title: [Clinical practice guideline. Diagnosis and treatment of postmenopausal and perinemopausia].
abstract: Post-menopause is the period of life where a deep decline occurs in circulating estrogen levels, inducing the appearance of psycho and somatic symptoms. The classification to understand the chronology of reproductive aging in women (known as STRAW) determines the clinical and endocrine changes contemplating menstrual cycles, symptoms, measurements of FSH, LH, inhibin B, anti-Mullerian hormone , and follicular account. The diagnosis of menopause is established by the absence of menstruation for 12 months or more. The most frequent clinical manifestations of the climacteric syndrome transition to menopause are menstrual disorders, vasomotor symptoms (flushes and/or sweats) and genitourinary manifestations. The assessment of women in the peri- or postmenopause aims to develop: cervicovaginal cytology , lipid profile , serum glucose, basal Mammography at least a year before, pelvic ultrasound, urinalysis, serum TSH, Densitometry in patients older than 60 years if there is no recourse can be applied and FRAX. Drug therapy for the treatment of disorders of the transition to menopause or menopause is divided into: hormone therapy (HT) based estrogens and progestin hormone not being the most recommended the serotonin reuptake inhibitors and norepinephrine, clonidine, gabapentin or veralipride.
authors.affiliation: Asociación Mexicana para el Estudio del Climaterio, Distrito Federal, México. dra.basa06@gmail.com.
authors.forename: Alberto
authors.initials: A
authors.lastname: Alvarado-García
authors.forename: Tomás
authors.initials: T
authors.lastname: Hernández-Quijano
authors.forename: Marcelino
authors.initials: M
authors.lastname: Hernández-Valencia
authors.forename: Miriam Concepción
authors.initials: MC
authors.lastname: Negrín-Pérez
authors.forename: Brendha
authors.initials: B
authors.lastname: Ríos-Castillo
authors.forename: Gregorio Urbano
authors.initials: GU
authors.lastname: Valencia-Pérez
authors.forename: Víctor Saúl
authors.initials: VS
authors.lastname: Vital-Reyes
authors.forename: María Antonia
authors.initials: MA
authors.lastname: Basavilvazo-Rodríguez
authors.forename: Laura Pilar
authors.initials: LP
authors.lastname: Torres-Arreola
authors.forename: Guillermo Federico
authors.initials: GF
authors.lastname: Ortiz-Luna
authors.forename: Fernando
authors.initials: F
authors.lastname: Sánchez-Aguirre
authors.forename: Armando
authors.initials: A
authors.lastname: Montaño-Uscanga
mesh_terms: D005260:Female; D052776:Female Urogenital Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019584:Hot Flashes / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008593:Menopause / Q000502:physiology*; D008599:Menstruation Disturbances / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015663:Osteoporosis, Postmenopausal / Q000175:diagnosis / Q000628:therapy; D017698:Postmenopause / Q000502:physiology; D013577:Syndrome
keywords: Aging; Menopause; Postmenopausal