Management of Common Benign Gynecologic Diseases in Postmenopausal Women

J Menopausal Med. 2024 Dec;30(3):135-142. doi: 10.6118/jmm.24017.

Abstract

This study investigated the impact of menopause on the progression and management of common benign gynecological conditions such as polycystic ovary syndrome, endometriosis, uterine fibroids, and adenomyosis. These conditions often present with menstruation-related symptoms such as irregular cycles, heavy bleeding, and pelvic pain. While these symptoms typically subside after menopause, the underlying pathology of such benign gynecological conditions may be differentially affected by the physiological changes associated with menopause, sometimes leading to exacerbation or additional management challenges. Although rare, the potential for malignant transformation remains a concern. This study aims to elucidate the shifts in management strategies from the reproductive years to postmenopause. It highlights the necessity for a tailored approach to hormone therapy and surgical interventions based on the individual patient's health profile and the specific characteristics of each condition.

Keywords: Adenomyosis; Endometriosis; Leiomyoma; Polycystic ovary syndrome; Postmenopause.

Publication types

  • Review