00:00We are with Professor Rossella Nappi, full professor of obstetrics and gynecology at the University of Pavia Policlinico San Matteo
00:09and president of the International Menopause Society (IMS). Welcome.
00:15Guardiale greetings to everyone.
00:18Professor Nappi, the survey highlights that 30.8% of women suffering from menopause-related disorders do not
00:27have you ever talked to a doctor about it?
00:29She points out that considering menopause a natural phase can lead to underestimating its symptoms.
00:37So, how can we overcome this belief and help women recognize when it's important to seek medical help?
00:44It is essential to seek medical support when menopausal symptoms interfere with quality of life, performance
00:56personal, work-related and in general with all dimensions of women's well-being.
01:04In fact, it is not the menopause that we need to treat, but those ailments, especially hot flashes, insomnia, and disturbances in the tone of the
01:14mood, which really impact our quality of life.
01:21Professor, only 24.7% of the interviewees associate menopause with cardiovascular risk, while 59.1%
01:33links to bone loss.
01:35What are the consequences of this lack of awareness and how important would it be to integrate cardiovascular prevention into support pathways?
01:45to menopause?
01:45Cardiovascular prevention, but also metabolic and osteoarticular prevention, is really fundamental, because we know that these are the real
01:58causes of long-term morbidity and mortality in the population.
02:05In fact, we must think of menopause not only as a private matter that can be associated with symptoms that
02:12then they will pass,
02:14but rather to its own public health theme, because investing today is truly fundamental for good health in the future
02:25years to come
02:26and to maintain that longevity and autonomy that we all hope for, also so that it can be sustainable in our
02:36village.
02:38President Nappi, according to the research, 62.4% of women who have experienced hot flashes or sleep disturbances
02:46he gave up on at least one activity or performed it worse than he would have liked.
02:51She says there is no single answer to menopause symptoms.
02:55What therapeutic options are available today and how can we arrive at a truly personalized choice?
03:03without women having to resign themselves to living with these disorders?
03:09First of all we need to establish a frank, open conversation and if I may, not just a doctor
03:18but which fully embraces the psyche, the way in which women live, their relationships in society
03:27and in the family.
03:29Having this dialogue allows us to make a shared choice and today scientific research
03:35It has provided us with weapons that are truly targeted to the symptoms and problems of women in all respects.
03:44In fact, we have new non-hormonal therapies available that go straight to the target of hot flashes.
03:53or sleep disorders and increasingly natural and customizable hormone therapies
04:01which instead look at the globality of some aspects which may concern for example
04:08even the intimate sphere or general health.
04:11Each woman has her own therapeutic approach and this depends on many factors
04:17which we can analyze especially in his medical history.