The Thai Menopause Society is an academic organization consisting of healthcare professionals engaged in menopause medicine. The position statement was first issued in 1994 and updated in 2003 and 2023. Herein, we reviewed the important updates of the 2023 position statement on menopausal hormone therapy (MHT) as an international reference for healthcare professionals in Thailand.
View Article and Find Full Text PDFIntroduction: Preoperative assessment of ovarian tumors to distinguish between benign and malignant is important. At this time, many diagnostic models were available and the popularity of the risk of malignancy index (RMI) in Thailand is still high. The IOTA Assessment of Different NEoplasias in adneXa (ADNEX) model and the Ovarian-Adnexal Reporting and Data System (O-RADS) model were both new models with good performance.
View Article and Find Full Text PDFObjective: To determine the quality of life (QoL) in Thai women with various types of abnormal uterine bleeding (AUB).
Methods: A cross-sectional study was conducted on 353 AUB patients between November 2010 and January 2012. They were grouped according to the duration of symptom: <6 months (acute AUB, n = 122), ≥6 months (chronic AUB, n = 138), and postmenopausal bleeding (PMB, n = 93); and the bleeding pattern: hypermenorrhea (n = 24) and irregular bleeding (n = 236).
J Obstet Gynaecol
August 2022
The aim of this retrospective study was to determine the prevalence of ovarian masses and calculate the diagnostic performance of the pattern recognition approach in ovarian pathology. A total of 1001 patients diagnosed with ovarian mass were included, of which 92.6% were diagnosed with ovarian pathology and the presence of a pathological result, while 7.
View Article and Find Full Text PDFSci Rep
January 2022
Women with chronic abnormal uterine bleeding-ovulatory dysfunction (AUB-O) are at increased risk of endometrial neoplasia. We conducted a non-inferiority randomized controlled trial to determine the effectiveness of two cyclic-progestin regimens orally administered 10 d/month for 6 months on endometrial protection and menstruation normalization in women with AUB-O. There were 104 premenopausal women with AUB-O randomized to desogestrel (DSG 150 µg/d, n = 50) or medroxyprogesterone acetate (MPA 10 mg/d, n = 54) group.
View Article and Find Full Text PDFIntroduction: Distinguishing benign adnexal masses from malignant tumors plays an important role in preoperative planning and improving patients' survival rates. The International Ovarian Tumor Analysis (IOTA) group developed a model termed the Assessment of Different NEoplasias in the adneXa (ADNEX).
Objective: Our objective was to evaluate the performance of the ADNEX model in distinguishing between benign and malignant tumors at a cutoff value of 10%.
Aim: To evaluate the efficacy and safety of 25 μg of estradiol gel on postmenopausal vaginal tissue.
Methods: This randomized double-blind controlled trial included postmenopausal women with vaginal atrophy who attended our menopause clinic during July 2017-January 2018. Women were randomly assigned to the estradiol gel group or control group (K-Y® Jelly).
Objective: To determine the effectiveness of desogestrel for relieving endometriosis-related pain.
Methods: A double-blinded randomized placebo-controlled trial was conducted in 40 patients who had endometriosis with moderate-to-severe dysmenorrhea or chronic pelvic pain undergoing laparoscopic conservative surgery. After surgery, patients were randomized to desogestrel or placebo group.
Objective: To examine the effects of "Rusie Dutton" on health and quality of life in menopausal women.
Method: Menopausal women (aged 45-59) were recruited and randomly allocated to 2 groups. Rusie Dutton group (n = 24) practiced Rusie Dutton conducted by Wat Pho Thai Traditional Massage School for 13 weeks.
Objective: To determine the prevalence of endometriosis among other benign gynecologic diseases and to identify the characteristics of patients at increased risk of concomitant diagnosis before surgery
Material And Method: A descriptive cross-sectional study of331 women with benign gynecologic diseases who underwent surgery in the Department of Obstetrics and Gynecology, Faculty ofMedicine Siriraj Hospital, Mahidol University, Bangkok, Thailand were included The subjects were interviewed for demographic data, obstetrics, and medical history. Data from medical records were reviewed and collected Operative notes and pathological reports were reviewedfor the diagnosis of endometriosis. The outcome measurement is the prevalence of endometriosis that was diagnosed by the surgeon from operative finding or pathological report and the characteristics of the patients at increased risk of concomitant diagnosis before surgery.
Background: Hyperprolactinemia is one of the most common endocrine disorders of the hypothalamic-pituitary axis. To date, no available data about hyperprolactinemia in Thai women has been published
Objective: To determine clinical and laboratory findings of Thai female patients with different etiology of hyperprolactinemia, as well as the response of treatment, recurrence, and pregnancy after treatment.
Material And Method: Medical records of 139 female patients with the diagnosis of hyperprolactinemia in Gynecologic Endocrinology Unit, Siriraj Hospital between January 1, 1999 and December 30, 2011 were retrospectively reviewed after the study protocol was approved by Siriraj Institutional Review Board.
Background: Gynecologic endoscopic surgery is a minimally invasive surgical technique for treatment of various gynecologic diseases. When compared to conventional laparotomy, this procedure has advantages in many aspects such as reduced postoperative pain, short hospital stay, and decreased morbidity associated with laparotomy. However 15 to 30% of the patients experienced moderate or severe postoperative shoulder pain.
