The prevalence and awareness of menopausal symptoms among perimenopausal and postmenopausal women visiting a tertiary care hospital
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20253525Keywords:
Awareness of menopausal symptoms, Menopause, Perimenopausal symptoms, Postmenopausal symptomsAbstract
Background: The growing number of postmenopausal women has important implications for healthcare systems, as these women may face specific health concerns associated with menopause and ageing. The study aimed to know the prevalence and awareness of menopausal symptoms among perimenopausal and postmenopausal women visiting tertiary hospitals.
Methods: A cross-sectional design was used for data collection and analysis. Women aged 45 years and above in the perimenopausal and postmenopausal age groups were included. We utilised the menopausal rating scale questionnaire as a tool.
Results: A maximum percentage of women (73%) reported physical and mental exhaustion, bladder problems (66%), joint and muscular discomfort (61%), and irritability (59.66%). Additionally, 46.6% of women reported having hot flushes. Dryness of the vagina in 41.33%. Among the 45 to 55 years age maximum women had hot flushes (60.71%), the sexual problem (54.83%), irritability (54.74%), and depressive mood (32%). Among 56 to 65 years age the most common complaints were sleep disturbance (58.62%), bladder problems (45.96%), Anxiety (44.58%), physical and mental discomfort (40.63%), joint and muscular discomfort (39.89%), and vaginal dryness (36.29%). Among the 66 to 75 the heart discomfort was highest (45.67%). Among women aged 76 years and above, age depressive symptoms (16%) and sleep problems (13.79%) were present.
Conclusions: There is a high prevalence of menopausal symptoms and a lack of awareness among women, implying a need for healthcare initiatives in India, where this issue receives little attention. We strongly advocate a governmental policy for menopausal women to support their specific health needs.
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References
Meeta, Digumarti L, Agarwal N, Vaze N, Shah R, Malik S. Clinical practice guidelines on menopause: an executive summary and recommendations. J Midlife Health. 2013;4:77-106. DOI: https://doi.org/10.4103/0976-7800.115290
Report of a WHO Scientific Group. Research on menopause in the 1990s. World Health Organ Tech Rep Ser. 1996;866:1-7.
Brinton RD, Yao J, Yin F, Mack WJ, Cadenas E. Perimenopause as a neurological transition state. Nat Rev Endocrinol. 2015;11(7):393-405. DOI: https://doi.org/10.1038/nrendo.2015.82
Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the stages of reproductive aging workshop + 10: addressing the unfinished agenda of staging reproductive aging. Menopause. 2012;19(4):387-95. DOI: https://doi.org/10.1097/gme.0b013e31824d8f40
Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams Gynaecology 3rd edn. New York: McGraw-Hill Education/Medical; 2016:471-491.
Ahuja M. Age of menopause and determinants of menopause age: A PAN India survey by IMS. J Midlife Health. 2016;7:126-31. DOI: https://doi.org/10.4103/0976-7800.191012
Ilankoon IM, Samarasinghe K, Elgán C. Menopause is a natural stage of aging: a qualitative study. BMC Women’s Health. 2021;21(1):47. DOI: https://doi.org/10.1186/s12905-020-01164-6
Hajesmaeel-Gohari S, Shafiei E, Ghasemi F, Bahaadinbeigy K. A study on women’s health information needs in menopausal age. BMC Women’s Health. 2021;21(1):434. DOI: https://doi.org/10.1186/s12905-021-01582-0
Backonja U, Taylor-Swanson L, Miller AD, Jung SH, Haldar S, Woods NF. “There's a problem, now what's the solution?”: suggestions for technologies to support the menopausal transition from individuals experiencing menopause and healthcare practitioners. J Am Med Inform Assoc. 2021;28(2):209-21. DOI: https://doi.org/10.1093/jamia/ocaa178
Ismail R, Linder LA, MacPherson CF, Fugate Woods N. Feasibility of an iPad application for studying menopause-related symptom clusters and women’s heuristics. Inform Health Soc Care. 2016;41(3):247-66.
Heinemann LA, Potthoff P, Schneider HP. International versions of the menopause rating scale (MRS) Health Qual Life Outcomes. 2003;1(1):28. DOI: https://doi.org/10.1186/1477-7525-1-28
Ajani K, Nimavat D, Vidja M, Moradiya A, Panchasara D, Bhalodiya S, et al. Translation, reliability, and validity test of gujarati version of menopause rating scale in postmenopausal women for menopause-related symptoms. Indian J Community Med. 2021;46(1):40-4. DOI: https://doi.org/10.4103/ijcm.IJCM_163_20
Mathialagan S, Ramasamy S, Nagandla K, Siew WF, Sreeramareddy CT. Menopause rating scale (MRS) in the Malay language-translation and validation in a multiethnic population of Selangor, Malaysia. BMC Womens Health. 2022;22(1):347. DOI: https://doi.org/10.1186/s12905-022-01922-8
Sadiq U, Baig KB, Mustafa N. Translation and reliability analysis of menopause rating scale (MRS) in Urdu. JPMA. 2019;69.
