<p><img src="https://imageproxy.pbkrs.com/https://s.yimg.com/ny/api/res/1.2/2QPSndNM83WUNIO3rXHsuw--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/4b808693a3ade0c59e3bc07b9f83c07f?x-oss-process=image/auto-orient,1/interlace,1/resize,w_1440,h_1440/quality,q_95/format,jpg" alt="" original-src="https://imageproxy.pbkrs.com/https://s.yimg.com/ny/api/res/1.2/2QPSndNM83WUNIO3rXHsuw--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/4b808693a3ade0c59e3bc07b9f83c07f"/></p>
<p>李玉蘭女士（中）在 46 歲時開始出現潮熱和情緒波動。這些症狀在她接受更年期激素治療後消失。</p>
<p>新加坡——當李玉蘭女士 46 歲時，她開始遭受潮熱和嚴重的情緒波動。</p>
<p>她不得不一天洗澡四次，而不是通常的兩次，護理病房的姐妹問她為什麼脾氣這麼急躁。</p>
<p>李女士將她的更年期形容為 “閃電般的瞬間——突然且意外”——她在 50 歲時成為 KK 婦女兒童醫院的護理主任，她告訴記者：“即使我的護理培訓也沒有讓我為這一階段做好準備。”</p>
<p>鑑於醫療培訓不足、對過時研究的持續恐懼以及社會污名，或許並不令人驚訝的是，KKH 在 2025 年對近 300 名初級保健醫生的研究發現，90% 的醫生對診斷和治療更年期症狀沒有信心，儘管他們曾接診過中年女性（45 至 65 歲）。</p>
<p>醫生們提到的原因包括缺乏培訓、知識和時間，並表示女性通常只會因潮熱、夜間出汗和睡眠障礙等明顯症狀尋求幫助。</p>
<p>為了填補這一空白，新加坡於 2 月 20 日發佈了首套更年期過渡管理指南，提供了基於科學的建議，以管理這一狀況並促進多學科合作。</p>
<p>該指南針對的是在初級醫療中照顧中年女性的醫療專業人員（如社區診所的醫生和護士），為識別更年期作為臨牀診斷建立必要的系統。</p>
<p>該指南由內政部和外交部高級國務部長沈安在 KKH 舉行的國際會議 “促進女性和兒童代謝健康結果的綜合研究平台” 開幕式上發佈。</p>
<p><img src="https://imageproxy.pbkrs.com/https://s.yimg.com/ny/api/res/1.2/3RQPDk7rAL9cEyJK.3gh5A--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/ee6485eb6058f34710e9e63cd4d361b2?x-oss-process=image/auto-orient,1/interlace,1/resize,w_1440,h_1440/quality,q_95/format,jpg" alt="" original-src="https://imageproxy.pbkrs.com/https://s.yimg.com/ny/api/res/1.2/3RQPDk7rAL9cEyJK.3gh5A--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/ee6485eb6058f34710e9e63cd4d361b2"/></p>
<p>內政部和外交部高級國務部長沈安（中）在 KK 婦女兒童醫院母嬰健康研究所發佈新加坡首套更年期過渡管理指南時。</p>
<p>在她的講話中，沈安女士，作為人民協會女性融合網絡委員會的顧問，表示該指南承認更年期需要更多的醫療關注，並且有效的治療方法是存在的。</p>
<p>她引用了 KKH 對約 1500 名 45 至 65 歲女性的 2025 年研究，發現 70% 的女性經歷中度到嚴重的更年期症狀，但其中 70% 的人沒有尋求醫療幫助。</p>
<p>“我們不僅需要臨牀指南，還需要文化轉變……我們需要讓女性、她們的家庭、朋友和社區之間關於更年期經歷的全譜對話變得正常化，” 沈安女士説。</p>
<p>這一套達成一致的指南將幫助處理中年女性的醫生為有更年期症狀的女性提供一致的更新實踐，因為在其制定過程中涉及了多個專業，從而減少不同領域之間的混淆。</p>
<p>新加坡國立大學婦產科名譽顧問楊宇亮教授及工作組成員表示：“我們試圖整合該領域的所有最新進展，並將其本地化為新加坡女性。”</p>
<p>在新加坡，進入更年期時的五大症狀是關節和肌肉疼痛、睡眠障礙、性健康下降、身體和心理疲勞以及潮熱。這些症狀與西方人羣不同，後者潮熱是最常見的症狀。</p>
<h2>指南重申更年期激素治療的安全性和有效性</h2>
<p>該指南還重申了更年期激素治療（MHT）在治療潮熱和與更年期相關的情緒問題以及預防骨質疏鬆症（這種骨病以骨量減少和孔隙度增加為特徵，使骨骼脆弱、易碎且極易骨折）方面是安全有效的。</p>
<p>KK 更年期中心的副教授魯克欣·普瓦文德蘭表示，MHT 不安全的誤解源於 1993 年對約 17 萬名絕經後女性進行的女性健康倡議（WHI）研究，該研究顯著改變了醫學界對激素治療、飲食和疾病預防的理解。</p>
<p>“該研究招募了 50 至 79 歲的女性。在實踐中，我們從不對從未接受過激素治療的 70 多歲女性進行激素治療……難怪結果顯示該治療可能有害，並引發擔憂。美國 FDA（食品藥品監督管理局）隨後對所有形式的激素替代治療發佈了廣泛的黑框警告，促使大家遠離，” 她説。</p>
<p>黑框警告是 FDA 對處方藥和醫療設備強制要求的最嚴格和最嚴重的安全警告，旨在提醒醫生和患者注意嚴重、危及生命或永久性殘疾的風險。</p>
