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Dr. Juliana Kling - Good Sleep Quality Matters

Published on: 06.01.2021
Associated with: Menopause. 28(6):619-625, June 2021

Dr. Juliana Kling, first author, describes a summary of findings from their manuscript “Associations of Sleep and Female Sexual Function: Good Sleep Quality Matters.” The evaluated potential associations between sleep (quality and duration) and sexual function using validated tools after accounting for factors that may influence both outcomes. Overall, poor sleep quality was associated with a greater risk for Female Sexual Dysfunction. While shorter sleep duration correlated with a greater risk for FSD on univariate analysis, this finding appears to be moderated by other factors known to associate with both short sleep duration and FSD. Conversely, good sleep quality was associated with sexual activity. Therefore, this study shows that sleep quality appears to be linked to female sexual function and sexual activity. In addition to its myriad effects on health, poor sleep quality may be independently associated with FSD.

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143 Videos

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Creator: Meiyuzhen Qi

Duration: 4:10

This video is related to the specific topic of the manuscript titled “Lipoprotein subfractions and subclinical vascular health in middle aged women: Does menopause status matter?”

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Video summary to accompany “Barriers to surgical menopause counseling of gynecologic cancer patients: a quantitative and qualitative study of patients and providers”

Creator: Connor Wang, MD

Duration: 7:01

This is a video summary to accompany our paper titled “Barriers to surgical menopause counseling of gynecologic cancer patients: a quantitative and qualitative study of patients and providers.” Here, we describe our institutional mix-methods study evaluate patient and provider perspectives regarding management of and barriers to surgical menopause counseling for patients with gynecologic cancers.

Play

Lessons learned in clinical research recruitment of midlife Latinas during COVID-19

Creator: Mayra Duran, MD and Yamnia I. Cortés, PhD, MPH, FNP-BC

Duration: 4:53

This video summarizes lessons learned in the recruitment and enrollment of midlife Latinas for a pilot study to reduce cardiovascular disease risk during the menopause transition.

Play

Validation of the Menopause Transition Scale (MTS)

Creator: Missy Richeal, Leverage Marketing

Duration: 4:32

The MTS is a thorough patient-centric survey to measure symptoms of menopause as women transition in the outpatient setting.

Play

The association between shift work exposure and the variations in age at natural menopause among adult Canadian workers: Results from the Canadian Longitudinal Study on Aging (CLSA)

Creator: Durdana Khan

Duration: 3:03

This video summary provides a brief overview of the research investigating associations between shift work (SW) exposure (night and rotating shift) and the variations in age at natural menopause among adult Canadian workers. Secondary data analyses were performed using the Canadian Longitudinal Study on Aging (CLSA) database. Premenopausal women at baseline were followed prospectively for three years. Our results suggest a relationship between shift work, particularly rotating shift, and delayed onset of menopause. We speculate that disruptive circadian stimuli may play a role in menopausal onset and this warrants further investigation.

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Positive impact of a co-designed digital resource for women with early menopause

Creator: Clinical Associate Professor Amanda Vincent, Monash Centre for Health Research and Implementation, Monash University, Melbourne Australia

Duration: 4:17

Early menopause, defined as menopause before age 45 years, affects up to 12% of women. This video summarizes a study evaluating the first co-designed digital resource (www.healthtalkaustralia.org) specifically for women with early menopause.

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Goetsch - Where does postmenopausal dyspareunia hurt?

Creator: Linda Besant

Duration: 5:47

The video introduces an article presenting data from 55 participants eligible for a randomized intervention study to treat moderate/severe postmenopausal dyspareunia. It discusses whether it deserves a broader explanation than that of atrophy. Participants described dyspareunia as “burning” and “raw.” GU examinations carefully checked for painful locations. Vulvar vestibule tenderness, rather than vaginal sensitivity, was the consistent physical finding. Liquid lidocaine could extinguish the pain. A neural phenomenon in the vestibule may be responsible for postmenopausal dyspareunia.

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Meno presentation eVISIT

Creator: Marcus Ortega

Duration: 5:23

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Managing Sexual Dysfunction in Women with Cancer: A Systematic Review of the Evidence

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Duration: 2:51

This video describes a systematic review of the efficacy of available interventions for sexual dysfunction in women after cancer.

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Creator: Caroline Mitchell

Duration: 5:36

In this video we discuss analysis of Female Sexual Function Index (FSFI) responses in close to 1000 women, and identify a score cutoff that more closely correlates with sexually-related personal distress (as measured by the FSDS-R) in postmenopausal and perimenopausal women.

