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Sacsayhuaman is a beautiful place to visit. From its pinnacle, you have a great panoramic view of the Cusco valley. Tour guides jokingly refer to it a sexy woman" although it is a truly meditative and religous Inca site. We loved this set of Ruins, the walls were massive and teh views of Cuzco were great.
It helped inform us on the significance of Cusco in the Inca Empire. Is an awesome place we loved to walk thru those ancient contructions and listened about its history. Surely i will return there again. This site may not be as amazing as some of the others throughout Peru, but worth visiting if you have time in Cusco. We walked from the historic part of Cusco which took some time, but was an adventure in itself. Otherwise it would just be a short cab ride.
The ruins are interesting because of how extremely large the stones are. Moving and carving these ginormous objects seems unimaginable. There are also excellent birds eye views of Cusco from the top. We actually planned the rest of our route for the day from the resting point at the peak.
It didn't seem like many people knew about this option. There are guides for hire on site. We chose to go it alone, but I'm sure they are willing to strike deals for their services. There are restroom facilities available, but bring some tissues or your own toilet paper! Do this for all of Peru! Own or manage this property? Claim your listing for free to respond to reviews, update your profile and much more. All of your saved places can be found here in My Trips.
Log in to get trip updates and message other travelers. Sacsayhuaman Archeological Park and Cusco Sites. Ranked 2 of things to do in Cusco. Attraction details Recommended length of visit: More than 3 hours.
Reviewed April 26, Ask mramos about Sacsayhuaman. Write a Review Reviews 12, Show reviews that mention. All reviews " sexy woman ".
Review tags are currently only available for English language reviews. Read reviews in English Go back. Great Ruins to visit in Cuzco. Reviewed April 25, Ask Ronimoss about Sacsayhuaman. Ask Arstrazz about Sacsayhuaman. Alex d Lima Region, Peru. Ask Alex d about Sacsayhuaman. Travelers who viewed Sacsayhuaman also viewed. Centro Historico De Cusco. Convento de Santo Domingo. All things to do in Cusco What's your side of the story?
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We have a strong influence on the development of a National Osteoporosis program. Dr Sergio Brantes Glavic. The Chilean Menopause Society was founded in by a group of gynecologists and endocrinologists interested in the subject, who carried out update meetings in a social environment. The Society now has seven branches distributed throughout the country, with a total of active members. Since beginning as a Scientific Society, it has organized seven International Courses, five National Congresses, many Regional Courses, innumerable symposiums and many other meetings of discussion and update.
Also it has held several Press meetings. Chile has a subsidiary Medical Care system in which the Government sets a program of priorities with specific goals on health issues; some of these focus on fetomaternal health, cardiovascular and oncological diseases, but there is no programme for the health of women in the post-reproductive phase.
Our Society has issued a document that emphasizes our concern for quality of life as well as specific problems such as cardiovascular, mental, sexual and bone health and others in women at this stage of life.
This difference has diverse explanations that go beyond the mere availability of material resources; while better income groups are able to consult well-informed private specialists, women from the lower income groups attend the Public Health service in which individual postmenopausal care is not a high priority.
The aftermath of the WHI study has severely limited the proper development of this area of medical care. The initial publicity for the adverse effects of the WHI findings has not been effectively counteracted by the later less adverse interpretations, and a large number of doctors and patients still see hormonal therapy as a problematic subject.
Our Society considers that the results of the WHI study were not properly communicated to the Public and Scientific Communities, resulting in changes in prescribing right from the very beginning, without there being appropriate scientific debate.
In late , we issued a guide on menopause management. We have since modified the recommendations for the duration of therapy and suggest an unlimited period while contraindications do not arise, always with the minimum condition of an annual evaluation made by an expert, which must include suitable investigations for the early diagnosis of cardiovascular and malignant disease.
The Association was founded in and now has active members. Membership of the society is not exclusive to gynecologists. It is open to all kinds of physicians, including specialists in internal medicine, physical therapists, cardiologists, psychiatrists and general practitioners. Non-medical professionals, such as nutritionists, nurses and psychologists, can be affiliates. Gynecological endocrinologists are scarce and most of them are working in reproductive medicine. In Colombia there are about 3,, women who are considered to be postmenopausal.
