Abstract
Because of an increase of elderly females in Japan, the prevention and treatment of these diseases has become more important.
Reconsiderations of definitions, diagnosis, and treatments of these disease were performed by a squad consisting of 22 gynecological doctors belongings to 11 Japanese national hospitals.
The abstracts of their reports of 12 times of meetings from 1993 to 1995 are summarized in this report.
Our survey of complaints of disorders of perimenopausal women, taught us that the generally believed and accepted symptoms such as hot-flashes, perspiring and so on, were less important than the augmentation of common complaints such as general malaise, headache, stiff shoulder, lumbago etc..
The treatment of these patients has been usually dependent on only hormonal replacement therapy. But treatment for symptoms of autonomic nerve disturbances must also be addressed.
The administration of bromocriptine rectal suppository, not commercially available oral tablet, has effective for treating such disorders.
To prevent osteoporosis, a screening examination of bone density of pen-, and post menopausal women has become vitally important. But to do so many problems must still be solved that are concerned with more accurate measurement methods and the selection of the most representative bone for measurement purposes from all the bone of the individual female body.
Of several measurement instruments now available, the cost of the DEXA instrument must be reduced. And its manipulative uses must be simplified. As far as the cheaper and simpler MD and ultra-sonographic methods are concerned, their improvement in accuracy greater consistency in determining results are absolutely indispensable.
Several new trials to improve the measurement methods of bone density were presented in this report. Each test was subject to exhaustive computer analysis. Nonetheless, a fail-proof measurement system for predicting and preventing osteoporosis has not yet been discovered.
