Symptoms Experienced by Women Who Enter Into Natural and Surgical Menopause and Their Relation to Sexual Functions
Department of Nursing and Midwifery, Samsun Health High School, Ondokuz Mayıs University, Samsun, Turkey.Health Care For Women International (Impact Factor: 0.63). 06/2012; 33(6):525-39. DOI: 10.1080/07399332.2011.646374
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: Hormone treatment (HT) is an add back regimen of declining hormone or hormones in a postmenopausal woman in orderto eliminate unfavorable conditions caused by hormone deficiency, although it does not meet the actual levels secreted from the ovary. Leading indications are hypoestrogenemia and disturbing symptomsrelated to hypoestrogenic state. Vaginal atrophy, genitourinary symptoms like urinary incontinence, increased risk for osteoporosis and cardiovascular diseases are the other main concerns of HT. On the other hand, postmenopausal women who were treated with HT protocols including estrogen preparations as well as estrogen/progestogen combinations have been indicated as being exposed to increased risk for breast cancer development. Moreover, HT preparations were demonstrated to be inef ective in protection from cardiovascular diseases and thromboembolic events, in contrast to the prior beliefs. Therefore, today in the light of newdata, use of hormone therapy in postmenopausalwomen seems to lose itsrelevance. Nevertheless, alternative therapies have been developed to serve for the relief of menopausal disorders.Among them, tibolone, micronized testosterone, dihydroepiandrosterone,selective serotonine noradrenaline re-uptake inhibitors(SNRIs),selective estrogen receptor modulators, combined oral contraceptives and fitoestrogens could be preferred. For all that, the most ef icacious treatment on menopausal and genitourinary symptomsseems to be HT, yet. Furthermore, HT was indicated to be ef ective on osteoporosis and reducing postmenopausal bone fractures. HT should be the first choice of treatment in patients with premature ovarian failure and early onset menopausewithout any familial history of cancer.At the present time, it is advised to use hormone treatment choosing the appropriate preparation with the lowest ef ective dose with respect to above mentioned indications. If HT was introduced, there are valuable recommendations to keep the duration of therapy less than 5 years.01/2013; 10(4):242-249. DOI:10.5505/tjod.2013.48378
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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 · 3.36 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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