<p>魯克欣教授表示，當醫生們多年後重新審視該研究時，他們發現年輕組的女性在激素替代治療中表現良好，實際上受益於此。</p>
<p>她表示，選擇 MHT 取決於其需求、風險因素和個人情況，包括年齡和個人偏好。</p>
<p>“對於大多數 60 歲以下並有更年期症狀的女性，或者在最後一次月經後的 10 年內，開始激素替代療法的好處通常超過潛在風險，” KKH 家庭醫學服務負責人 Rukshin 教授表示。</p>
<p>至於現年 86 歲的李女士，她已經做了一些生活方式的改變，以確保自己繼續過上健康的生活。</p>
<p>“我以前喜歡游泳，但現在不再游泳了。現在，我和朋友們一起跳排舞，” 她説。</p>
<p>來源：海峽時報 © SPH Media Limited。轉載需經許可。</p>
<p>在這裏發現如何享受其他優質文章。</p>

<p>新加坡已發佈首套關於更年期過渡管理的指南，以幫助醫療專業人員管理 45 至 65 歲女性的更年期症狀。這些指南解決了初級保健醫生在診斷和治療更年期方面缺乏信心的問題，這一點在 2025 年的一項研究中得到了強調。高級部長沈穎強調了需要進行文化轉變，以使更年期討論正常化。這些指南重申了更年期激素治療在治療症狀和預防骨質疏鬆方面的安全性和有效性，旨在改善新加坡中年女性的護理</p>

<p><img src="https://imageproxy.pbkrs.com/https://s.yimg.com/ny/api/res/1.2/2QPSndNM83WUNIO3rXHsuw--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/4b808693a3ade0c59e3bc07b9f83c07f" alt="" original-src="https://s.yimg.com/ny/api/res/1.2/2QPSndNM83WUNIO3rXHsuw--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/4b808693a3ade0c59e3bc07b9f83c07f"/></p>
<p>Madam Lee Yoke Lan (centre) started having hot flashes and mood swings at 46. These stopped after she went on menopause hormone therapy.</p>
<div class="lb-trans"><p>李玉蘭女士（中）在 46 歲時開始出現潮熱和情緒波動。這些症狀在她接受更年期激素治療後消失。</p>
</div><p>SINGAPORE – When Madam Lee Yoke Lan turned 46, she began to suffer hot flushes and had bad mood swings.</p>
<div class="lb-trans"><p>新加坡——當李玉蘭女士 46 歲時，她開始遭受潮熱和嚴重的情緒波動。</p>
</div><p>She had to shower four times a day instead of the usual two, and was asked by the sister in the nursing ward where she worked why her temper was so short.</p>
<div class="lb-trans"><p>她不得不一天洗澡四次，而不是通常的兩次，護理病房的姐妹問她為什麼脾氣這麼急躁。</p>
</div><p>Describing her menopause as “a flash of lightning – sudden and unexpected” – Madam Lee, who went on to become the director of nursing at KK Women’s and Children’s Hospital (KKH) at 50, told reporters that “even my nursing training did not prepare me for this phase in my life”.</p>
<div class="lb-trans"><p>李女士將她的更年期形容為 “閃電般的瞬間——突然且意外”——她在 50 歲時成為 KK 婦女兒童醫院的護理主任，她告訴記者：“即使我的護理培訓也沒有讓我為這一階段做好準備。”</p>
</div><p>Given the insufficient medical training, lingering fear from outdated research, and societal stigma, it may perhaps not come as a surprise that a 2025 study by KKH of almost 300 primary care doctors found that nine in 10 were not confident in diagnosing and treating menopausal symptoms despite having seen female patients in midlife (those 45 to 65 years of age).</p>
<div class="lb-trans"><p>鑑於醫療培訓不足、對過時研究的持續恐懼以及社會污名，或許並不令人驚訝的是，KKH 在 2025 年對近 300 名初級保健醫生的研究發現，90% 的醫生對診斷和治療更年期症狀沒有信心，儘管他們曾接診過中年女性（45 至 65 歲）。</p>
