Quality of life among menopausal women

Hoda A. E. Mohamed, Sahar M. Lamadah, Luma Gh. Al. Zamil

Abstract


Background: The transition through menopause is a life event that can profoundly affect quality of life. More than 80% of women report physical and psychological symptoms that commonly accompany menopause, with varying degree of severity and life disruption. The aim of this study was to assess the menopausal related symptoms and their impact on the women’s quality of life. Research questions: Are the menopausal symptoms impacts on the women’s quality of life?

Methods: A descriptive design was used. A convenient sample composed of 90 women at range of age between 40-60 years was recruited from gynecological department. An interviewing sheet was designed by the researchers and menopause specific quality of life questionnaire were used to collect the data.

Results: The present study showed that the most severe symptoms of vasomotor, psychosocial, physical and sexual domains were, hot flushes (29%), experiencing poor memory (48.3%), being dissatisfied with their personal life (44.8%), Low backache (41.9%), and change in sexual desire (36.8%). The overall scores of menopausal quality of life for each domain are indicated that the highest mean score in sexual domain (3.19 ± 1.99), followed by psychosocial (2.94 ± 1.45).  

Conclusions: It can be concluded that the most severe symptoms of vasomotor, psychosocial, physical and sexual domains were, hot flushes, poor memory, dissatisfaction with personal life, low backache, and change in  sexual desire. While the mean scores of each domain suggest that menopausal symptoms were associated with decrease in women quality of life. 


Keywords


Menopausal symptoms, Quality of life

Full Text:

PDF

References


McKinney E, Ashwill J, Murray S, James S, Gorrie T, Droske S. Menopause. In: McKinney E, Ashwill J, Murray S, James S, Gorrie T, Droske S. Menopause, eds. Maternal-Child Nursing. St. Louis: Elsevier Science Health Science Division; 2012: 655.

Speroff L, Fritz L. The effect of age and menstrual cycle. In: Speroff L, Fritz L, eds. Clinical Gynecologic Endocrinology and Infertility: 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2005: 613.

Bernis C, Reher D. Environmental contexts of menopause in Spain: comparative results from recent research. Menopause. 2007;14(4):777-87.

Williams R, Levineb B, Kalilani L, Lewisc J, Clarkd R. Menopause-specific questionnaire assessment in US population-based study shows negative impact on health-related quality of life. Maturitas. 2009;(62):153-9.

Lewis V. Under treatment of menopausal symptoms and novel options for comprehensive management. Cur Med Res Opin. 2009;25:2689-98.

Thurston R, Joffe H. Vasomotor symptoms and menopause: findings from the study of women’s health across the nation. Obstet Gynecol Clin North Am. 2011;38:489-501.

Ford K, Sowers M, Crutchfield M, Wilson A, Jannausch M. Longitudinal study of the predictors of prevalence and severity of symptoms commonly associated with menopause. Menopause. 2005;12:308-17.

Greenblum C, Meredeth A, Rowe, Neff D, Greenblum S. Midlife women: symptoms associated with menopausal transition and early postmenopause and quality of life. Menopause. 2013 Jan;20(1):22-7.

Sallam H, Galal A, Rashed A. Menopause in Egypt: past and present perspectives. Suzanne Mubarak Regional Center Women's Health Devel Egypt. 2006;9(6):421-9.

Al-Olayet A, Al-Qahtani I, Al-Essa D, Al-Saleek F, Al-Moutary M. Severity of menopausal symptoms, and knowledge attitude and practices towards menopause among Saudi women. Sci Res Essays. 2010;5(24):4077-9.

Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann L et al. The menopause rating scale (MRS) scale: a methodological review. Health Qual Life Outcomes. 2004;2:45.

Mishra G, Kuh D. Perceived change in quality of life during the menopause. Soc Sci Med. 2006;62:93-102.

Catherine A, Meredeth A, Donna F, Jesse S. Midlife women: symptoms associated with menopausal transition and early postmenopausal and quality of life. Menopause. 2012;20(1).

Avis N, Assmann S, Kravitz H. Quality of life in diverse groups of midlife women: assessing the influence of menopause, health status and psychosocial and demographic factors. Quality Life Res. 2004;13:933-46.

Ham O. Predictors of health-related quality of life among low-income midlife women. West J Nurse Res. 2011; 33: 63-78.

Col N, Haskins A, Ewan-Whyte C. Measuring the impact of menopausal symptoms on quality of life: methodological considerations. Menopause. 2009;16:843-5.

Nisar N, Ahmed S. Frequency of menopausal symptoms and their impact on the quality of life of women: a hospital based survey. J Pak Med Assoc. 2009;59(11):752-6.

