scholarly journals Assessment of the menopausal symptoms of women by using the menopausal rating scale

Author(s):  
Shweta Pradhan ◽  
Anupama Dave

Background: Although menopause is a universal phenomenon, there is a considerable variation among women regarding the manifestation of menopausal signs and symptoms. Symptoms experienced with the menopausal transition and early post menopause are varied and span both physical and psychological domains. Therefore, a need is felt to evaluate menopausal symptoms on a pretested scale to provide a subjective and clinically reproducible picture of menopausal symptoms.Methods: A descriptive cross-sectional study was conducted in MYH ,Indore Obstetrics and Gynecology Department, from July 2016 to December 2016.A pretested,  semi structured, interview based, oral questionnaire was used to assess the menopausal symptoms and their severity in women of age group 35 to 65 years attending MYH, Indore OPD, using MRS scale and to evaluate these symptoms in perimenopausal as compared to postmenopausal women.Results: The results were evaluated for psychological (P), somatic (S), and urogenital (U) symptoms. A significantly higher percentage of perimenopausal women  showed a P score of ≥7; while a higher percentage of postmenopausal showed S score and U score ≥7 ;p ≤ (0.001).Working women seem to suffer more from psychological symptoms whereas nonworking women showed a greater incidence of somatic symptoms.Conclusions: The present study revealed that proportion of menopausal symptoms was significantly high and there was variation of severity of menopausal symptoms with any of the socio demographic variables, menopausal status or duration of menopause.

Author(s):  
Muharam R ◽  
Muhammad Ikhsan ◽  
Herdinda Erudite Rizkinya

Objective: The objective of this study was to assess the association between menarche age and menopausal symptoms.Methods: A cross-sectional study with 100 perimenopause subjects. Every subject was assessed of their menopausal symptoms with validated menopause rating scale (MRS) questionnaire. Menopause symptoms were classified into somato-vegetative, psychological, and urogenital symptoms. Statistical analysis was used to assess menarche age and menopause symptoms associations.Results: Out of 100 subjects, somato-vegetative, psychological, and urogenital symptoms were found in 46%, 68%, and 74% cases, respectively. Menarche age was varied between 10 and 17-year-old. There was a significant correlation between menarche age and psychological symptoms (p=0.034). However, there was no significant correlation between menarche age and somato-vegetative as well as urogenital symptoms (p=0.257; p=0.093).Conclusion: There was a significant association between menarche age and psychological symptoms in perimenopause women. However, there was no association between menarche age and somato-vegetative as well as urogenital symptoms in perimenopause women.


2021 ◽  
Vol 28 (5) ◽  
pp. 1-11
Author(s):  
Cyanna Joseph D'souza ◽  
Santhakumar Haripriya ◽  
Harish Sreekantan Krishna

Background/aims Menopause can cause drastic changes that trigger severe symptoms in women and, in turn, influence their quality of life. Many women no longer prefer hormone replacement therapy because of its potential adverse effects. Hence, it is crucial to establish alternate interventions to alleviate menopausal symptoms. The aim of this study was to estimate the relationship between quality of life and level of physical activity in menopausal women. Methods A total of 260 postmenopausal women were recruited in this cross-sectional study. The Menopause Rating Scale and International Physical Activity Questionnaire – Short Form were used to assess quality of life and physical activity respectively. Results Women with higher levels of physical activity had fewer total menopausal, somato-vegetative and psychological symptoms (P<0.001); no differences were found in vasomotor and urogenital symptoms. Conclusions Women with low physical activity levels presented with greater menopausal symptoms. Regular physical activity can be recommended to alleviate symptoms following menopause, thereby improving quality of life.


2006 ◽  
Vol 21 (8) ◽  
pp. 516-520 ◽  
Author(s):  
Hubert M. Wichowicz ◽  
Jarosław Sławek ◽  
Mirosława Derejko ◽  
Wiesław Jerzy Cubała