Several problems are experienced in the management of menopause in Colombia. First of all, it is important to recognize that, after the WHI publication, women are afraid of the risks, especially related to breast cancer.
This issue has a very strong impact because each day there are fewer women wanting to take HRT. It has become common practice that, after starting HRT in any woman, general practitioners or specialists in other areas withdraw the treatment due to possible risks, like cardiovascular disease, even in young women without risk factors. After the WHI study was published, most of the social security agencies decided to abolish the menopause clinics, so women seeking advice must do it on a private practice basis.
Finally, the cost of medications related to HRT has been rising, so not all women are able to pay for them. At this moment, most of the members of our society are qualified to treat postmenopausal osteoporosis.
Gynecologists start most treatments and the role of the rheumatologist is to treat secondary osteoporosis, osteoporosis in men and glucocorticoid-induced osteoporosis.
Gynecologists treat most women with osteopenia or osteoporosis. The activities and objectives of our society are focused on continued medical education, patient teaching and prevention programs. Meetings, a biennial national congress and the publication of a journal achieve the first objective. The other two are met with meetings, newspapers, radio and TV shows. We have a common interest in offering information and support to women about medical and emotional aspects during the climacteric and menopause.
ACCYM has also taken the responsibility of keeping doctors and other professionals in the health sciences up-to-date in this topic. We are also the specialized reference center in this topic for all the professionals in our country. The association offers support and information to Costa Rican women with the primary objective of education about the climacteric and menopause, but also to inform about the merits of HRT, and to dispel the many myths that exist concerning HRT.
In Costa Rica, it is the specialists in Gynecology and Obstetrics who manage and treat osteoporosis. Our association has been given the task of organizing five annual national meetings and four courses for up-dating knowledge on menopause with the participation of excellent Costa Rican as well as international experts. It provides educational radio programs and discussions to keep doctors and other professionals in health sciences informed about appropriate management of menopausal patients, embracing their physical and emotional aspects, with the objective of establishing guidelines that can be applicable in our country.
The association has also tried to identify the reality of menopause management and knowledge in Costa Rica. One of the problems that Costa Rica has had in relation to the climacteric and menopause started with the publication of the WHI study in HRT was discredited and it has been very difficult to re-establish public confidence about its many benefits and limited risks.
This situation requires time, effort and expensive campaigns that are sometimes beyond our capabilities. With members in good standing, there is a strong basis for educational and promotional efforts that we continuously provide through scientific regional meetings and the media in order to promote the health of women over the age of 50 years.
Almost all of the conventional medication used in menopausal medicine is available in Croatia and gynecologists are the first line in prescribing menopausal hormonal therapy. Although gynecologists are the majority, CMS also has as members other specialists in the field of menopause endocrinologists, rheumatologists, internists, etc.
Most consensus conferences are the result of collaboration between these three societies. Today, Croatia has , inhabitants older than 65 years, or Women are in the majority There are people older than years women vs. On average, women live 7. CMS estimates that this number will increase very slowly in the next 5 years. There is a problem in the management of alternative therapy. The standards of quality control and control of over-the-counter distribution are poor.
Unfortunately, among products with any scientific background, the vast majority have little or no evidence of benefit. Osteopenic perimenopausal women are treated by gynecologists and, in the field of osteoporosis, prescribing of therapy is shared with rheumatologists.
The merits of hormone therapy as complementary to quality of life should be advocated. There are no menopause specialists in Cuba, but we are a group of medical and paramedical colleagues who study and research on menopause. The group has members, including a number of medical disciplines such as gynecology, endocrinology, biology, anthropology, sociology, psychology, sexology, family medicine, orthopedics, rheumatology, physical and rehabilitation medicine, nourishment, nursery and social work.
The aim of our group is to deal with the problem in both a general and an individualized way at the same time, taking into account the social and medical diagnosis and leaving the use of hormonal therapy type of medicine, administration and duration of the treatment for those women who really need it.
