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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 20h

An inspiring morning today and a chance to catch up with so many wonderful colleagues and friends who are working hard to make menopause experiences better for everyone

Link to report -
www.wellbeingofwomen.org.uk/news/rebuild...

Rebuilding trust: Tackling inequity in menopause care report summary - Wellbeing of Women

This report summary shares the findings and recommendations from the Menopause APPG (All-Party Parliamentary Group) report looking at how women and people from marginalised communities experience meno...

www.wellbeingofwomen.org.uk

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 20h

Thank you Carolyn Harris MP for the opportunity to attend the launch of report summary and recommendations from the Menopause APPG (All-Party Parliamentary Group) report looking at how women and people from marginalised communities experience menopause care in the UK.

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Here is an article from Australia from 2019 which still offers care providers a useful quick summary of menopause management and issues to discuss at menopause reviews. Something that will be relevant for the NHS health checks that have been recently announced.

pubmed.ncbi.nlm.nih.gov/31256513/

Making choices at menopause - PubMed

The majority of women who are symptomatic can be offered menopausal hormone therapy (MHT). To ensure women can make an informed choice about whether to use MHT, it is important for them to receive balanced and accurate information about the benefits and risks. For women with contraindications to MHT …

pubmed.ncbi.nlm.nih.gov

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

No one size fits all and more the options, better it is for individuals to choose from and stick to what works for them.

Menopause is a time of change for women and provides an opportunity for health assessment and promotion.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Healthcare professionals need reliable evidence based information and resources such as ‘time to listen’ and logistic support (to regularly review and follow-up during the transition) so that they can discuss various interventions (their individual pros and cons) with women who seek help/support.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Women should be offered a choice of all options and provided with accurate information (without personal bias and based on scientific evidence). Where there is no evidence, it needs to be acknowledged so that patients can decide their options and make a choice.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Not all women need or wish to take HRT (and for some, it may be contraindicated) but equally it should not be denied to individuals who wish to take it and where benefits outweigh risks.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Others decide to take HRT when its benefits outweigh risks for them. Hormone replacement therapy (systemic or local) is a medical option. It remains the most effective medical treatment for menopausal vasomotor/genitourinary symptoms and has other benefits, side effects and long-term risks.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Every one chooses to approach and manage menopause in their unique way. Healthy lifestyle remains the most important factor in protecting long-term health. Many women prefer lifestyle and non-HRT options or therapies to address symptoms and long-term health.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Depending on genetics, background health and lifestyle choices - menopause transition can have a variable impact on long-term health (bone, heart, brain, genitourinary and metabolic).

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Everyone’s menopause journey is unique. The age at menopause varies (could be between 45-55 or premature, early, late) and so also whether it is natural or induced (medical/surgical). About 80 percent experience significant symptoms and about a third have severe debilitating ones.

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Plenty of work ahead! Looking forward to the next generation of young researchers and women’s health clinicians to rise to the task and carry on!
Thank you for the picture, Rebecca Hall

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

We will also need to continue campaigning for better menopause support for those who need it and fight the threats of misinformation and marketing/selling of non-evidence based products or solutions for unproven indications to vulnerable individuals.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Given the constraints with resources - innovative ways of providing follow-up care will be needed. At the heart of this will be provision of up to date training for healthcare professionals and trying to gather more information about menopause experiences for the ethnic minority populations.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

We need more ring fenced research funding for menopause and more investment into setting up additional dedicated menopause clinics in primary, community and secondary care. Not just the initial consultation visit but also ongoing care.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 2d

Thank you Lucy Young at the Knowledge Quarter and Jenny Gimpel for the invitation to join the panel exploring future of care, policy and funding for menopause and perimenopause, and the clinical priorities that matter.

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 3d

Did you know Halloween originated in Ireland 🇮🇪 and the tradition of wearing Halloween costumes originated in Scotland 🏴󠁧󠁢󠁳󠁣󠁴󠁿

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 3d

We loved the games, colouring, quiz, bingo and music! Not to forget the fantastic pumpkin 🎃 carving fun with Sonia Montes and the delicious food from Carole 🍕. Yay! 🥳 we won the first prize 🏆 for our carving design!

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 3d

Thank you Reeves Refreshments ☕️and St George's Arts 🎭 Centre, Gravesend for a spooktacularly 👻 amazing Halloween kids party this evening! @graveshambc.bsky.social

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 4d

We have to continue with our efforts to reach as many as we can. Thank you for supporting Menopause Research and Education Fund.

Meera does some amazing podcasts. You can listen to one of our conversations here - open.spotify.com/episode/2W7Q...

Meera's Menopause Podcast-Menopause Mythbusters: Debunking the Big Myth with Dr Vikram Talaulikar

open.spotify.com

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 4d

This is especially vital for the South Asian, South East Asian and Afro-Caribbean communities where menopause is not often talked about and there are barriers to good quality advice and care.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 4d

Thank you Meera Bhogal for your consistent efforts in the menopause space to spread evidence based information to everyone who seeks it.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 4d

The meeting brought together so many people working hard in this space to improve menopause experiences for others. It was not just HRT but diet, exercise, stress management, relationships and hormones.
Cognitive health, ethnic variations and post-cancer menopause were important topics covered.

Vikram Sinai Talaulikar @vikramsinait.bsky.social · 4d

It was a wonderful experience attending and speaking at the ‘Don’t Pause for Menopause’ symposium on 12th October at the beautiful Stoke Place in Buckinghamshire.

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Vikram Sinai Talaulikar @vikramsinait.bsky.social · 5d

These biases lead us to be extremely cautious regarding the implementation of results from such studies in clinical practice. Important to know both the results and limitations.

www.sciencedirect.com/science/arti...

The limitations of observation studies for decision making regarding drugs efficacy and safety

After looking at some case studies, we will remind in this paper how observational studies regarding drug exposure or delivery are prone to various bi…

www.sciencedirect.com