ALGORITHM OF MANAGEMENT OF PATIENTS WITH SYMPTOMS OF VULVOVAGINAL ATROPHY/GENITOURINARY MENOPAUSAL SYNDROME

Ermakova E.I.

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Moscow

References

1. Portman D.J., Gass M.L. Vulvovaginal Atrophy Terminology Consensus Conference Panel. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and the North American Menopause Society. Menopause. 2014; 21(10): 1063-8. https://doi.org/10.1097/GME.0000000000000329.

2. Юренева С.В., Ермакова Е.И., Глазунова А.В. Диагностика и терапия генитоуринарного менопаузального синдрома у пациенток в пери- и постменопаузе (краткие клинические рекомендации). Акушерство и гинекология. 2016; 5: 138-44. [Yureneva S.V., Ermakova E.I., Glazunova A.V. Genitourinary syndrome of menopause in peri- and postmenopausal patients: Diagnosis and therapy (short clinical guideline). Obstetrics and Gynecology. 2016; 5: 138-44. (in Russian)]. https://dx.doi.org/10.18565/aig.2016.5.138-144.

3. The North American Menopause Society. Management of symptomatic vulvovaginal atrophy: 2013 position statement of The North American Menopause Society. 2013; 20(9): 888-902; quiz 903-4. https://doi.org/10.1097/GME.0b013e3182a122c2.

4. Frank S.M., Ziegler C., Kokot-Kierepa M., Maamari R., NappiR.E. Vaginal Health: Insights, Views & Attitudes (VIVA) survey — Canadian cohort. Menopause. 2013; 19(1): 20-7. https://doi.org/10.1258/mi.2012.012034.

5. Briggs P. Genitourinary syndrome of menopause. Post Reprod. Healh. 2020; 26(2): 111-4. https://doi.org/10.1177/2053369119884144.

6. Министерство здравоохранения Российской Федерации. Клинические рекомендации «Менопауза и климактерическое состояние у женщин». 2021. https://cr.minzdrav.gov.ru/recomend/117_2 [Ministry of Health of the Russian Federation. Clinical recommendations „Menopause and menopausal condition in women”. 2021. (in Russian)]. https://cr.minzdrav.gov.ru/recomend/117_2

7. Rueda C., Osorio A.M., Avellaneda A.C., Pinzon C.E., Restrepo O.I. The efficacy and safety of estriol to treat vulvovaginal atrophy in postmenopausal women: a systematic literature review. Climacteric. 2017; 20(4): 321-30. https://doi.org/10.1080/13697137.2017.1329291.

8. Weidlinger S., Schmutz C., Janka H., Gruetter C., Stute P. Sustainability of vaginal estrogens for genitourinary syndrome of menopause — a systematic review. Climacteric. 2021; 24(6): 551-9. https://doi.org/10.1080/13697137.2021.1891218.

9. Hirschberg A.L., Bitzer J., Cano A., Ceausu I., Chedraui P. et al. Topical estrogens and non-hormonal preparations for postmenopausal vulvovaginal atrophy: An EMAS clinical guide. Maturitas. 2021; 148: 55-61. https://doi.org/10.1016/j.maturitas.2021.04.005.

10. Tersigni C., Di Simone N., Tempestilli E., Cianfrini F., Russo R., Moruzzi M.C. et al. Non-hormonal treatment of vulvo-vaginal atrophy-related symptoms in post-menopausal women. J Obstet Gynaecol. 2015; 35(8): 835-8. https://doi.org/10.3109/01443615.2015.1014326.

11. Hirschberg A.L., Bitzer J., Cano A., Ceausu L., Chedraui P. et al. Topical estrogens and non-hormonal preparations for postmenopausal vulvovaginal atrophy: An EMAS clinical guide. Maturitas. 2021; 148: 55-61. https://doi.org/10.1016/j.maturitas.2021.04.005.

12. dos Santos C.C.M., Uggioni M.L.R., Colonetti T., Colonetti L., Grande A.J., Da Rosa M.I. Hyaluronic Acid in Postmenopause Vaginal Atrophy: A Systematic Review. J Sex Med. 2021;18(1): 156-66. https://doi.org/10.1016/j.jsxm.2020.10.016.

13. Lima S.M.R.R., Honorato J.V., Silva M.A.L.G. Glycine Max (L.) Merr isoflavone gel improves vaginal vascularization in postmenopausal women. Climacteric. 2020; 23(5): 505-10. https://doi.org/10.1080/13697137.2020.1752172.

14. Доброхотова Ю.Э., Ильина И.Ю., Венедиктова М.Г., Морозова К.В., Суворова В.А. Локальная негормональная терапия больных с генитоуринарным менопаузальным синдромом. Российский вестник акушера-гинеколога. 2018; 18(3): 88-94. [Dobrokhotova Iu.E., Ilyina I.Yu., Venediktova M.G., Morozova K.V., Suvorova V.A. Local nonhormonal therapy in patients with genitourinary menopausal syndrome. Russian Bulletin of Obstetrician-Gynecologist. 2018; 18(3): 8894. (in Russian)]. https://doi.org/10.17116/rosakush201818288-94.

15. Инструкция-аннотация по применению крема по интимной гигиене дозированного «Эстрогиал плюс», «Эстрогиал», инструкция-аннотация по применению интимного геля «Эстрогиал Гель». СГР: №BY.70.06.01.001.E.003744.09.16,CrP: № KG 11.01.09.001.R.004986.11.19 от 21.11.2019, СГР: № KG 11.01.09.001.R.004985.11.19 от 21.11.2019. [Instruction-annotation on the use of cream for intimate hygiene dosed „Estrogial plus”, „Estrogial”, instructionannotation on the use of intimate gel „Estrogial Gel”. SGR: NO.BY.70.06.01.001.E.003744.09.16,SGR: No. KG 11.01.09.001.R.004986.11.19 of 21.11.2019, SGR: No. KG 11.01.09.001.R.004985.11.19 of 21.11.2019. (in Russian)].

About the Authors

Elena I. Ermakova, PhD, Senior Researcher, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Member of Russian Menopause Society, +7(916)848-37-46, e_ermakova@oparina4.ru, https://orcid.org/0000-0002-6629-051X, 4, Oparina str., Moscow, 117997, Russian Federation.
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