We also have experience in the use of non-hormonal treatments like herbal therapy, phytoestrogens and acupuncture. The majority of investigations show that the mean age of menopause in Cuba is between 47 and 48 years. The main problems are vasomotor symptoms, sexual dysfunction, heart disease and osteoporosis. Treatment for osteoporosis is by a multidisciplinary team.
The medical treatment could be prescribed by a rheumatologist, orthopedic, endocrinology or gynecology specialist but always in consultation with other medical specialists. Our group has held two National Congresses and seven International Symposia based on the climacteric and menopause.
In , the first Cuban consensus about climacteric and menopause was published and this was updated at a national multidisciplinary meeting in December In , we will commence Diploma and Mastership courses in climacteric and menopause.
Our group has participated in two research projects of the Research Latin-American Net on the Climacteric. We have seven Latin-American experts in climacteric and menopause. Our objectives are related to the four essential elements of good medical provision: The history of menopause and climacteric medicine in the former Czechoslovakia began in November in Bratislava, Slovakia, where the first conference was organized by the Czechoslovak Gynecology Society.
The conference proved that menopause itself became an important subject of interest for Czech and Slovak gynecologists. It was a great time in the research of menopause.
Rozenbaum and Austria, Professor Metka. From there are two societies. At this time both have got about members. From this year Assoc. The journal enables the publication of foreign papers, reports, actual information and discussions from international conferences, congresses and symposium of IMS, EMAS and NAMS to be publicized in the Czech language for Czech doctors. It is free for all members of CMAS. Information about the Czech Menopause and Andropause Society are available online on the web site www.
Promotion of the study of all aspects of the climacterium in women and men, especially in postmenopausal women with estrogen deficiency. Organization of the conferences on menopause every 2 years and participation in menopausal conferences in Slovakia. Cooperation with physicians of other specializations and with general practitioners.
Providing information to women and men about preventive diagnostics methods and about importance of health and fitness in older age. The Sociedad Dominicana de Menopausia was founded in ; it is open to all medical and paramedical fields and has members.
Society members are gynecologists as well as endocrinologists, cardiologists, orthopedic surgeons, rheumatologists, and general practitioners. In our country, there is still no formal certification, and this is not needed to be dedicated in this field.
In Dominica, the total female population is 4,,; there are , women over 45 years and , between 45 and 60 years old. Life expectancy for women is 76 years. Women taking hormone replacement therapy HRT and other therapies number The principal problem in Dominica is that there is little awareness in the population about climacteric problems. In addition, there is poor access to services dedicated to menopausal women.
The main objective of our society is to promote knowledge about menopause in the Dominican medical class in particular and in Dominican women in general. We have been very active in courses, conferences, patient activities, TV programs, and participation with the international community.
We are planning to establish a National Foundation for Dominican climacteric women to achieve the next level of action. The initial number of members was 60; it now reaches However, the size of membership is still below our expectations. In , the Society was renamed as the Egyptian Menopause Society. In Egypt, there are about 7—8 million women above the age of 50 years. This number is expected to rise with an increasing population, which rose from The main objectives of our society are: Awareness about menopausal problems increased in the last few years among both the public and physicians.
Data about the size of menopausal problems in Egypt are limited. The mean age of the menopause is Bone mineral density charts have been constructed for Egyptian women and show that, in general, they have a lower bone mineral density compared to their Western counterparts.
Egyptian women do not know much about the menopause, except that the incidence of osteoporosis is increased . The National Institute of Nutrition in Cairo has conducted a cross-sectional study to assess status of bone density among adolescents and adults in Egypt; families were included. They found that the prevalence of osteoporosis and osteopenia is higher among females compared to males in the age group 40—50 years, osteoporosis and asymptomatic low BMD present at an earlier age than that reported in literature.
We can conclude that awareness of menopausal problems among both health workers and the public needs to be improved. More community-based studies are needed to have a solid database about the prevalence of the short- and long-term problems among menopausal women. The Society should work more to spread knowledge among both health workers and the public. We are expecting more collaboration with the IMS to help our new Society to reach its objectives. EMAS is an international society that promotes health in women and men in midlife health and beyond through its journal Maturitas Impact Factor 3.
