Awareness of menopause and HRT among women attending OPD of University teaching hospital


  • Uma Pandey Department of Obstetrics & Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India


Menopause, HRT, Socio-demography, Cultural factors


Background: The aim of this study was to find the awareness of menopause and Hormone Replacement Therapy (HRT) among women attending gynaecology outpatient in a university teaching hospital.

Methods: Study was conducted in the outpatients department of women attending gynaecology OPD in Sir Sunder Lal hospital, institute of medical sciences, Banaras Hindu University, Varanasi. It was done prospectively. Their awareness of menopause and HRT was enquired. Period of study was January 2013-December 2013. 67 women participated in this questionnaire survey. Socio-demographic characteristics, their knowledge of menopause and awareness of HRT were enquired.

Results: Age range of participants was 35-55. The age range of menopause was 45-55. 80% of women were from low socioeconomic status. 90% were illiterate. 60% of women have heard about menopause. 40 % of women were aware of symptoms of menopause. Only 2% of women were aware of HRT. 66 % of women were sexually active.

Conclusions: Relatively good number women were not aware of menopause. Majority of women were not aware of HRT.


Pam HA, Wu MH, Hsu CC, Yao BL, Huang KE. The perception of menopause among women in Taiwan. Maturitas. 2002;41:269-74.

Jin Yong Lee, Chang Suk Suh. The attitudes of postmenopausal women towards hormone replacement therapy (HRT) and effects of HRT on lipid profiles. In: Jin Yong Lee, Chang Suk Suh, eds. Proceedings of the First Consensus Meeting on Menopause in East Asian Region. May 26-30, Geneva: Switzerland: East Asian Region; 1997.

Avis NE. Women’s perceptions of menopause. Eur Menopause J. 1996;3:80-4.

Avis NE, Mckinly SM. A longitudinal analysis of women’s attitude towards the menopause, results from the Massachusetts women health study. Maturitas. 1991;13:65-79.

Cowan G, Warren LW, Young JL. Medical perceptions of menopausal symptoms. Psychol Women. 1985;9:3-14.

Shafi S, Samad Z, Syed S, Sharif A, Khan MA, Nehal US, et al. Hormone replacement therapy menopause with a better future-A survey of views on hormone replacement therapy (HRT). J Pak Med Assoc. 2001;51:450-3.

Rowan T. Chlebowski, Susan L. Hendrix, Robert D. Langer, Marcia L. Stefanick, Margery Gass, Dorothy Lane, et al. Influence of estrogen plus progestin on breast cancer and mammography in healthy postmenopausal women: the women’s health initiative randomized trial. JAMA. 2003;289:3243-53.

Collaborative Group on Hormonal Factors in Breast Cancer. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50302 women with breast cancer and 96973 women without the disease. Lancet. 2002;360:187-95.

Million Women Study Collaborators. Breast cancer and hormone replacement therapy in the Million women study. Lancet. 2003;362:419-27.

Banks E, Reeves G, Beral V, Bull D, Crossley B, Simmonds M, et al. Impact of use of hormone replacement therapy on false positive recall in the NHS breast screening programme: results from the Million women study. Br Med J. 2004;328:1291-2.

Horner E, Fleming J, Studd J. A study of women on long-term hormone replacement therapy and their attitude to suggested cessation. Climacteric. 2006;9:459-63.

Obel EB, Munk Jenson N, Svenstrup B, Bennett P, Micic S, Henrik-Nielsen R, et al. A two year double blind controlled study of the clinical effect of combined and sequential postmenopausal hormone replacement therapy and steroid metabolism during treatment. Maturitas. 1993;16:13-21.

Nir-Caein R, Nahum R, Yogev Y, Rosenfeld J, Fisher M, Kaplan B. Ethnicity and attitude towards menopause and hormone replacement therapy in Northern Israel. Clin Exp Obstet Gynaecol. 2002;29:91-4.

Maharaj NR, Gangaram R, Moodley J. The Menopause, hormone replacement therapy and informed consent: are women in an under resourced country adequately aware? J Obstet Gynaecol. 2007;27:300-4.

Lam PM, Leung TN, Haines C, Chung TK. Climacteric symptoms and knowledge about HRT among Hong Kong Chinese women aged 40-60 years. Maturitas. 2003;45:99-107.

Ettinger B, Genant HK, Cann CE. Long term oestrogen replacement therapy preventing bone loss and fracture. Ann Int Med. 1985;102:319-24.

Bosworth HB, Bastion LA, Kuchibhatia MN, Steffens DC, McBride CM, Skinner CS, et al. Depressive symptoms, menopausal status and climacteric symptoms in women at midlife. Psychosom Med. 2001;63:603-8.

Lock M, KauFert P, Glibert P. Cultural construction of the menopausal syndrome: the Japanese case. Maturitas. 1988;10:317-32.

Yahya S, Rehan N. Perceptions of menopause among rural women of Lahore. J Coll Physician Surg Pak. 2003;13:252-4.

Kaufert P, Boggs P, Ettinger B, Woods NF, Utian WH. Women and menopause: beliefs, attitudes and behaviour. The North American Menopause Society 1997. Menopause Survey. Menopause. 1998;5:197-202.






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