding,Finding the Causes and symptoms menopause

The symptoms of menopause are caused by changes in estrogen and progesterone levels. When estrogen drops suddenly, as is seen when the ovaries are removed surgically (called surgical menopause), symptoms can be more severe. Perimenopause begins several years before menopause, when the ovaries gradually produce less estrogen. Currently, hormone replacement therapy (estrogen with or without progestin) is the primary treatment for the symptoms and long-term risks associated with menopause. The work is the latest salvo in a years-long back and forth about memory, menopause, and estrogen. During menopause, the ovaries produce less estrogen than during the reproductive years. As a result, many problems women have with menopause relate to low estrogen levels.

For every woman, her regular menstrual period can be annoying especially if it means being immobilized for a while, unable to do the most routine of her daily chores. For some, they consider it a sort of curse, especially with the pain that often comes with the menstrual cycle. However, women are not one to easily complain about it because they know that their menstrual period is a testament to their womanhood. And with womanhood, there is always the possibility of being able to bear a child. And that, for most if not all of women, is the greatest joy a female may experience.

What Postmenopausal Vaginal Bleeding Is

A woman’s menstrual cycle may be described simply as vaginal bleeding, although the term may be too simple to describe such an occurrence. Vaginal bleeding refers to the bleeding in females that is a physiological response during non-conceptional menstrual cycle, or it may be caused by hormonal or organic problems of the reproductive system. Although such bleeding may occur at any age, an investigation is always imperative as it may indicate more health problems that demand immediate attention. On the other hand, vaginal bleeding during pregnancy may indicate a complicated pregnancy that needs immediate medical attention.

The Different Causes of Postmenopausal Vaginal Bleeding

Vaginal bleeding may be due to any of the following causes under the different stages:

1. Bleeding in Children. Vaginal bleeding before the menarche (the female’s first menstrual period) may indicate the presence of a foreign body in the vagina, sexual molestation or vaginal infection.

2. Bleeding in Pre-menopausal Women. On the other hand, if bleeding occurs in postmenopausal women, the following are the most common reasons:

a) Menstruation: Menstruation can be classified as heavy or light. The former is termed hypermenorrhea, while the latter is hypomenorrhea. Moreover, bleeding may occur in between periods, and it is termed intermenstrual bleeding.

b) Dysfunctional uterine bleeding. This is often due to hormonal imbalance.

c) Cervical cancer may cause vaginal bleeding especially after sexual intercourse.

d) In cases after immediate pregnancy, vaginal bleeding may be due to the products of conception that are still retained in the uterus.

e) Tumors in the uterus known as uterine fibroids can also cause vaginal bleedings.

3. Bleeding in Pregnant Women. If vaginal bleeding occurs in pregnant women, immediate medical attention is necessary to ensure that delivery will be safe, emphasizing the health of both the mother and the child. If the bleeding is light, it may be due to a rupture in a small vein on the outer rim of the placenta. It can also be an indicator of a possible miscarriage, especially if it occurs during the early stages of pregnancy. In cases like this, an ultrasound is badly needed to determine the cause of vaginal bleeding.

From : articlesbase.com

What is postmenopausal bleeding? - Causes & Evaluation

Postmenopausal bleeding occurs when a woman of menopausal age has had 12 months without a period (amenorrhoea) and then has unscheduled (ie without hormonal treatment intervention) vaginal bleed.

Postmenopausal bleeding can originate in different parts of the reproductive system. Bleeding from the vagina may occur because when estrogen secretion stops, the vagina dries out and can diminish (atrophy). This is the most common cause of bleeding from the lower reproductive tract.

Lesions and cracks on the vulva may also bleed. Sometimes bleeding occurs after intercourse. Bleeding can occur with or without an associated infection.



Bleeding from the upper reproductive system can be caused by:

- Hormone replacements
- Endometrial cancer
- Endometrial polyps
- Cervical cancer
- Cervical lesions
- Uterine tumors
- Ovarian cancer
- Estrogen-secreting tumors in other parts of the body

Postmenopausal vaginal bleeding must always be investigated. In the majority of cases no serious problem will be found but there are times when the bleeding is the first symptom of serious disease including cancer. Even when the bleeding is related to cancer, if it is diagnosed early there is a very good chance that the disease can be cured

From : answers.com , 2womenshealth.com , womentowomen.com