It encourages the exchange of research and professional experience between members. The next biannual congress will be in Amsterdam May , EMAS regularly publishes position statement and clinical guides to provide easily accessible information for the busy healthcare professional. The aim of JuMP is to encourage career development of junior clinicians and researchers in the field of post reproductive health.
One expert Mentor is paired with a Mentee for one year based on mutual research interests. Thus, using a range of activities and through its affiliates, EMAS aims to guarantee and provide the same standard of education and information throughout Europe on midlife health in both genders.
Their goals are to promote information, education and communication on the menopause; to promote knowledge, study and research on all aspects of menopause and hormonal aging; to encourage the interchange of expertise and experience between individual members through the organization of a national meeting and nationwide workshops and participate in national and international congresses. The GEMVi has launched a website www.
It publishes every year a brochure providing information on menopause and hormonal therapy for the general public that can be easily downloaded from the website.
It holds an annual meeting with about participants. The German Menopause Society was founded on July 14, and now has members. Most members are gynecologists, but the Society is basically open to non-gynecologists and non-MDs at the moment less than 10 members. To be called a menopausal specialist, no further qualification is necessary.
Osteoporosis is treated by gynecologists and orthopedics. The Society organizes nationwide workshops on hormone therapy for private practitioners and nationwide workshops on hormone therapy for patients. The Society was founded in and is a non —profit Scientific Society which aims to promote awareness and knowledge on topics related to menopause. The Society organizes the Hellenic Menopause Congress every 3 years and furthermore meetings and clinical seminars for physicians who treat menopausal women.
Moreover, the Society aims to disseminate information to the public about the latest news regarding the early diagnosis and management of diseases related to menopause. Dra Judith Ochoa de Pacheco. AGCYM is open to all doctors who treat menopausal women gynecologists, rheumatologists, psychiatrists, orthopedic surgeons, endocrinologists. The particular problem in menopause management experienced by our members is the refusal of cardiologists and oncologists to give hormonal treatment when necessary.
Guatemalan women use hormones and other therapies according to each individual case. AGCYM aims, first, to study and publish work on the prevention and the effects of the physical and emotional diseases related to menopause and, second, to enable health personnel to bring an integral attention with quality and kindness to all menopausal women.
The Hong Kong Menopause Society HKMS was founded in with the primary objective to promote and assist the study of all aspects of the menopause and its consequences for the sake of public interest. Any medical practitioner, nurse, scientist or other health professional with an interest in the menopause and aging is welcome to join the Society.
Currently, there are 32 members, all of whom are gynecologists active in the field of menopause. In the past 4 years, the Society has organized scientific meetings, public exhibitions and seminars. Data showed that Hong Kong Chinese women, though leading a relatively Westernized lifestyle, did not experience the same symptoms as their western counterparts.
They had much less hot flushes and relatively higher psychological complaints. A majority of women felt that the climacteric and menopause are a natural process, which caused them no concern. Longitudinal studies have been carried out subsequently in a cohort of about women. However, the use of hormonal treatment had not increased in the same fashion. The low uptake and continuation rate of hormone use have been attributed, at least in part, to the use of Chinese herbal medicine to alleviate menopausal symptoms.
Given the high acceptability of Chinese medicinal products in the local population, it could be inferred that some of these products were used for menopause. A pilot study has shown that the menopausal symptom score in healthy Chinese women improved markedly after 3 months of treatment with a specific Chinese herbal medicine preparation. Further study is warranted to explore the effectiveness of different preparations. The profile of hormonal treatment changed again after the publication of the WHI trial in July There has been no further decline since.
A territory-wide survey is currently underway to involve all gynecologists and family physicians in both the private and public sectors in order to appraise the complete profile of hormone use in the local population. Professor Nandor Acs Semmelweis, Univ.
