Profile, morbidities and symptoms of menopausal women
Author(s): Dr. K Sujatha, Dr. S Sweetha, Dr. J Srimathi and Dr. S Vilvapriya
Abstract: Background: Menopause or the period of quiescence of the reproductive system is a natural phenomenon. The number of postmenopausal women is increasing world wide due to gradually increasing life expectancy. Very few studies are devoted to menopause. There is an increasing demand for care of menopausal women. So it seemed necessary to realize this study whose objective was to describe the profile, clinical symptoms of menopausal women and their management. Menopause is a biological event characterized by complexity of factors. On an average, one third of women’s wife consists of postmenopausal years and very few health care programmes address them. This study aims to describe the pattern of health care seeking behaviour in menopausal women and awareness regarding menopausal symptoms.Aims & Objectives:1. To determine the most common age at attaining menopause and the prevalence of various self-reported menopausal symptoms complained by postmenopausal women (46-54 years).2. To determine the prevalence of non communicable diseases among postmenopausal women like diabetes, hypertension and cervical cancer.3. Association of risk factors on the appearance of post menopausal health problems.4. To assess the prevalence of awareness about menopausal symptoms and the screening procedures for cancers among perimenopausal women.Study Design: Cross sectional study period: March 2018-January 2019Study Area: Govt. Kilpauk Medical College, Chennai.Study population: Those aged above 40 years attending the OPD with post menopausal symptoms to Govt. Kilpauk Medical College, Dept. of obstetrics & gynaecology, Chennai.Sample Size: All those attending the OPD for the study period of one year (April 2018 – March 2019).Sample size=400.Results & Conclusion: About 50% of women have menstrual disturbances of varying degrees for about 6months to 2 years in perimenopausal period before attaining menopause.Most common associated comorbid condition in menopausal women is diabetes mellitus, followed by hypertension and coronary artery disease.A holistic approach to attend to the specific needs of perimenopausal women, in the form of1. Education regarding menopausal symptoms, in both physical and psychological domain2. Providing screening services with respect to generalised screening, and specialised screening for cancers3. Promotion of healthy diet habits, life style modification in the form of exercise, walking, yoga, etc.4. Treatment of menopausal symptoms and implementing HRT whenever needed5. Family based counselling at menopausal clinics to ensure social and emotional support and well being of menopausal women.Which will prepare and enable the perimenopausal women empowered to face the transit period of menopause with utmost happiness and comfort. The motto is healthy menopause with improved quality of life for menopausal women.
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