Symptoms experienced by women who enter into natural and surgical menopause and their relation to sexual functions.
ABSTRACT We carried out this study to determine which symptoms women experienced according to menopause type and the relation of these symptoms to sexual functions. The patricipants of the study were 250 women who underwent natural menopause and 200 women who underwent surgical menopause. A questionnaire, the Menopause Rating Scale (MRS), and the Golombok Rust Inventory of Sexual Satisfaction (GRISS) provided data. According to the MRS, hot flushes and sweating problems were the most common experiences, and, according to the GRISS, sexual infrequency problems rated highest in both groups. There was a positive relationship between multiple sexual functioning problems and the perceived level of menopausal symptom intensity, especially in surgical menopause women.
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ABSTRACT: Objective: This meta-analysis aims to evaluate the effects of acupuncture on hot flash frequency and severity, menopause-related symptoms, and quality of life in women in natural menopause. Methods: We systematically searched PubMed/Medline, PsychINFO, Web of Science, Cochrane Central Register of Controlled Trials, and CINAHL using keywords such as acupuncture, hot flash, menopause-related symptoms, and quality of life. Heterogeneity, moderator analysis, publication bias, and risk of bias associated with the included studies were examined. Results: Of 104 relevant studies, 12 studies with 869 participants met the inclusion criteria and were included in this study. We found that acupuncture significantly reduced the frequency (g = −0.35; 95% CI, −0.5 to −0.21) and severity (g = −0.44; 95% CI, −0.65 to −0.23) of hot flashes. Acupuncture significantly decreased the psychological, somatic, and urogenital subscale scores on the Menopause Rating Scale (g = −1.56, g = −1.39, and g = −0.82, respectively; P < 0.05). Acupuncture improved the vasomotor subscale score on the Menopause-Specific Quality of Life questionnaire (g= −0.46; 95% CI, −0.9 to −0.02). Long-term effects (up to 3 mo) on hot flash frequency and severity (g = −0.53 and g = −0.55, respectively) were found. Conclusions: This meta-analysis confirms that acupuncture improves hot flash frequency and severity, menopause-related symptoms, and quality of life (in the vasomotor domain) in women experiencing natural menopause.Menopause (New York, N.Y.) 07/2014; 22(2). DOI:10.1097/GME.0000000000000260 · 2.81 Impact Factor
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ABSTRACT: Today, most women live long enough to become menopausal and approximately one-third of women’s lives will be lived in postmenopause. As the number of postmenopausal women in our society increases, so does the significance of the prevention of frailty, active aging, and quality of life. Thus, due to the great social importance and impact worldwide, women’s health and menopause became a rapidly expanding field in need of scientific investigation. Therefore, evaluating the research on interventions or programs that target health promotion during this physiologically complex stage is essential to help and guide into more effective interventions. Consequently, the main aim of this thesis was to analyze the interaction of the menopausal characteristics with exercise and physical fitness, to evaluate optimal cardiovascular exercise intensities, and to examine the effects of this 12-month multicomponent exercise program on body composition. Therefore, knowledge of such interactions would help physicians and sport-science and fitness professionals move toward appropriate exercise prescription. To refer that, this thesis is included in the “Shape Up During Menopause” study – a randomized, controlled trial approved by the Portuguese Foundation for Science and Technology – that aims to improve overall health-related components of physical fitness and fall risk of PM through a 12-month moderate-to-vigorous exercise program (combining step aerobics, muscle strength, and flexibility/postural control training). Our overall results suggest an impairment of cardiorespiratory fitness with increasing age and time elapsed since menopause, but especially in the presence of increased total and central adiposity or reduced SM index. However, the 12-month moderate-to-vigorous exercise program seems to, positively and meaningfully, influence all the anthropometric and body composition variables along with the basal metabolic rate. In addition, no interactive effects were found between the exercise and menopausal characteristics, suggesting that exercise alone can promote improvements in postmenopausal women’s body composition. Furthermore, our results exposed that the upper limit of 84% (proposed by de ACSM) overestimates the %HRR value at the second ventilatory threshold, and the 40% of HRR lower limit is strongly related to the first ventilatory threshold, suggesting that, the cardiorespiratory target zone for this population should be lower (40%-70%HRR) than that recommended for the general population. Our results also demonstrate that, regarding postmenopausal women’s body composition, it seems to be unnecessary to make specific adjustments in the exercise prescription due to the individual menopausal characteristics – suggesting that, exercise programs with similar doses (as those of described in “Shape Up During Menopause” program) should be offered to women interested in this type of program.11/2014, Degree: PhD, Supervisor: Maria Helena Rodrigues Moreira; Catarina Isabel Neto Gavião Abrantes; Ronaldo Eugénio Calçada Dias Gabriel
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ABSTRACT: Hysterectomy remains the most common major gynecological surgery. Postoperative sexual function is a concern for many women and their partners. In this respect, a beneficial effect of hysterectomy for benign disease independent of surgical techniques or removal of the cervix has been demonstrated in the past decade by the majority of studies. For about 20 % of women, deteriorated sexual function has been reported and current research is attempting to identify mechanisms and predictive factors explaining these postoperative changes. Alternative treatments of benign uterine disorders or uterus preserving surgery for genital prolapse appeared to have similar outcomes in terms of sexual function. Concomitant oophorectomy had negative effects on sexual function and long-term health, particularly in premenopausal women. This may not be reversed by estrogen replacement. Hysterectomy performed for malignancy had a detrimental effect on sexual function. Individualized risk assessment and information should be aimed at during preoperative decision making.Current Sexual Health Reports 12/2014; 6(4). DOI:10.1007/s11930-014-0029-3