View Article and Find Full Text PDFObjective: To compare diagnostic performance of the Osteoporosis Self-Assessment Tool for Asians (OSTA) index and Khon Kaen Osteoporosis Study (KKOS) scoring system with standard measurement of bone mineral density (BMD) by dual energy X-rays absorptiometry (DEXA) for screening osteoporosis and to determine osteoporosis risk factors in postmenopausal women who attended the Siriraj Menopause Clinic, Siriraj Hospital
Subjects: Four hundred forty one postmenopausal women who attended the Siriraj menopause clinic, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University Bangkok, Thailand and had BMD measurement by DEXA and had a diagnostic test were included in the study
Material And Method: The data were collected from medical records. Subjects who met the inclusion criteria, without exclusion criteria were collected data and calculated for OSTA index and KKOS score. Both indices at < or = -1 were classified as high risk of osteoporosis.
Objective: To determine the prevalence of dysmenorrhea, effect on daily activity, academic activities, quality of life, and knowledge of management in Siriraj medical students.
Material And Method: A cross-sectional descriptive study at the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand that included 552 female medical students who were asked to complete two questionnaires. The first questionnaire (32 items) included demographic data, menstrual pattern, severity of dysmenorrhea, pain score, impact of dysmenorrhea on daily and academic activities, the method and knowledge of medications to treat dysmenorrhea.
Objective: To determine the prevalence of dysmenorrhea, impact on daily activity, quality of life, and knowledge of management among Siriraj nurses.
Subjects: Four hundred ninety three female nurses in the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Material And Method: A cross-sectional descriptive study was done at Siriraj Hospital, Bangkok, Thailand Subjects were asked to complete a questionnaire (32 items) and a Short form-36. The questionnaire included demographic data, menstrual pattern, age at dysmenorrhea, severity of dysmenorrhea, pain score, impact of dysmenorrhea on daily activity, and method and knowledge of medications to treat dysmenorrhea.
Int J Endocrinol
August 2012
Objectives. To study the cut-off point of Homeostatic Measurement Assessment-Insulin Resistance (HOMA-IR) as a screening test for detection of glucose intolerance in Thai women with polycystic ovary syndrome (PCOS). Study Design.
View Article and Find Full Text PDFObjectives: To estimate the effectiveness of a postoperative levonorgestrel-releasing intrauterine system for relieving pelvic pain in patients with endometriosis.
Methods: A double-blind randomized controlled trial was conducted in 55 patients with endometriosis and moderate-to-severe dysmenorrhea (visual analog scale, greater than 50 mm) undergoing laparoscopic conservative surgery. After surgery, patients were randomized to a levonorgestrel-releasing intrauterine system (n=28) or expectant management (n=27) group.
Objectives. To determine the prevalence of insulin resistance (IR) and its predictors in reproductive-aged Thai women with polycystic ovary syndrome (PCOS). Methods.
View Article and Find Full Text PDFAims: The aim of this study was to determine the prevalence of etiologic causes of primary amenorrhea in Thailand.
Methods: A retrospective study was performed using 295 complete medical records of women with primary amenorrhea who attended the Gynecologic Endocrinology Clinic, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand from September 1992 to February 2009.
Results: The three most common causes of primary amenorrhea were Müllerian agenesis (39.
A 20-year-old obese Thai woman with polycystic ovary syndrome and clinical stage I well-differentiated endometrial carcinoma denied surgical staging. Chest X-ray and magnetic resonance imaging of the whole abdomen suggested neither distance metastasis nor local invasion of the cancer. After 3 months of systemic progestin therapy with megestrol acetate (MA) 480 mg/day, the endometrial carcinoma persisted.
View Article and Find Full Text PDFObjective: To determine the prevalence of vaginal atrophy and sexual dysfunction in current users of systemic postmenopausal hormone therapy (pHT).
Material And Method: A cross-sectional study was conducted in 97 current users of pHT at Siriraj Menopause Clinic from 2005 to 2007. Subjective symptoms of vaginal atrophy and sexual dysfunction were assessed by interviewing.
Objective: To determine the prevalence of metabolic syndrome (MS) in reproductive-aged polycystic ovary syndrome (PCOS) Thai women.
Material And Method: A Cross sectional study was done at the Gynecologic Endocrinology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital of 250 PCOS Thai women who were diagnosed using Revised Rotterdam 2003 criteria, and who did not take medications affecting sex hormones or lipid metabolism, and attended the Gynecologic Endocrinology Unit between May 2007 and January 2009. Patents were interviewed and examined for weight, height, waist circumference, and blood pressure.
Objective: To determine the clinical characteristics of reproductive-aged polycystic ovary syndrome (PCOS) Thai women.
Study Design: Cross sectional study
Settings: Gynecologic Endocrinology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital.
Subjects: 250 PCOS Thai women who registered at the Siriraj PCOSprojectfrom May 2007 to January 2009.
Objective: To determine the general health status of pre/postmenopausal women attending the menopause clinic.
Study Design: Retrospective descriptive study.
Setting: Siriraj Menopause Clinic, Gynecologic Endocrinology Unit, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University.
Objectives: To determine serum levels of Follicle Stimulating Hormone (FSH) and Estradiol (E) in peri/postmenopausal women attending the menopause clinic.
Study Design: Retrospective descriptive study.
Setting: Siriraj Menopause Clinic, Gynecologic Endocrinology Unit, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital.