EC Paediatrics

On average, women experience menopause around the age of 50. Therefore, with the increase in life expectancy, women may spend approximately 40% of their lives in the postmenopausal period [2]. The present study aims at analyzing the potential contribution Primary Preventive Care (PPC) to healthy aging by screening the four most affected systems during the Climacteric. From May 1, 1999, to December 31, 2016, 2,093 patients were treated at the Climacteric outpatient clinic of the University FMRP-USP). The medical records of the patients were retrospectively analyzed, excluding those with one or more of the conditions that cause early failure, of 305 patients in the climacteric without underlying organic diseases included in this study. Among these patients, one hundred and twenty-seven (41.6%) reported musculoskeletal symptoms and performed lumbar DEXA with a normal result (T score > -1.0). By applying the concepts of New Bone Biology (Protein and Inorganic Matrix), we were able to evaluate the state of the two bone matrices; Iannetta and colleagues [8]. This detailed study opens a broad field of practical applications by enabling the early prevention of chronic noncommunicable diseases during the climacteric. Exacerbated by modern occupations, these age-related diseases hinder healthy aging in women. The world population is undergoing a rapid aging process [1]. Understanding the final stage of life and providing appropriate preventive measures are crucial for promoting healthy aging. For these purposes, physicians should monitor plasma hormone levels and conduct ancillary tests in different organs, in addition to performing genetic testing appropriate for each case, under specific circumstances, before discussing the types, risks, start and duration of HRT. In this study, ruling out organic diseases associated with the four most affected (skeletal, cardiovascular, endocrine and psychiatric) systems during the climacteric, enabled us to determine that the hypothalamic centers (thermoregulatory and sleep-wake centers) give rise to clinical symptoms from the onset of hormonal deregulation. These clinical symptoms specifically originate from the four systems without organic disease This study places gynecologists at the forefront of knowledge, minimizing the sensation of premature aging, which contradicts the conditions of healthy aging, thereby confirming the aphorism that: “We were not born to die from chronic noncommunicable diseases” [12]. Gynecologists play a key role by facilitating the long-desired healthy aging. To this end, they must promptly diagnose patients with the Pure Climacteric Syndrome.

 Keywords: Life Expectancy at Birth (LEB); Coronavirus Disease 2019 (COVID-19); Primary Preventive Care (PPC)

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