Cooper R, Kuh D, Cooper C. Objective measures of physical capability and subsequent health: a systematic review. Age Ageing. 2011 Jan;40(1):14-23.

Cooper R, Kuh D, Hardy R, Group M, Teams F. Objectively measured physical capability levels and mortality: systematic review and meta-analysis. Br Med J. 2010;341:c4467.

Studenski S, Perera S, Patel K. Gait speed and survival in older adults. J Am Med Assoc. 2011;305:50-8.

Lewisa J, Hilditcha J, Wongb C. Further psychometric property development of the menopause-specific quality of life questionnaire and development of a modified version, MENQOL-intervention questionnaire. Maturitas. 2005;50:209-21.

Gehad M, Samia A, Galila S. Effect of menopausal symptoms on women's quality of life in Benha city (Egypt) and Arar city (Kingdom of Saudi Arabia). Med J Cairo Univ. 2010;78(1):319-30.

El Sabagh E, Abd Allah E. Menopausal symptoms and the quality of life among pre/post-menopausal women from rural area in Zagazig city. Life Sci J. 2012;9(2):283.

Rachel. W, Kristen. L, Kalilani L, Jacqueline L, Richard V. Effects of quetiapine extended release on sleep and quality of life in midlife women with major depressive disorder. Maturitas. 2009;62(2):153-9.

Chim H, Tan B, Ang C, Chew E, Chong Y, Saw S. The prevalence of menopausal symptoms in a community in Singapore. Maturitas. 2002;41(4):275-82.

Jahanfar S, Abdul Rahim A, Shah Reza B, Nor Azura I, Sharifah D, Siti R. Age of Menopause and menopausal symptoms among malaysian women who referred to health clinic in Malaysia. Shiraz E-Med J. 2006;7:1-9.

Waidyasekera H, Wijewardena K, Lindmark G, Aessen T. Menopausal symptoms and quality of life during the menopausal transition in Sri Lankan women. Menopause. 2009;16:164-70.

Gharaibeh M, Al-Obeisat S, Hattab J. Severity of menopausal symptoms of Jordanian women. Climacteric. 2010;13(4):385-94.

Ashrafi M, Ashtiani S, Malekzadeh F, Amirchaghmaghi E, Kashfi F, Eshrati B. Symptoms of natural menopause among Iranian women living in Tehran, Iran. Int J Reprod Med. 2010;8(1):29-32.

Rahman S, Zainudin S, Kar Mun V. Assessment of menopausal symptoms using modified menopause rating scale (MRS) among middle age women in Kuching, Sarawak, Malaysia. Asia Pac Family Med. 2010;9:5.

Chedraui P, Hidalgo L, Chavez D, Morocho N, Alvarado M, Huc A. Menopausal symptoms and associated risk factors among post-menopausal women screened for the metabolic syndrome. Arch Gynecol Obstet. 2007;(3):161-8.

El Shafe K, Al Farsi Y, Al Zadjali N, Al Adawi S, Al Busaidi Z, Al Sha faee M. Menopausal symptoms among healthy, middle-aged Omani women as assessed with the menopause rating scale. Menopause. 2011;(10):1113-9.

Kalahroudi M , Mahboubeh T, Sadat Z, Saberi F, Karimian Z. Prevalence and severity of menopausal symptoms and related factors among women 40-60 Years in Kashan, Iran. Nurs Midwifery Stud. 2012:1(2);88-93.

Chen Y, Lin S, Wei Y, Gao H, Wu Z. Menopause- specific quality of life satisfaction in community-dwelling menopausal women in China. Gynecol Endocrinol. 2007;23:166-72.

Rostami A, Ghofrani Pour F, Ramazan Zadeh F, Kazamnejad A. Effect of health education on knowledge, attitude and quality of life in post-menopausal women. Daneshvar. 2003;11(49):19-23.

Lee M, Kim J, Park M, Yang J, Ko YH, Ko S et al. Factors influencing the severity of menopause symptoms in Korean post-menopausal women. J Korean Med Sci. 2010;(5):758-65.

Askari F, Basiri M, Torabi S, Ghol S, Mohareri M. Age of natural menopause and the comparison of incidence of its early complications in menopause transition stages in women from Gonabad city. Horizon Med Sci. 2012;17(4):42-8.

Lee Y, Kim H. Relationships between menopausal symptoms, depression, and exercise in middle-aged women: a cross-sectional survey. Int J Nurs Stud. 2008;45(12):1816-22.

Delavar M, Hajiahmadi M. Factors affecting the age in normal menopause and frequency of menopausal symptoms in northern Iran. Iranian Red Crescent Med J. 2011;13(3):192-8.