雌激素与女性健康概要.ppt

其实在女性一生当中，很多时候都非常需要外源性荷尔蒙的帮助 她可以协助我们维持体内荷尔蒙平衡、补充不足 还可以帮助我们实现控制生育、保护生殖健康、治疗常见妇科疾病的重要目的 第一个目的用在雌激素缺乏的病人，哪些疾病属于雌激素缺乏的疾病，闭经的病人缺雌激素，绝经的病人也缺雌激素。另外药物引起的雌激素缺乏也需要补充，这三大类是临床上常需要用雌激素的。第二类不缺雌激素，但是要用雌激素的某些功能解决某些问题。比如功血的病人需要止血，还有人工内膜，这些不缺雌激素，但是需要用它的某些功需要强调的是，复方口服避孕药适合健康女性长期使用 但同时也要澄清一个概念——复方口服避孕药与紧急避孕药完全不同，紧急避孕药不能频繁使用，否则会对健康造成不利影响 目前市场上以进口品牌为主，这些品牌在国外都有10年以上的使用经验 需要强调的是，复方口服避孕药适合健康女性长期使用 但同时也要澄清一个概念——复方口服避孕药与紧急避孕药完全不同，紧急避孕药不能频繁使用，否则会对健康造成不利影响 关键信息点： 从表中可以看出，50岁以上绝经女性人数逐年增加，从1982年我国绝经女性人数为0.7亿增加到2008年的1.8亿 Angeliq_04.ppt * * STRAW divided the adult female life into three broad phases: reproductive, the menopausal transition, and postmenopause. These three phases included a total of seven stages centered on the FMP (Stage 0) 1 – 4 . The reproductive phase was divided into Stages 5, 4, and 3 corresponding to early, peak, and late, respectively. The menopausal transition phase consisted of Stage 2 (early) and Stage 1 (late), and the postmenopause phase contained Stages 1 (early) and 2 (late). Stage 3 was characterized by regular menstrual cycles and increasing levels of FSH. Stage 2 was characterized by variability in menstrual cycle length and increased levels of FSH. Stage 1 was characterized by onset of skipped cycles or amenorrhea of at least 60 days and continued elevation of FSH. * * ANGELIQ?: Number bleeding days by cycle Angeliq?; a continuous combined preparation, is given with the intent of avoiding the regular withdrawal bleeding associated with cyclic or sequential HRT. During the first months of treatment, bleeding and spotting are quite common but decrease with time. Compliance, especially with continuous combined preparations, is strongly related to the bleeding profile which needs to meet the womens expectations of a no-bleed treatment . Results from the Endometrium Study I demonstrated that with Angeliq?, a total of 88% of women had no bleeding after 12 months. The bleeding profile for Angeliq? was very good. The mean number of bleeding days per cycle a