AbstractObjectiveThe aim of this study was to assess the prevalence and factors influencing depression in PD patients in a cross-sectional outpatient clinic - based Polish patients sample.Materials and methodsOne hundred consecutive PD patients were included in this study; 35 of them fulfilled DSM-IV criteria for Major Depression and its severity was assessed with Montgomery–Asberg Depression Rating Scale (MADRS). A structured interview and a neurological examination, including Hoehn and Yahr scale (H–Y), Schwab–England disability scale, II, III, IV parts of Unified Parkinson's Disease Rating Scale (UPDRS), and Mini-Mental State Examination (MMSE) were performed. The parameters obtained were analysed between the depressed and non-depressed PD patients.ResultsThe prevalence of depression in PD in Polish population was established at the level of 35%. PD patients with depression scored significantly higher in all UPDRS scales (except for the subscale of clinical fluctuation) and in H–Y scale. PD with depression was also associated with longer PD duration, higher doses of L-dopa equivalents, patients' age, general impairment of daily living in Schwab and England disability scale, lower MMSE and higher clinical fluctuations. However, those six differences were insignificant.ConclusionsDepression prevalence rate among PD patients in Polish population is slightly lower than in most of other published studies. This may result from strict selection criteria, use of specific outcome measures and restricted criteria for depression that were applied.


2021 ◽  
Vol 11 (12) ◽  
pp. 82
Author(s):  
Ola Mousa ◽  
Fatemah M. Alkhars ◽  
Mashael T. Al Shawaf ◽  
Enas A. Al Omran ◽  
Rawan A. Alkhawajah ◽  
...  

Background and objective: Menopause is not an illness. It is a normal physiologic process at the time that marks the end of the menstrual cycles. The severity, frequency, duration, and impact of these menopausal symptoms vary from woman to woman according to their age, and they affect the overall quality of life. The aim of this study is to verify the severity of menopausal symptoms experienced by Saudi women in Al Ahsa, and to identify the association between the severity of menopausal symptoms and their effects on the quality of life of Saudi women.Methods: An analytical cross- sectional study involved 427 women aged 45-60 years old. They were randomly collected by researchers who interviewed them in outpatient clinics and obstetrics and gynecology wards from 6 hospitals by using the Menopause Rating Scale (MRS) questionnaire and the Menopause Specific Quality of Life (MENQOL) questionnaire between February 15, 2021 and May 15, 2021.Results: The average age of participants was between 45-49. The MRS shows that mild symptoms were found in 47.8% of participants, while severe symptoms were 10.6%. The most common symptoms were physical and somatic. The Menopause Specific Quality of Life shows that 52.2% of the participants suffer from mild bothersome, while 7.5% have extremely bothersome. There was a strong positive association between menopause specific quality of life, and menopausal symptoms.Conclusions: There was a positive correlation between menopausal symptoms and the quality of life of women. Menopausal symptoms have a negative impact on the quality of women's lives. Therefore, the policy makers in the ministry of health could strengthen providing health programmes and health services to women in this age group, besides women in the reproductive age. This can be accomplished by including modules related to the special health needs of menopausal women in the primary center's health programs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
LiRong Wang ◽  
Rui Zhang ◽  
Ye Yang ◽  
XiaoYan Sun ◽  
BaoLi Zhang ◽  
...  

Abstract Objective To investigate the severity and risk factors of menopausal symptoms in the middle-aged women in Gansu Province of China. Methods In this cross-sectional study, a total of 7319 women (aged 40–55 years) attended the health survey in Gansu Province in China were enrolled. Information on demographics, menopausal status, reproductive history, and history of chronic diseases was collected via a structured questionnaire. Severity of menopausal symptom was evaluated by the Modified Kupperman Menopausal Index. Ordinal logistic regression model was applied to explore its risk factors. Results A total of 7319 participants were included in present study, among them, 3606 (49.27%) had moderate or severe menopausal symptom. Compared with premenopausal women, perimenopausal and postmenopausal women have a higher mKMI score. We observed that older age, higher BMI, non-married status, longer duration of menstruation (≥ 7 days), number of pregnancy (> 3 times), longer duration of breastfeeding (> 12 months), peri- or post-menopausal status, and menopause hormone therapy was positively associated with menopausal symptom score, while higher level of family income, educational and physical activity, and history of gynecological, breast or chronic disease were negatively associated with the score. Conclusions Numerous factors were associated with the severity of menopausal symptom among the Chinese women. Because it was gradually increased with aging, more attention is warranted to manage the menopausal symptom.


