Tratamiento no hormonal del síndrome genitourinario de la menopausia

Non-hormonal treatment of genitourinary syndrome of menopause

Publicado 2021-04-20


https://doi.org/10.30554/archmed.21.2.3996.2021
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Espitia de la Hoz, F. J. (2021). Tratamiento no hormonal del síndrome genitourinario de la menopausia: Non-hormonal treatment of genitourinary syndrome of menopause. Archivos De Medicina , 21(2). https://doi.org/10.30554/archmed.21.2.3996.2021
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Espitia de la Hoz, F. J. (2021). Tratamiento no hormonal del síndrome genitourinario de la menopausia: Non-hormonal treatment of genitourinary syndrome of menopause. Archivos De Medicina , 21(2). https://doi.org/10.30554/archmed.21.2.3996.2021

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Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Franklin José Espitia de la Hoz
Director Científico: Hathor, Clínica Sexológica. Armenia, Quindío
https://orcid.org/0000-0002-4581-9680 ORCID
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Franklin José Espitia de la Hoz,

Especialista Ginecología y Obstetricia, Universidad Militar Nueva Granada. Uroginecología y cirugía reconstructiva del piso pélvico / UNal, FUCS, Unicamp (Brasil). Máster en Sexología: Educación y asesoramiento sexual, Universidad de Alcalá de Henares. Fellow of the American College of Ginecology and Obstetric. Presidente de la Asociación Colombiana de Menopausia (Eje Cafetero). Director Científico: Hathor, Clínica Sexológica. Armenia, Quindío.

El síndrome genitourinario de la menopausia (SGUM) describe los síntomas y signos vulvo-vaginales y del tracto urinario inferior, de carácter crónico y progresivo, secundario a un estado clínico de hipoestrogenismo que caracteriza a la postmenopausia.
La presente revisión tiene como objetivo describir y analizar las diferentes alternativas terapéuticas no hormonales, con sus ventajas y desventajas, a fin de ofrecerle a los lectores una completa variedad de opciones a la hora de establecer el tratamiento en
una mujer con SGUM. Se ha realizado una búsqueda en bases de datos, incluyendo
investigaciones originales, consensos de expertos, revisiones sistemáticas y metaanálisis.
Se ha revisado la evidencia actual para diversas modalidades terapéuticas farmacológicas
y no farmacológicas (no hormonales), encontrando que los hidratantes y los lubricantes son la primera línea terapéutica para proporcionar alivio, a corto plazo, de la sequedad vaginal (leve a moderada) y la dispareunia; sin embargo, el tratamiento ha de
ser individualizado. Existen numerosos tratamientos disponibles, cada uno con beneficios y limitaciones y se destacan las sustanciales lagunas, en la evidencia científica, de terapias seguras y efectivas, así como la necesidad de realizar investigaciones futuras.

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