Preventive activities in women. PAPPS update 2022 Actividades preventivas en la mujer. Actualización PAPPS 2022
López García-Franco, Alberto (Medicina Familiar y Comunitaria. Centro de Salud Dr. Mendiguchía Carriche)
Baeyens Fernández, José Antonio (Medicina Familiar y Comunitaria. Centro de Salud Universitario de Armilla)
Iglesias Piñeiro, M. José (Medicina Familiar y Comunitaria. Centro de Salud Vicente Soldevilla)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)
Ruiz Cabello, Cristina (Medicina Familiar y Comunitaria. Consultorio Castilléjar)
Pereira Iglesias, Ana (Medicina Familiar y Comunitaria. Centro de Salud Dr. Mendiguchía Carriche)
Landa Goñi, Jacinta (Medicina Familiar y Comunitaria. Centro de Salud Emisora (Pozuelo de Alarcón))

Date:	2022
Abstract:	In the 2022 PAPPS update we present those specific preventive activities for women's health, except those related to cancer prevention (which are included in another document) and those aspects related to differential gender morbidity, a cross-cutting aspect for all working groups. Contraception is an essential preventive activity, considering basic the right to decide both the number of children and the time to have them. We must inform about the possible contraceptive methods, guaranteeing the monitoring of their safety, efficacy and effectiveness (tables are included on changing from one method to another to preserve contraceptive protection). We must inform about emergency contraception and propose it in the event of unprotected intercourse. All this will be done through opportunistic screening without requiring screening for thrombophilia or dyslipidemia, but for arterial hypertension. Pregnancy is an important life experience and the family doctor should not remain oblivious. We must be competent both in the preconception consultation (recommending the intake of folic acid, avoiding exposure to occupational and environmental risks, screening for certain pathologies and assessing the intake of drugs not indicated during pregnancy) and in the monitoring of pregnancy. Whether or not we monitor the pregnancy, we must not disregard its control, taking advantage of this period to promote healthy lifestyles and participating in the intercurrent processes that may occur. Menopause in general and osteoporosis in particular exemplify the strategy of medicalization of vital processes that has been followed from different instances and organizations. In our update we address the prevention and treatment of symptoms secondary to estrogen deprivation. We also propose the prevention of osteoporosis, including carrying out densitometry based on the risk of fracture in the next 10 years, and therefore densitometric screening is not recommended in women under 60 years of age. In risk assessment we recommend the use of the frax tool or better, the calibration of the risk of hip fracture with prevalence data from our setting. We linked the indication for treatment with the Z-Score (bone mineral density compared with women of the same age), as it is a condition associated with aging.
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Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Postmenopausal osteoporosis ; Contraceptive agents ; Pregnancy ; Preventive health services
Published in:	Atencion Primaria, Vol. 54 (octubre 2022) , p. 102471, ISSN 1578-1275

DOI: 10.1016/j.aprim.2022.102471
PMID: 36435585

27 p, 1.0 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles