荷尔蒙治疗-台中荣民总医院.PPT

Review and Update on Hormone Therapy 臺中榮民總醫院 婦產部 生殖醫學科 陳明哲 醫師 Menopause Terminology FS 2001;76:874 Age of perimenopause Maturita 1992;14:103 Factors that accelerate ovarian aging Smoking Chemotherapy Radiation Inborn error of metabolism Subtle genetic abnormalities Autoimmune disorders Pelvic surgery COH? ART? Is this women perimenopausal? JAMA 2003;289:895  Definition of perimenopause (45 ~ 55 y/o) - amenorrhea for 3 to 11 months or irregular periods - ill-defined and poorly studied Age Self-assessment of going through