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Metabolic effects of menopause: a cross-sectional characterization of body composition and exercise metabolism

Creator:

Duration: 5:16

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Psychological Well-Being of Midlife Women

Creator: Jiwon Lee, PhD

Duration: 4:01

This study used a structural equation model to test the significance of factors associated with the psychological well-being of midlife women in South Korea based on the transactional model of stress and coping. Self-efficacy (exogenous variable) was positively associated with the psychological well-being (endogenous variable) of middle-aged women and appeared to be mediated by perceived stress, menopausal management, menopausal symptoms, and self-compassion. The predictor variables had an explanatory power of 79.5% for psychological well-being. These results can be helpful in the future development of interventions to improve psychological well-being by improving self-efficacy and coping with stress in middle-aged women.

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Effects of E2/P4 oral capsules on bone turnover in women with vasomotor symptoms

Creator: Michael McClung, MD; Sponsored by TherapeuticsMD

Duration: 4:41

In this video, Dr. Michael McClung describes the effects of preparations combining 0.5 mg and 1.0 mg 17β-estradiol with 100 mg of progesterone on biochemical markers of bone metabolism in postmenopausal women with a uterus who were having moderate to severe vasomotor symptoms. This was a post hoc analysis in a subset of women in the REPLENISH study that evaluated the effects of these preparations on vasomotor symptoms. Both of the combined hormone preparations significantly reduced markers of bone resorption and formation at 6 and 12 months of therapy. The research described by Dr McClung suggests that these combinations of estradiol and progesterone may have skeletal benefit in addition to improving vasomotor symptoms in postmenopausal women.

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NT-proBNP, Menopause and Heart Failure

Creator: Aniekan Akpaffiong

Duration: 4:01

The influence of early menopause on the relationship between NT-proBNP and heart failure in postmenopausal women.

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Oral Contraceptives Tubal Ligation and AMH - Langton

Creator: Christine R. Langton

Duration: 3:28

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Play

Is the cognitive performance of women sensitive to the severity of menopausal symptoms?

Creator: Mankamal Kaur

Duration: 4:54

The video summarizes the statistical methods used and the major findings of the research article entitled ‘Is the cognitive performance of women sensitive to the severity of menopausal symptoms?’. The clinical implications of the current research has also been discussed in the video.

Play

Decision aids and shared decision making in urogynecology

Creator: May Wakamatsu, MD

Duration: 4:15

The video describes the importance of shared decision making and the use of decision aids with patients who are considering treatment for pelvic organ prolapse and urinary incontinence.

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Factors affecting surgical decision making in carriers of BRCA1/2 pathogenic variants undergoing risk reducing surgery at a dedicated hereditary ovarian cancer clinic

Creator: Michelle Jacobson MD FRCSC NCM

Duration: 3:54

This video summarizes the paper entitled “Factors Affecting Surgical Decision Making in Carriers of Pathogenic BRCA1/2 Variants at a Hereditary Ovarian Cancer Clinic” and describes the role of the dedicated hereditary ovarian cancer clinic at a tertiary care centre.

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Gastrointestinal symptoms in four major racial/ethnic groups of midlife women: race/ethnicity and menopausal status

Creator: Gayeong Kim

Duration: 6:07

The purpose of this study was to explore the associations of race/ethnicity and menopausal status to gastrointestinal (GI) symptoms experienced during the menopausal transition while considering multiple factors that could influence the symptoms.

Play

Prevalence and factors associated with overactive bladder and stress urinary incontinence in the Japan Nurses' Health Study

Creator: Kazue Nagai

Duration: 5:21

Symptoms of urinary incontinence (e.g., stress urinary incontinence [SUI]) are relatively common in women. Furthermore, overactive bladder (OAB) syndrome occurs in approximately 10% of women. Symptoms of these conditions affect health-related quality of life. Therefore, a better understanding of the prevalence and associated factors of these urinary symptoms is required for improving and preventing these symptoms. This study investigated the prevalence and factors associated with urinary symptoms using cross-sectional data from the Japan Nurses’ Health Study in 12,198 women. The prevalence of OAB was 9.5%, that of SUI was 13.9%, and that of mixed urinary incontinence was 2.1%. Age 45-54 years and postmenopausal status was significantly associated with OAB, and age group (45–49 and 50–54 years), body mass index, and parous status were significantly associated with the risk of SUI.

Play

PCA of lipoproteins and vascular health

Creator: Meiyuzhen Qi

Duration: 4:10

This video is related to the specific topic of the manuscript titled “Lipoprotein subfractions and subclinical vascular health in middle aged women: Does menopause status matter?”