</div><p>The doctors cited reasons such as lack of training, knowledge and time, and said that the women typically sought help only for well-recognised symptoms like hot flushes, night sweats and sleep disturbances.</p>
<div class="lb-trans"><p>醫生們提到的原因包括缺乏培訓、知識和時間，並表示女性通常只會因潮熱、夜間出汗和睡眠障礙等明顯症狀尋求幫助。</p>
</div><p>To close the gap, Singapore launched, on Feb 20, its first set of Guidelines on Management of the Menopause Transition, which provides scientifically backed recommendations for the management of the condition here and promote multidisciplinary collaboration.</p>
<div class="lb-trans"><p>為了填補這一空白，新加坡於 2 月 20 日發佈了首套更年期過渡管理指南，提供了基於科學的建議，以管理這一狀況並促進多學科合作。</p>
</div><p>Targeted at healthcare professionals in primary practice (doctors at polyclinics, general practitioners and nurses who run community clinics) who are caring for women in midlife, the guidelines put the necessary systems in place to recognise menopause as a clinical diagnosis.</p>
<div class="lb-trans"><p>該指南針對的是在初級醫療中照顧中年女性的醫療專業人員（如社區診所的醫生和護士），為識別更年期作為臨牀診斷建立必要的系統。</p>
</div><p>It was launched by Senior Minister of State for Home Affairs and Foreign Affairs Sim Ann at the opening of the international meeting of the Integrated Platform for Research in Advancing Metabolic Health Outcomes of Women and Children held at KKH.</p>
<div class="lb-trans"><p>該指南由內政部和外交部高級國務部長沈安在 KKH 舉行的國際會議 “促進女性和兒童代謝健康結果的綜合研究平台” 開幕式上發佈。</p>
</div><p><img src="https://imageproxy.pbkrs.com/https://s.yimg.com/ny/api/res/1.2/3RQPDk7rAL9cEyJK.3gh5A--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/ee6485eb6058f34710e9e63cd4d361b2" alt="" original-src="https://s.yimg.com/ny/api/res/1.2/3RQPDk7rAL9cEyJK.3gh5A--/YXBwaWQ9aGlnaGxhbmRlcjt3PTEyNDI7aD04Mjg-/https://media.zenfs.com/en/straits_times_442/ee6485eb6058f34710e9e63cd4d361b2"/></p>
<p>Senior Minister of State for Home Affairs and Foreign Affairs Ms Sim Ann (centre) at the launch of Singapore’s first set of Guidelines on the Management of the Menopause Transition by KK Women's and Children's Hospital Maternal and Child Health Research Institute.</p>
<div class="lb-trans"><p>內政部和外交部高級國務部長沈安（中）在 KK 婦女兒童醫院母嬰健康研究所發佈新加坡首套更年期過渡管理指南時。</p>
</div><p>In her speech, Ms Sim, who is also adviser to the People’s Association Women’s Integration Network Council, said the guidelines recognise that menopause deserves greater medical attention and that effective treatments exist.</p>
<div class="lb-trans"><p>在她的講話中，沈安女士，作為人民協會女性融合網絡委員會的顧問，表示該指南承認更年期需要更多的醫療關注，並且有效的治療方法是存在的。</p>
</div><p>She cited a 2025 study by KKH on about 1,500 women aged 45 to 65 years which found that seven in 10 experienced mederate to severe menopausal symptoms, yet 70 per cent of them have not sought medical attention.</p>
<div class="lb-trans"><p>她引用了 KKH 對約 1500 名 45 至 65 歲女性的 2025 年研究，發現 70% 的女性經歷中度到嚴重的更年期症狀，但其中 70% 的人沒有尋求醫療幫助。</p>
</div><p>“More than clinical guidelines, we need a cultural shift... We need to normalise conversation about the full spectrum of menopausal experiences among women, their families, friends (and) communities,” Ms Sim said.</p>
<div class="lb-trans"><p>“我們不僅需要臨牀指南，還需要文化轉變……我們需要讓女性、她們的家庭、朋友和社區之間關於更年期經歷的全譜對話變得正常化，” 沈安女士説。</p>
</div><p>This set of agreed guidelines will help doctors who deal with midlife women have a consistent set of updated practices for women with symptoms of menopause, as many specialties were involved in its development, hence reducing confusion among the different fields.</p>
<div class="lb-trans"><p>這一套達成一致的指南將幫助處理中年女性的醫生為有更年期症狀的女性提供一致的更新實踐，因為在其制定過程中涉及了多個專業，從而減少不同領域之間的混淆。</p>
</div><p>Professor Yong Eu Leong, emeritus consultant in the Department of Obstetrics and Gynaecology at the National University Hospital and a member of the workgroup, said: “We have attempted to consolidate all the recent updates in the field and localise it to Singapore women.”</p>
<div class="lb-trans"><p>新加坡國立大學婦產科名譽顧問楊宇亮教授及工作組成員表示：“我們試圖整合該領域的所有最新進展，並將其本地化為新加坡女性。”</p>
</div><p>In Singapore, the top five symptoms during the shift to menopause are joint and muscle aches, disturbed sleep, a decline in sexual health, physical and mental fatigue, and hot flushes. They differ from the Western population, where hot flush is the most common symptom.</p>
<div class="lb-trans"><p>在新加坡，進入更年期時的五大症狀是關節和肌肉疼痛、睡眠障礙、性健康下降、身體和心理疲勞以及潮熱。這些症狀與西方人羣不同，後者潮熱是最常見的症狀。</p>
</div><h2>Guidelines reaffirm the safety and efficacy of menopause hormone therapy</h2>
<div class="lb-trans"><h2>指南重申更年期激素治療的安全性和有效性</h2>
</div><p>The set of guidelines also reaffirmed that menopause hormone therapy (MHT) is safe and effective for treating symptoms such as hot flushes and menopause-related mood issues, and for preventing osteoporosis, a bone disease characterised by low bone mass and increased porosity, making bones weak, brittle and highly prone to fractures.</p>
<div class="lb-trans"><p>該指南還重申了更年期激素治療（MHT）在治療潮熱和與更年期相關的情緒問題以及預防骨質疏鬆症（這種骨病以骨量減少和孔隙度增加為特徵，使骨骼脆弱、易碎且極易骨折）方面是安全有效的。</p>
</div><p>Associate Professor Rukshini Puvanendran, co-director of the KK Menopause Centre, said the misconception that MHT was not safe was the result of the Women’s Health Initiative (WHI), a 1993 landmark, long-term study of about 170,000 post-menopausal women, that significantly shifted medical understanding of hormone therapy, diet and disease prevention.</p>
