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https://hdl.handle.net/2440/63923
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Type: | Journal article |
Title: | Updated clinical recommendations for the use of tibolone in Asian women |
Author: | Huang, Ko-En Baber, Rodney J. MacLennan, Alastair Harvey |
Citation: | Climacteric, 2010; 13:317-327 |
Publisher: | Parthenon Publishing Group |
Issue Date: | 2010 |
ISSN: | 1369-7137 |
School/Discipline: | School of Paediatrics and Reproductive Health : Obstetrics and Gynaecology |
Statement of Responsibility: | K-E. Huang and R. Baber, on behalf of the Asia Pacific Tibolone Consensus Group |
Abstract: | Tibolone, which is indicated for the relief of climacteric symptoms and the prevention of osteoporosis in postmenopausal women, has a tissue-specific mode of action different to that of conventional hormone replacement therapy (HRT). A large proportion of Asian postmenopausal women experience symptoms that most frequently include musculoskeletal pain, insomnia, forgetfulness, hot flushes and sexual dysfunction, and there is a need to address their specific requirements. Recent studies show that, in comparison to HRT, tibolone is as effective in alleviating menopausal symptoms and preventing bone loss, has a greater positive effect on sexual dysfunction and is associated with less vaginal bleeding, but it is rarely mentioned in guidelines for menopausal treatment. Levels of awareness amongst women about treatments for menopausal symptoms vary between Asian countries but, even in countries where awareness is high, HRT usage is much lower than in the West. To provide a practical approach to the use of tibolone in Asian postmenopausal women, a panel of experts in the management of menopause from 11 Asia Pacific countries has developed recommendations for its use, based on the evidence from clinical studies published since 2005. However, as much of the clinical data reviewed are from international studies, the recommendations and the treatment algorithm presented here are widely applicable. |
Keywords: | tibolone; postmenopausal; asian; treatment algorithm; review |
Rights: | Copyright 2010 International Menopause Society |
DOI: | 10.3109/13697131003681458 |
Appears in Collections: | Obstetrics and Gynaecology publications |
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