Play

Video summary to accompany “Barriers to surgical menopause counseling of gynecologic cancer patients: a quantitative and qualitative study of patients and providers”

Creator: Connor Wang, MD

Duration: 7:01

This is a video summary to accompany our paper titled “Barriers to surgical menopause counseling of gynecologic cancer patients: a quantitative and qualitative study of patients and providers.” Here, we describe our institutional mix-methods study evaluate patient and provider perspectives regarding management of and barriers to surgical menopause counseling for patients with gynecologic cancers.

Play

Lessons learned in clinical research recruitment of midlife Latinas during COVID-19

Creator: Mayra Duran, MD and Yamnia I. Cortés, PhD, MPH, FNP-BC

Duration: 4:53

This video summarizes lessons learned in the recruitment and enrollment of midlife Latinas for a pilot study to reduce cardiovascular disease risk during the menopause transition.

Play

Validation of the Menopause Transition Scale (MTS)

Creator: Missy Richeal, Leverage Marketing

Duration: 4:32

The MTS is a thorough patient-centric survey to measure symptoms of menopause as women transition in the outpatient setting.

Play

Positive impact of a co-designed digital resource for women with early menopause

Creator: Clinical Associate Professor Amanda Vincent, Monash Centre for Health Research and Implementation, Monash University, Melbourne Australia

Duration: 4:17

Early menopause, defined as menopause before age 45 years, affects up to 12% of women. This video summarizes a study evaluating the first co-designed digital resource (www.healthtalkaustralia.org) specifically for women with early menopause.

Play

Meno presentation eVISIT

Creator: Marcus Ortega

Duration: 5:23

Pilot Study of Asynchronous Telehealth Visits Effectively Treats Overactive Bladder

Play

Managing Sexual Dysfunction in Women with Cancer: A Systematic Review of the Evidence

Creator: Dr. Jennifer Marino

Duration: 2:51

This video describes a systematic review of the efficacy of available interventions for sexual dysfunction in women after cancer.

Play

Toward a better measure of midlife sexual function: pooled analysis in nearly 1000 women participating in MsFLASH randomized trials

Creator: Caroline Mitchell

Duration: 5:36

In this video we discuss analysis of Female Sexual Function Index (FSFI) responses in close to 1000 women, and identify a score cutoff that more closely correlates with sexually-related personal distress (as measured by the FSDS-R) in postmenopausal and perimenopausal women.

Play

Metabolic effects of menopause: a cross-sectional characterization of body composition and exercise metabolism

Creator:

Duration: 5:16

This video is a summary of the manuscript titled ‘Metabolic effects of menopause: a cross-sectional characterization of body composition and exercise metabolism.’ The video discusses briefly the background, purpose, results, and conclusions of this study. Peri-menopause may be the optimal window for intervention, and these women should aim to prevent losses of fat-free mass and decrements in metabolism by participating in resistance and high-intensity exercise.

Play

Psychological Well-Being of Midlife Women

Creator: Jiwon Lee, PhD

Duration: 4:01

This study used a structural equation model to test the significance of factors associated with the psychological well-being of midlife women in South Korea based on the transactional model of stress and coping. Self-efficacy (exogenous variable) was positively associated with the psychological well-being (endogenous variable) of middle-aged women and appeared to be mediated by perceived stress, menopausal management, menopausal symptoms, and self-compassion. The predictor variables had an explanatory power of 79.5% for psychological well-being. These results can be helpful in the future development of interventions to improve psychological well-being by improving self-efficacy and coping with stress in middle-aged women.

Play

Is the cognitive performance of women sensitive to the severity of menopausal symptoms?

Creator: Mankamal Kaur

Duration: 4:54

The video summarizes the statistical methods used and the major findings of the research article entitled ‘Is the cognitive performance of women sensitive to the severity of menopausal symptoms?’. The clinical implications of the current research has also been discussed in the video.

Play

Gastrointestinal symptoms in four major racial/ethnic groups of midlife women: race/ethnicity and menopausal status

Creator: Gayeong Kim

Duration: 6:07

The purpose of this study was to explore the associations of race/ethnicity and menopausal status to gastrointestinal (GI) symptoms experienced during the menopausal transition while considering multiple factors that could influence the symptoms.

Play

Prevalence and factors associated with overactive bladder and stress urinary incontinence in the Japan Nurses' Health Study

Creator: Kazue Nagai

Duration: 5:21

Symptoms of urinary incontinence (e.g., stress urinary incontinence [SUI]) are relatively common in women. Furthermore, overactive bladder (OAB) syndrome occurs in approximately 10% of women. Symptoms of these conditions affect health-related quality of life. Therefore, a better understanding of the prevalence and associated factors of these urinary symptoms is required for improving and preventing these symptoms. This study investigated the prevalence and factors associated with urinary symptoms using cross-sectional data from the Japan Nurses’ Health Study in 12,198 women. The prevalence of OAB was 9.5%, that of SUI was 13.9%, and that of mixed urinary incontinence was 2.1%. Age 45-54 years and postmenopausal status was significantly associated with OAB, and age group (45–49 and 50–54 years), body mass index, and parous status were significantly associated with the risk of SUI.

Play

Hormone therapy in menopausal women with hypothyroidism

Creator: Juliana Kaminski

Duration: 3:17

This video describes the rationale for our study and briefly summarizes the findings

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Weight regulation in menopause

Creator: Dr. Michael G. Knight

Duration: 2:38

Obesity is an epidemic that affects post-menopausal women at increased rates. This review discusses the physiology, assessment, and effective treatment strategies for the treatment of obesity in this population.

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Effect of an educational intervention on women's healthcare provider knowledge gaps about breast density, breast cancer risk, and screening

Creator: Robin Seitzman, PhD, MPH

Duration:

Overview of a study to assess the effect of a web-based educational intervention on women’s healthcare provider knowledge of breast density, its risk and screening implications, and comfort level in discussing these topics with patients.

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Prof Martha Hickey - Department of Obstetrics & Gynaecology, The University of Melbourne

Creator: Prof Martha Hickey

Duration: 9:48

A Core Outcome Set for vasomotor & genitourinary symptoms associated with menopause: The COMMA (Core Outcomes in Menopause) global initiative.

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Equol and Obesity

Creator: Atsushi Takahashi

Duration: 3:28

In this video, Dr. Takahashi provides a summary of article　“Association of equol with obesity in postmenopausal women.”

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Genitourinary syndrome of menopause: A systematic review on prevalence and treatment

Creator: Nikoletta Mili

Duration: 6:03

Video summary of the article entitled “Genitourinary syndrome of menopause: A systematic review on prevalence and treatment”. This article aimed to systematically review the literature to investigate the prevalence of GSM and its treatment. GSM is a highly prevalent condition among women. Nevertheless, women are frequently not aware of its cause and its treatment options. The findings of this review underline the need for education of patients and health care professionals regarding GSM diagnosis and treatment options.

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Patient centered approach : Genitourinary Syndrome of menopause

Creator: Nancy Phillips & Gloria Bachmann

Duration: 2:58

Drs Phillips and Bachmann introduce their manuscript via a role play of physician/patient discussing GSM

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Duration: 4:22

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Play

HDL-C and arterial calcification in midlife women: The contribution of estradiol and C-reactive protein

Creator: Gretchen Swabe

Duration: 3:05

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Play

Sexual Function and Menopause Transition

Creator: Krzysztof Nowosielski

Duration: 6:25

The video presents the results on the study on body image, sexual function, sexual problems and sexual dysfunction in women between 45 and 55 years old, who use menopausal hormonal therapy in comparison with non-users.

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Efficacy of progesterone-only treatment for the management of menopausal symptoms: A systematic review

Creator: Sarah Sheehan Stadler, MD

Duration: 3:51

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Age at menarche and Cardiovascular Health

Creator: Yi Zheng

Duration: 5:22

Age at menarche is predictive of cardiovascular health among young women, which may be used to identify high-risk population and guide targeted interventions to maintain and improve women’s cardiovascular health.

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Improving the Identification of Genitourinary Syndrome of Menopause through the Utilization of the Day-to-Day Impact of Vaginal Aging Questionnaire

Creator: Jennie Mastroianni, DNP

Duration: 5:18

Genitourinary syndrome of menopause (GSM) affects nearly 50% of postmenopausal women. Yet, it is a problem that is difficult for both providers and patients to discuss—particularly the impact of GSM symptoms on a women’s daily activities. This quality improvement project implemented the Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire to improve the identification and diagnosis of GSM. Our findings support the use of the DIVA questionnaire as an efficient tool in a busy women’s health practice setting to facilitate GSM identification and diagnosis.

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Perimenopausal vasomotor symptoms and the cortisol awakening response

Creator: Jennifer Gordon

Duration: 3:45

Summary of “Perimenopausal vasomotor symptoms and the cortisol awakening response”

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The role of commonly prescribed medications and weight gain in menopause- A Women’s Health Initiative study

Creator: Fatima Cody Stanford, MD, MPH, MPA

Duration: 5:25

This video explains how weight promoting medications may lead to weight gain in women during menopause. It should be noted that hormonal changes associated with menopause already lead to weight gain. However, weight gain may be exacerbated with the use of several commonly prescribed medications.

