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Schilddrüsenerkrankungen in der Peri- und Postmenopause

Thyroid disease in perimenopausal and postmenopausal women

  • Frauengesundheit in der Praxis
  • Published:
Der Gynäkologe Aims and scope

Zusammenfassung

Von der mit fortschreitendem Lebensalter zunehmenden Prävalenz von Schilddrüsenerkrankungen sind Frauen deutlich häufiger betroffen als Männer. Symptome einer Schilddrüsenerkrankung sind oft unspezifisch und damit nicht ohne Weiteres von Symptomen des physiologischen Alterns und auch der Peri‑/Postmenopause abzugrenzen. Eine korrekte Diagnosestellung ist nicht zuletzt im Hinblick auf das in Peri‑/Postmenopause ohnehin erhöhte Osteoporose- und kardiovaskuläre Risiko relevant. Diskutiert werden (Differenzial‑)Diagnostik einschließlich zu berücksichtigender beeinflussender Faktoren sowie Therapie und Therapie-Monitoring auch in besonderen situativen Konstellationen.

Abstract

The increasing prevalence of diseases of the thyroid gland with age affects women much more than men. The symptoms of thyroid gland diseases are often unspecific and therefore cannot be differentiated from symptoms of physiological aging and also the perimenopause and postmenopause without further indications. A correct diagnosis is relevant not least with respect to the already increased osteoporotic and cardiovascular risk. This article discusses the (differential) diagnostics including influencing factors, which must be taken into account as well as treatment and treatment monitoring also in particular situative constellations.

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Authors and Affiliations

  1. Schwerpunkt Endokrinologie, Diabetologie, Ernährungsmedizin, Medizinische Klinik I, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    Antonia Mondorf, Gesine Meyer & Jörg Bojunga

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  1. Antonia Mondorf
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  2. Gesine Meyer
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  3. Jörg Bojunga
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Correspondence to Antonia Mondorf.

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A. Mondorf, G. Meyer und J. Bojunga geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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K. Friese, Oberaudorf

G. Gille, Lüneburg

K. Schaudig, Hamburg

A. Schwenkhagen, Hamburg

K. Vetter, Berlin

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Mondorf, A., Meyer, G. & Bojunga, J. Schilddrüsenerkrankungen in der Peri- und Postmenopause. Gynäkologe 52, 701–712 (2019). https://doi.org/10.1007/s00129-019-4490-y

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