Author/Editor		Pretnar-Darovec, Alenka
Title		Pregledi asimptomatskih žensk v pomenopavzi - ali delamo več škode kot koristi?
Translated title		Gynaecologic examinations of asymptomatic women in postmenopause - do we more harm than good?
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. Suppl 2
Publication year		2003
Volume		str. II-13-4
Language		slo
Abstract		Background. As a rule postmenopausal women have been managed by the gynaecologist once a year when they came for a gynaecologic examination. More recent guidelines recommend a gynaecologic examination to be performed every three years, and collaboration of the registered nurse with cervical smear taking. Management of women in peri- and postmenopause does not depend only on Pap smear, limited to be taken once per three years. Most women responding to a short survey are in favour of a yearly gynaecologic examination. Conclusions. A gynaecological examination should not represent the cervical smear taking only, but should aim at providing holistic management of the postmenopausal woman. The ideal solution to the problem is foundation of special centres, or at least consulting rooms for women in menopause, or, where this is not possible, it is recommended the postmenopausal women visits the gynaecologist for either gynaecologic examination or for counselling more frequently than advised for smear taking.
Summary		Izhodišča. Ženske v pomenopavzi so doslej obravnavali ginekologi z vsakoletnimi pregledi. Novejša stališča priporočajo pregled na tri leta in sodelovanje medicinskih sester pri jemanju brisov materničnega vratu. Obravnava žensk v peri- in pomenopavzi ni samo odvzem PAP testa, ki se priporoča samo vsake tri leta. V kratki anketi se ženske večinoma zavzemajo za vsakoletne preglede. Zaključki. Pregled pri ginekologu ne pomeni samo odvzema cervikalnega brisa temveč je potreben holistični pristop pri obravnavi žensk po menopavzi. Najidealnejša rešitev je vzpostavljanje centrov za ženske v meni oz., kjer je le možno, posvetovalnic, sicer pa priporočamo bolj pogoste preglede oz. vsaj posvete pri ginekologu, kot bi bili potrebni samo zaradi odvzema brisa.
Descriptors		POSTMENOPAUSE VAGINAL SMEARS COST-BENEFIT ANALYSIS CERVIX NEOPLASMS