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打小孩、想自杀 医师：更年期作祟
失眠、频尿、腰酸背痛浑身不适，更年期妇女要当心，这些恐怕都是更年期症状，需要就医治疗。台湾更年期健康学会执行长李奇龙医师表示，更年期病症不明显，不少女性未找对科别对症下药，有的又担心荷尔蒙治疗会致癌。他表示，已有新一代“类荷尔蒙”治疗，可降低致癌风险。
台湾更年期健康学会今天发表“2011女性更年期认知与治疗”调查报告，针对300位45~60岁台湾妇女调查发现，4成妇女出现更年期症状却不自知，7成4妇女就医谘询却未采取行动；5成妇女就医绕远路，未对症下药或害怕荷尔蒙治疗致癌又中途落跑。
资深艺人向娃、林美照和席曼宁今天出席担任更年期关怀大使，向娃语重心长地表示，自己曾受更年期症状所苦长达4年，“当初以为是忧郁症旧疾复发，猛吃抗忧郁药却没效，整天哭泣，痛苦到想去死。”后来她去做子宫颈抹片检查时，才意外发现原来是更年期作祟。
李奇龙医师表示，由于更年期症状多元，包含心悸、频尿、失眠等，因此多数妇女求助心脏科、泌尿科甚至精神科，而未能针对更年期问题治疗。他提出“3不5时”快筛法，“更年期妇女3不5时腰酸背痛、每晚频尿如厕超过3次，每周3天睡眠不超过5小时，有任一症状就该寻求妇产科医师诊治。”
更年期症状轻微者，李奇龙建议可透过均衡饮食、适度运动，以及与家人积极沟通来缓解更年期的焦虑与不适；但若属于明显不适者，就需依照医嘱采取荷尔蒙治疗。
但由于不少妇女担心荷尔蒙治疗可能致癌，一听到荷尔蒙治疗就萌生退意。李奇龙强调，“更年期治疗已有多重选择，不是每一种治疗都有高致癌风险”。
他进一步说明道，长期服用恐增加心血管疾病与乳癌发生风险的为传统荷尔蒙治疗，但目前更年期治疗多是采用新一代“类荷尔蒙”治疗，可以改善症状，又不过度刺激乳房与子宫内膜，“妇女朋友不用过度担心，应遵医嘱把握黄金治疗时间，更年期生活一样可以过得青春和健康。”
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