The Evolution of Menopause Care

• 1930s Allan Barnes : Menopause is called pathologic, and physicians treated it so

• 1976: Climacteric was defined and differentiated from climacteric syndrome, this word has mostly passed from our vocabulary, now replaced by perimenopause, menopause and postmenopause

• 2005: State of the Science Panel at the NIH: Experts declared that the symptoms that women get around the time of their life that they undergo menopause are not all related to the hormonal changes. They felt that there was strong evidence for the vasomotor symptoms (hot flashes) and vaginal dryness being caused by the lack of estrogen, and moderately good evidence that menopause is cause of sleep disturbances, and in spite of some studies to the contrary that there was only poor evidence for the psychological changes women get at this time to actually be due to menopause symptoms. The topic continues to be debated.

• Now the debate is raging on and scientific papers have been coming in at a fierce pace: SWAN study: over 200 publications and counting still looking good.


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