<div class="lb-trans"><p>KK 更年期中心的副教授魯克欣·普瓦文德蘭表示，MHT 不安全的誤解源於 1993 年對約 17 萬名絕經後女性進行的女性健康倡議（WHI）研究，該研究顯著改變了醫學界對激素治療、飲食和疾病預防的理解。</p>
</div><p>“The study recruited women aged between 50 and 79. In practice, we never give women in their 70s who have never been on hormone therapy hormone therapy... No wonder the results showed that the therapy can be harmful and it caused worries. The US FDA (Food and Drug Administration) then placed a broad black box warning on all forms of hormone replacement therapy, prompting everyone to stay away,” she said.</p>
<div class="lb-trans"><p>“該研究招募了 50 至 79 歲的女性。在實踐中，我們從不對從未接受過激素治療的 70 多歲女性進行激素治療……難怪結果顯示該治療可能有害，並引發擔憂。美國 FDA（食品藥品監督管理局）隨後對所有形式的激素替代治療發佈了廣泛的黑框警告，促使大家遠離，” 她説。</p>
</div><p>The black box warning is the most stringent and serious safety warning mandated by the FDA for prescription drugs and medical devices to alert doctors and patients to the serious, life-threatening or permanently disabling risks.</p>
<div class="lb-trans"><p>黑框警告是 FDA 對處方藥和醫療設備強制要求的最嚴格和最嚴重的安全警告，旨在提醒醫生和患者注意嚴重、危及生命或永久性殘疾的風險。</p>
</div><p>Prof Rukshini said when the doctors relooked the study years later, they found that the younger group of women were doing well with hormone replacement and were actually benefiting from it.</p>
<div class="lb-trans"><p>魯克欣教授表示，當醫生們多年後重新審視該研究時，他們發現年輕組的女性在激素替代治療中表現良好，實際上受益於此。</p>
</div><p>She said the choice of MHT depends on why it is needed, and the risk factors and individual circumstances, which included age and personal preferances.</p>
<div class="lb-trans"><p>她表示，選擇 MHT 取決於其需求、風險因素和個人情況，包括年齡和個人偏好。</p>
</div><p>“For most women younger than 60 and with symptoms of menopause, or within 10 years of their last period, the benefits of starting MHT usually outweighs the potential risks,” said Prof Rukshin, who heads the Family Medicine Service at KKH.</p>
<div class="lb-trans"><p>“對於大多數 60 歲以下並有更年期症狀的女性，或者在最後一次月經後的 10 年內，開始激素替代療法的好處通常超過潛在風險，” KKH 家庭醫學服務負責人 Rukshin 教授表示。</p>
</div><p>As for Madam Lee, now 86, she has made some lifestyle changes to ensure that she continues to lead a healthy life.</p>
<div class="lb-trans"><p>至於現年 86 歲的李女士，她已經做了一些生活方式的改變，以確保自己繼續過上健康的生活。</p>
</div><p>“I used to swim but I no longer do so. Now, I join my friends and do line dancing,” she said.</p>
<div class="lb-trans"><p>“我以前喜歡游泳，但現在不再游泳了。現在，我和朋友們一起跳排舞，” 她説。</p>
</div><p>Source: The Straits Times © SPH Media Limited. Permission required for reproduction</p>
<div class="lb-trans"><p>來源：海峽時報 © SPH Media Limited。轉載需經許可。</p>
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