||産科婦人科の新しい診療領域 : 女性医学の意義とその展開(特別講演,第67回日本産科婦人科学会学術講演会講演要旨)
Female Medicine : A New Treatment Domain of Obstetrics and Gynecology
水沼, 英樹 ,
Hideki, MIZUNUMA ,
弘前大学大学院医学研究科産科婦人科Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine
日本産科婦人科學會雜誌 = Acta obstetrica et gynaecologica Japonica
1613 , 2015-07-01
For next 30 years, Japanese population is estimated to decline with decreasing fertility rates and an increase of population over 65 years of age. This demographic change is accompanied with structural changes in morbidity and mortality of Japanese women and accordingly the importance of early and life-long intervention in women's healthcare has been focused. Female medicine is a new term and is defined as a medicine that manages women's healthcare throughout their whole lives and is authorized as one of the specialties of Obstetrics and Gynecology by Japan Society of Obstetrics and Gynecology. In order to maintain and improve women's QOL, we need to realize that aged women simultaneously suffer from multiple diseases and the diseases share common risk factors that develop to the disease with ageing. Therefore, early detection and elimination of the risks are quite of importance to prevent the disease. For example, osteoporotic patients have predisposition of dyslipidemia, cardiovascular disease, diabetes and so on. These conditions affect adversely in turn the progress of osteoporosis. Such findings guide us to change our style of management of osteoporosis from prevention of fracture to elimination of common risk factors underlying. Our epidemiologic studies have newly shown that endometriosis has comorbidity with metabolic and cardiovascular diseases as well as gynecologic malignancies, and blood pressure during pregnancy can predict risk of hypertension or dyslipidemia in later life, suggesting necessity of consecutive follow-up system of women from adolescence to senescence. With advent of female medicine in OBGYN practice, the role of OBGYNist is clearly categorized according to their subspecialties and patients are managed under the conception of'from cure to care'. It creates professionally new occupational fields of OBGY and may attract many young doctors so as to chose OBGYN as their specialty.