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Depression, hormone therapy and the menopausal transition among women aged 45-64 years using Canadian Longitudinal Study on Aging baseline data

Creator: Alison Shea

Duration: 5:07

The menopause transition is a vulnerable time for mental health and it is important to better understand the risk factors for depression during this time. This study using baseline data from the Canadian Longitudinal Study on Aging shows that premature menopause and the use of hormone therapy, as well as low education, low household income, living alone, being nulliparous, and having low social support are associated with current depression measured using the Center for Epidemiologic studies Short Depression Scale.

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Cervicovaginal lavage fluid zinc level as a marker of vaginal atrophy

Creator: Bence Kozma MD PhD / No Sponsor

Duration: 3:15

Many studies suggest that zinc levels may correlate with some vaginal conditions, but the role in the diagnosis of Genitourinary syndrome of Menopause or Vulvovaginal Atrophy is not known. Cervicovaginal lavage has been widely used to investigate changes in the vagina. In our prospective cohort study the multivariate regression model revealed a significant association between vaginal atrophy and cervicovaginal lavage zinc levels. Measuring the amount of zinc in cervicovaginal lavage could aid in the diagnosis of Genitourinary syndrome of Menopause. Zinc levels of cervicovaginal lavage could be used as a new marker of vaginal atrophy.

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Midlife Women and Physical Activity Measurement

Creator: Creator: Rowan University Clinical Health And Social Experiences (CHASE) research team

Duration: 4:53

Detailed description of new research demonstrating that different quantification methods for measuring midlife women’s physical activity produce meaningfully different conclusions about activity engagement in this population.

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Mental well-being and menopause

Creator: Dmitriy Bondarev

Duration: 4:32

Mental well-being and menopause

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Interaction between postmenopausal hormone therapy and diabetes on cataract.

Creator: Christy Costanian

Duration: 3:36

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Causes of low libido in postmenopausal women

Creator: Holly Thomas

Duration: 2:44

Dr. Holly Thomas, Associate Professor of Medicinefrom the University of Pittsburgh describes herresearch, in which she conducted interviews andfocus groups with women aged 60 and older toidentify causes of low libido. Postmenopausalvaginal symptoms, erectile dysfunction in malepartners, and life stressors were identified as majorcontributors. She ends with recommendations forhealthcare providers.

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Safety of Vaginal Estrogens: A Recap of a Systematic Review

Creator: Carolyn J. Crandall, MD, MS

Duration: 4:34

In this video, Dr. Carolyn J. Crandall describes the key findings and clinical “take-home messages” of the systematic review regarding safety of vaginal estrogens that her team recently performed.

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Aging-Related Hormonal Decline in Postmenopausal Women Improved with Resistance Exercise Training

Creator: Elizabeth J. Pekas

Duration: 4:28

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Exercise and physical function in postmenopausal women

Creator: Paulo Ricardo Prado Nunes

Duration: 03:26

- The exercise guidelines recommend 150 minutes/week of combined training (CT), aerobic and resistance exercises, for improvements in body composition (BC), muscle strength (MS) and physical function (PF). However, the lack of time and access to physical training facilities are commons barriers for people not to comply with the exercise guidelines.

- The high-intensity interval training (60 minutes/week - HIIT) is an exercise strategy to overcome the time commitment problem. However, there is no evidence regarding the HIIT effects on MS and PF.

- This study compared the effects of HIIT with CT on PF, BC and MS in obese postmenopausal women.

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Are women still sexually active after menopause?

Creator: Sussex Health Outcomes Research & Education in Cancer; filmed and edited by Matt Bemment, Communication Assistant, Brighton and Sussex Medical School

Duration: 4:35

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Visual Assessment of Genital Health in Menopausal Women

Creator: Irwin Goldstein, MD

Duration: 3:48

This is a phase 3 pivotal trial of ospemifene versus placebo in women in menopause with moderate to severe vaginal dryness, a symptom of GSM. On physical examination, such women commonly have vulvar, vestibular and vaginal atrophy. This study, for the first time, utilized vulvar vestibular photography to objectively document changes in genital health. There were no changes noted in photography on placebo, however active therapy with a SERM resulted in regrowth of labia minora, normalization of the urethral gland prominence, resolution of the pallor and erythema of the vestibule and visualization of vestibular moisture. Visual assessment of genital health in such patients should be utilized in future trials.

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