Presidential reflections: how we got here, where we might go

Abstract

Pieter van Keep was a founder and the third president of the International Menopause Society (IMS). He died, sadly, in 1991. Since then, every retiring president of the IMS has delivered the Pieter van Keep Memorial Lecture. This is an edited version of that lecture delivered at the 18th World Congress of the IMS in Lisbon, Portugal in 2022. In the article, President Steven R. Goldstein describes the path he followed that led him to the presidency of the IMS, including his original entry into transvaginal ultrasound, then gynecologic ultrasound and, ultimately, menopausal ultrasound. His was the first description of the benign nature of simple ovarian cysts, the ability of transvaginal ultrasound to exclude significant tissue in patients with postmenopausal bleeding and the significance of endometrial fluid collections in postmenopausal patients, just to name a few. However, it was his description of the unusual ultrasound appearance in the uterus of women receiving tamoxifen therapy that allowed his entry into the world of menopause. This, ultimately, led to leadership positions, and ultimately the presidency of the American Institute of Ultrasound in Medicine, the North American Menopause Society and, finally, the IMS, all chronicled in this article. In addition, the article describes in detail the activities of the IMS during the COVID pandemic.

摘要

Pieter van Keep是国际绝经学会（IMS）的创始人和第三任主席。他于1991年不幸去世。从那时起, 每一位即将退休的IMS主席都发表了Pieter van Keep纪念演讲。这是2022年在葡萄牙里斯本举行的第18届 IMS世界大会上发表的演讲的编辑版本。在这篇文章中, 主席Steven R. Goldstein描述了他走上IMS主席的道路, 包括他最初开始经阴道超声, 然后是妇科超声, 最后是更年期超声。他首次描述了单纯性卵巢囊肿的良性性质、经阴道超声排除绝经后出血患者重要组织问题以及绝经后患者子宫内膜积液收集的重要性, 仅举几例。然而, 正是他对接受他莫昔芬治疗的女性子宫异常超声表现的描述让他进入了更年期的世界。最终获得领导职位, 并最终成为美国医学超声研究所、北美绝经学会主席, 最后是IMS主席, 所有这些都记录在本文中。此外, 文章还详细描述了IMS在 COVID 大流行期间的活动。

Keywords:

• Menopause
• ultrasound
• endometrium
• ovarian cysts
• tamoxifen
• van Keep

Potential conflict of interest

Nil.

Source of funding

Nil.