Traitement des symptomes vasomoteurs menopausiques et des problemes sensoriels chez une femme autiste de 53 ans - rapport de cas
Titre original en anglais : Treatment of menopausal vasomotor symptoms and sensory issues in a 53-year-old autistic woman – a case report
Rynkiewicz, A., Ferensztajn‐Rochowiak, E., Moseley, R., Gamble-Turner, J., Hadjikhani, N., Lacroix, A., Curran, A. B., Sohl, K., & Darmochwał-Kolarz, D. (2025). Treatment of menopausal vasomotor symptoms and sensory issues in a 53-year-old autistic woman – a case report. Psychiatria i Psychologia Kliniczna, 24(4), 356-362. https://doi.org/10.15557/pipk.2024.0045
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Résumé
Consideree comme un sujet tabou dans de nombreuses societes, la menopause chez les femmes autistes reste sous-reconnue, et peu de recherches abordent son impact. Les etudes existantes suggerent que cette periode de transition souvent difficile est associee a de nombreux besoins de sante non satisfaits ainsi qu'a un manque frustrant de connaissances et de soutien de la part des professionnels de sante. Les symptomes vasomoteurs menopausiques, caracteristiques de la menopause, peuvent intensifier et aggraver les sensibilites sensorielles chez de nombreuses femmes autistes. Nous presentons le cas d'une femme autiste caucasienne de 53 ans, sans deficience intellectuelle ni autres comorbidites psychiatriques actuelles. La patiente a subi des analyses de laboratoire gynecologiques et hormonales, et a commence un traitement hormonal substitutif afin d'ameliorer les symptomes de carence en oestradiol et en progesterone. Les symptomes vasomoteurs menopausiques ressentis par la patiente ont ete surveilles pendant une periode de sept mois apres la mise en place du traitement hormonal substitutif et d'approches non pharmacologiques. Le traitement hormonal substitutif a reduit les symptomes vasomoteurs menopausiques, mais pas toutes ses plaintes initiales. De forts problemes sensoriels etaient lies a des symptomes vasomoteurs menopausiques plus severes. Ce cas souligne la necessite de recherches supplementaires et du developpement du modele mondial Extension for Community Health Outcomes (ECHO) Autism® afin de faire progresser les soins medicaux proposes aux femmes autistes pendant la menopause.
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