World Health Organization. Menopause Facts sheet. Available from: https://www.who.int/news-room/fact-sheets/detail/menopause. Assessed on 29 April 2023.
AlQuaiz AM, Kazi A, Habib F, AlBugami M, AlDughaither A. Factors associated with different symptom domains among postmenopausal Saudi women in Riyadh, Saudi Arabia. Menopause. 2017;24(12):1392-401. DOI: https://doi.org/10.1097/GME.0000000000000931
Armo M, Sainik S. Assessment of menopausal symptom using modified menopause rating scale among rural women of Rajnandgaon in Chhattisgarh, a central India region. J South Asian Feder Obstet Gynaecol. 2020;12 (4):209-14. DOI: https://doi.org/10.5005/jp-journals-10006-1797
Pathak N, Shivaswamy MS. Prevalence of menopausal symptoms among postmenopausal women of urban Belagavi, Karnataka. Indian J Health Sci Biomed Res. 2018;11:77-80. DOI: https://doi.org/10.4103/kleuhsj.kleuhsj_204_17
Kalhan M, Singhania K, Choudhary P, Verma S, Kaushal P, Singh T. Prevalence of menopausal symptoms and its effect on quality of life among rural middle-aged women (40-60 years) of Haryana, India. Int J Appl Basic Med Res. 2020;10(3):183-8. DOI: https://doi.org/10.4103/ijabmr.IJABMR_428_19
Yisma E, Eshetu N, Ly S, Dessalegn B. Prevalence and severity of menopause symptoms among perimenopausal and postmenopausal women aged 30-49 years in Gulele sub-city of Addis Ababa, Ethiopia. BMC Womens Health. 2017;17(1):124. DOI: https://doi.org/10.1186/s12905-017-0484-x
Marahatta RK. Study of menopausal symptoms among peri and postmenopausal women attending NMCTH. Nepal Med Coll J. 2012;14(3):251-5.
Khatoon F, Sinha P, Shahid S, Gupta U. Assessment of menopausal symptoms using a modified menopause rating scale (MRS) in women of northern India. Int J Reprod Contracept Obstet Gynecol. 2018;7:947. DOI: https://doi.org/10.18203/2320-1770.ijrcog20180871
Karmakar N, Majumdar S, Dasgupta A, Das S. Quality of life among menopausal women: a community-based study in a rural area of West Bengal. J Midlife Health. 2017;8:21-7. DOI: https://doi.org/10.4103/jmh.JMH_78_16
Mathew DJ, Kumar S, Jain PK, Shukla SK, Ali N, Singh DR. A cross-sectional study to assess the quality of life of perimenopausal and post-menopausal women in rural Etawah, Uttar Pradesh, India. J Midlife Health. 2020;11:161-7. DOI: https://doi.org/10.4103/jmh.JMH_88_19
Singh A, Pradhan SK. Menopausal symptoms of postmenopausal women in a rural community of Delhi, India: a cross-sectional study. J Midlife Health. 2014;5(2):62-7. DOI: https://doi.org/10.4103/0976-7800.133989
Meeta M, Digumarti L, Agarwal N, Vaze N, Shah R, Malik S. Clinical practice guidelines on menopause: an executive summary and recommendations: Indian menopause society 2019-2020. J Mid-life Health. 2020;11:55-95. DOI: https://doi.org/10.4103/jmh.JMH_137_20
Sundararajan M, Srinivasan V. Prevalence of menopausal symptoms and health-seeking behavior of school teachers with menopausal symptoms in Kumbakonam, South India. Int J Community Med Public Health. 2023:10(3);1224-31. DOI: https://doi.org/10.18203/2394-6040.ijcmph20230644
Madan U, Chhabra P, Gupta G, Madan J. Menopausal symptoms and quality of life in women above 40 years in an urban resettlement colony of East Delhi. Int J Med Sci Public Health. 2019;8:514-9. DOI: https://doi.org/10.5455/ijmsph.2019.0203012052019
Yerra AK, Bala S, Yalamanchili RK, Bandaru RK, Mavoori A. Menopause-related quality of life among urban women of Hyderabad, India. J Midlife Health. 2021;12(2):161-7. DOI: https://doi.org/10.4103/jmh.jmh_272_20
Faculty of Occupational Health Medicine (FOM) Guidelines on Menopause and the Workplace. Available from: https://www.som.org.uk/sites/ som.org.uk/files/Guidance-on-menopause-and-the-workplace.pdf. Assessed on 29 April 2023.
The NHS Greater Glasgow and Clyde Menopause Policy. Available from: https://www.nhsggc.org.uk/ media/264720/menopause-policy-version-2.pdf. Assessed on 3 June 2024.
Sheereen F, Kadarkar KS. Community-based appraisal of menopause-specific health problems and quality of life among women of rural Western Maharashtra. J Fam Med Prim Care. 2022;11(11):7328-34. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1377_22
Kang HK, Kaur A, Dhiman A. Menopause-specific quality of life of rural women. Indian J Community Med. 2021;46(2):273-6.