Budapest, Hungary Founder President: Toth, Uzsoki Hospital, Budapest, Hungary. The Hungarian Menopause Society was founded on 25 November ; it now has members. The Society has a multidisciplinary structure: MDs, physiotherapists, nurses, midwives, assistants in the menopause clinics. Most of the doctors are gynecologists, but we have endocrinologists, urologists, rheumatologists, neurologists, psychologists, oncologists, internists, and cardiologists.
We have a small, not very active, group of ten people dealing with complementary medicine phytoestrogens, herbal medicine, soy inside the society Complementary Medicine Forum. We do not have contact with paramedics as they are not very active in the field of the menopause. Scientific activity is not obligatory, but it is highly valued in the score system. This postgraduate education system was accepted by the College of Obstetrical and Gynaecological Speciality in There are about 1.
The most important problem is the increasing fear of breast cancer and cardiovascular side-effects. The disproportionate fear of side-effects is fuelled by both professional literature and the mass media. Doctors from other specialties, particularly GPs, are hostile towards menopausal hormone therapy.
Gynecologists are allowed to treat osteoporosis, and can prescribe for it, with reimbursement. Rheumatologists do not use menopausal hormone therapy. We organize national congresses biannually since in early June. In every meeting, one or more opinion leaders in the field of menopause participated. Participants come from all parts of the country. We support the scientific research and publication activity of our members.
We regularly publish News Letters on our website and e-mail them to members. Society life is quite active. We arrange ad hoc meetings, organized as the opportunity arises, to hear famous speakers who are visiting our country e.
Last national Congress was held in , the next will be organized Founded in , The Indian Menopause Society is fast growing multidisciplinary society currently with 37 chapters across the country and nearly members. It is committed to fostering the comprehensive well-being of mature and elderly Indian women.
The Society provides a common forum for medical staff, other interested health professionals and people from all walks of life to work towards the goals of the society. To increase awareness regarding menopause and aging through public health and education activities; to promote a multidisciplinary, multifactorial comprehensive approach to the care of these women — medical and non-medical; to regularly update doctors and health professionals in the field of menopausal medicine; to facilitate the exchange of ideas and experiences of different disciplines since the physical, mental and emotional health of women in the years after menopause is truly multidimensional; to collect information and data and encourage research with particular reference to Indian women; and to help provide awareness and services to the less-privileged groups of women in our society.
Since its inception, IMS has been committed to education and it continues to raise awareness of postmenopausal health-care issues and to promote optimal clinical management through its meetings and publications guided by different committees. To maintain uniformity of thought and practice, modules have been prepared to conduct these sessions. It has its own National data collection for research purposes.
The IMS family as we fondly call it is special for it has a holistic approach and deals not only with the ailments of aging but touches the mental and emotional issues too. The common bond that holds the IMS together is its sensitivity, patience and dedication towards the well being of an adult woman.
This slogan is self explanatory and the colours convey the state of mind and body. Red excites, and attributes to dynamism and fitness. Blue is a stable and dependable colour inspiring confidence, commitment and peace.
Green represents nature and is refreshing, healing and signifies a baggage free qualities of a free spirit. Indonesia is an archipelago of more than 13, islands, consisting of 35 provinces.
Samil as the first President on 19th February The organization has 18 branches throughout the country. Currently, it is located in government universities only. There are approximately 25—30 members in each branch. To achieve this qualification, a gynecologist needs two more additional years of education. This position is primarily responsible for the educational aspect of endocrinology including menopause rather than as a clinician, since family doctors also have authority to treat women with menopausal problems.
The geriatric population increased from 9. This phenomenon shows that the growth rate of geriatric people is approximately double than that of the total population. Indonesia will have serious geriatric-related health problems in the future. Based on a study conducted by GPs in Jakarta, the use of hormonal therapy was only 2.
Climacteric symptoms have less prevalence compared to those of Western countries. The patterns of complaints and climacteric symptoms identified are the same as those found in Western countries except that the symptoms are more mildly perceived, or not expressed at all. The consumption of soybean and rice besides traditional herbs may contribute to the low prevalence of climacteric symptom in our population. This issue still needs to be determined and investigated further.
