DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20205758

A study on the modified menopause rating scale as a tool in the assessment of prevalence of menopausal symptoms in women of Dakshina Kannada district: a cross sectional study

Vangara Sushmitha, Nishita Shettian

Abstract


Background: Menopause is defined as complete cessation of menses for a period of twelve months or more as a result of complete loss of ovarian follicular activity. Issues related to menopausal symptoms are complicated in terms of experience, severity, and dynamics of the symptoms. Various studies had showed that these symptoms vary among individuals depending on the menopausal stage, ethnicity, geographic location, and other factors menopause rating scale is an effective tool to assess the severity of these symptoms. The aims and objectives of this study were to assess the commonly reported menopausal symptoms among the women of Dakshina Kannada district using a modified menopause rating scale.

Methods: This study was conducted in A.J Institute of Medical Sciences and Research Centre from January 2019. A total of 360 postmenopausal women were interviewed using predesigned questionnaire. Menopausal symptoms were assessed using modified menopause rating scale.

Results: Majority of women attained menopause at the age of 51-55 years and the calculated mean age was 51.33+3.36. 85% were symptomatic with at least one symptom. The most common symptom reported was joint and muscular discomfort (80%), psychological symptoms like depressive mood (68%), vasomotor symptoms (60%), sleep disorders (50%) urogenital problem (30%). The menopausal symptoms were more prevalent in women of lower socioeconomic status and the ones who were illiterate and this difference was significant.

Conclusions: There is an increasing need for establishment of specific health intervention for postmenopausal women by specialty clinics as the burden of menopausal symptoms is high in the Indian women due to lack of awareness, socio cultural and economic factors, and inaccessibility of health services, which may negatively affect the attitude of women towards menopause.


Keywords


Menopause rating scale, Menopause, Indian menopause society, Vasomotor symptoms, Wareness, Health care services

Full Text:

PDF

References


Milsom I. Menopause-related symptoms and their treatment. The Menopause, 1st edition. Philadelphia, PA, USA: Elsevier. 2006:9-16

Fritz MA, Speroff L. Menopause and the perimenopausal transition. Speroff L, Glass RH. Clinical Gynecol Endocrinol Infertil. 8th edition.

Sireger MF. Perimenopausal and postmenopausal complains in Paramedics assessed by Menopause rating scale in Indonesia.

Rahman SA, Zainudin SR, Mun VL. Assessment of menopausal symptoms using modified Menopause Rating Scale (MRS) among middle age women in Kuching, Sarawak, Malaysia. Asia Pacif Fam Med. 2010;9(1):5.

Lee Y, Kim H. Relationship between menopausal symptoms, depression, and exercise in middle aged women.

Cheng MH, Wang SJ, Wang PH, Fuh JL. Attitudes towards menopause among middle aged women: a community survey in an island of Taiwan. Maturitas

Hafiz I, Liu J, Eden J. A quantitative analysis of the menopause experience o Indian women living in Sydney. Aust N Z J Obstet Gynaecol. 2007;47:32934.

Yanikkerem E, Koltan SO, Tamay AG, Dikayak S. Relationship between women’s attitude towards menopause and quality of life. Climacteric. 2012;15:552-62.

Pal A, Hande D, Khatri S. Assessment of menopausal symptoms in perimenopause and post menopause women above 40 years in rural area Maharashtra (India). Int J Healthcare Biomed Res. 3013;1(3):16674.

Rosemeier H, Schultz B. Psychological aspects of menopause. In Fischl, F. (ed.), Menopause and ropause: Hormone replacement therapy through the ages new cognition and therapy concept. Gablitz: Krause and Pachemegg publishers. 2001:21-8.

Adler SR, Fosket JR, Kagawa-Singer M, McGraw SA, Wong-Kim E, Gold E et al. Conceptualizing menopause and midlife: Chinese American and Chinese women in the US. Maturitas. 2000;35(1):1123.

Joseph avani N, Nagaraj K, Saralaya V, Nelliyanil M, Rao PJ. Assessment of menopausal symptoms among women attending various outreach clinics in South Canara District of India. J Mid-life Health. 2014;5(2):84-90.