PERMI has been able to include the study of menopause in the medical curriculum as pre-service training as well as in the training for family doctors as an in-service training. PERMI is also doing its utmost to develop an Indonesian densitometer machine, and to determine the normative value of normal bone mass density of elderly menopausal women in Indonesia.
The Israeli Menopause Society was founded in October The Israeli Menopause Society is composed of members; both physicians and paramedical professions who have an interest in the menopause and related topics can be full active members in the society. As in many other western countries, a decrease in use of HT has been observed after the publication of the WHI.
There is a positive significant correlation between level of education and both undergoing regular medical screening and engaging in regular sports activity. HT current utilization is negatively associated with age and being a housewife. HT use in Israel has an individualized approach, with careful consideration of both the benefits and risks of treatment. The Israeli Menopause Society finds a tremendous need for communication with gynecologists, physicians and patients.
Thus, it organizes regular three half-day meetings, discussing one issue at a time per year i. The major problem of HT use in Israel is the fear of patients and physicians, fuelled by the press, regarding the use of HT and the connection with cancer. HT, bisphosphonates and raloxifene are frequently used by the members of the Israeli Menopause society gynecologists and general physicians in the prevention and treatment of osteoporosis. Other medicines such as PTH are used in agreement with the needs of each patient.
Only in rare cases after a referral is a treatment given by rheumatologists or endocrinologists. The Italian Menopause Society was founded more than 10 years ago by a group of gynecologists from several Italian universities. Now, SIM has more than members.
The speakers and chairmen of the SIM Congress are Italian gynecologists who are known for their original studies on menopause. HT with low hormonal dosages is supported by SIM because several studies show that low HT doses are capable of improving menopausal symptoms, dependent on lack of ovarian hormonal action on the central nervous system CNS , mainly hot flushes and psychological symptoms, but also to prevent osteoporosis, cardiovascular diseases and vaginal dystrophy.
In the scenario of several kinds of HT, SIM focuses its attention on new progestin compounds, such as drospirenone, capable of counteracting the renin—angiotensinogen—aldosterone system with beneficial effect on the control of blood pressure and water retention.
However, the objectives of SIM are also to give more data on personalized hormonal treatments, such as tibolone, or different methods of hormone administration. Although the majority of gynecologists are in agreement with these objectives, many women do not take HT because they are afraid of breast cancer risk with HT use.
Therefore, many meetings of SIM are addressed to women in order that they can understand the real overall oncologic role of HT. In women with exclusion factors to HT, SIM focuses on the importance of a correct follow-up and the use of alternative therapies, such as topical estrogen use to counteract vaginal dystrophy, drugs capable of reducing bone resorption and drugs which can antagonize the neurotransmitter changes responsible for CNS symptoms. As for alternative treatments with phytoestrogen compounds, SIM believes that future studies are necessary to better understand their chemical composition, their mechanism of action and whether they are capable of exerting beneficial effects similar to those of HT.
In the general postmenopause population, 2. Other therapies used are antidepressants, Chinese herb medicine and medical supplements isoflavone , etc.
The particular problems in menopause management that our members experience are a limited awareness of the importance of preventive menopause management in general and in government, even in medical societies; low acceptance rate of HRT, mainly due to the misunderstanding of hormonal preparations, such as fear of cancer, and low availability of only a few kinds of HRT preparations, due to strict regulation in clinical trials. Marshall Islands 4 March Bahamas 6 June Monaco 22 October Benin 31 October Mongolia 9 April Bolivia 10 February Montenegro 11 October Bosnia and Herzegovina 7 May Mozambique 12 April Brazil 10 December Nauru 30 May Burundi 6 June New Zealand 3 February Cameroon 15 September Nicaragua 26 April Niger 21 August Cape Verde 26 April Nigeria 25 October Central African Republic 3 September Norway 26 March Chad 1 June Chile 12 May Palau 3 May Colombia 17 March Panama 14 March Papua New Guinea 11 May Croatia 13 March Paraguay 28 March Peru 3 April Czech Republic September A family in Georgia is reeling from a pizza order that left their 2-year-old with second-degree burns.
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