2019 ◽  
Vol 4 (2) ◽  

Background: Reports of prevalence rates of depression in postmenopause show inconsistent results, with some studies demonstrating an increase in depressive symptoms whereas others show a decrease or no difference. Objectives: To estimate the prevalence and define some risk factors of depression in postmenopausal women aged 45-65 years in primary health care settings in Riyadh, Saudi Arabia. Subjects and Methods: This cross-sectional study was conducted throughout the period June-August, 2018 at King Abdul Aziz Medical City-National Guard (KAMC-NG) in Riyadh, Saudi Arabia, in three large primary care centers. It included a sample of postmenopausal women who completed at least 12 months of amenorrhea and aged between 45 and 65 years. The Arabic version of PHQ-9 was utilized to detect depression and Menopausal rating scale (MRS) was used to assess the severity of menopausal symptoms. Results: The study included 300 women. The prevalence of major depressive symptoms among them was 29%. More than half (60.7%) of the respondents had moderate social support, three quarters (75%) scored mild to severe symptoms on the menopausal rating scale while 25% were asymptomatic.Women who were: unmarried (84.2%), housewives (79.2%), illiterate (83.2%), menopaused since≥10 years (87.5%), having more than five children (81.4%), underwent oophorectomy (100%), with poor social support (93.9%) and never exercised (82.4%) were more likely to report mild to severe symptoms. Also, significantly higher percentages of participants who have hypertension (81.9%), diabetes (82.1%), Dyslipedemia (88.1%) and hypothyroidism (81.4 %) experienced mild to severe menopausal symptoms, p<0.05. The degree of severity on the PHQ has strong significant (P<0.001) correlation with marital status, employment status, educational level and income. Conclusion: Depression is a relatively common disorder among postmenopausal women in Riyadh. Some sociodemographic indicators were identified. Care should be paid to this important group and further larger studies are recommended.


2019 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Ida Ayu Ningrat Pangruating Diyu

Latar Belakang: Menopause merupakan tonggak yang penting dalam kesehatan wanita dan signifikan mempengaruhi kualitas hidup wanita. Memasuki masa post-menopause keluhan akan  gejala menopause yang dialami meningkat.  Penelitian yang meneliti mengenai karakteristik maupun keluhan-keluhan wanita postmenopause yang tinggal di pedesaan masih jarang. Penelitian ini bertujuan untuk mengetahui karakteristik wanita postmenopause yang tinggal di pedesaan.Metode Penelitian: Desain penelitianyang digunakan adalah deskriptif cross sectional study. Penelitian dilakukan di Desa Petang, salah satu daerah  pedesaan di Bali, Indonesia. Sampel penelitian ini berjumlah 392 wanita postmenopause. Stages of Reproductive Aging Workshop (STRAW+10) digunakan untuk mengklasifikasikan wanita post menopause. Instrumen yang digunakan adalah instrument yang dirancang sendiri untuk mengetahui karakteritik demografi dan pola kebiasaan serta Menopause Rating Scale (MRS) untuk gejala-gejala menopause.Hasil Penelitian: Hasil analisa data menunjukkan sebagian besar wanita postmenopause yang tinggal di daerah pedesaan memiliki kebiasaan mengkonsumsi kopi yakni sebanyak 315 responden  (80,4%) dan tidak terbiasa berolahraga 218 (55,6%). Keluhan gejala -gejala menopause  dirasakan oleh wanita postmenopause diantaranya rasa tidak nyaman pada persendian dan otot yakni sebanyak 316 wanita  (82%), kelelahan fisik dan mental sebanyak 275 wanita (70,3%), masalah tidur sebanyak 223 (56,9%,), masalah seksual sebanyak 179 (45,7%), rasa tidak nyaman pada jantung sebanyak 122 (31,2%) serta badan terasa panas dan berkeringat sebanyak 119 (30,4%).Kesimpulan:  Wanita postmenopause yang tinggal didaerah pedesaan memiliki karakteritik yang sedikit berbeda . Hampir sebagian besar wanita postmenopause mengeluhkan lebih dari satu gejala menopause. Hal ini menjadi perhatian khusus dan tantangan tersendiri bagi petugas kesehatan dalam merancang intervensi yang tepat guna membantu mengatasi gejala-gejala yang dialami oleh wanita postmenopause 


Author(s):  
Fareha Khatoon ◽  
Parul Sinha ◽  
Sana Shahid ◽  
Uma Gupta

Background: Menopause is defined as complete cessation of menses for twelve months or more. It is a normal physiological change experienced by middle aged women and some of the menopausal symptoms experienced by these women can be severe enough to affect their normal daily activities.Methods: An observational cross sectional study was carried out in the Department of Obstetrics and Gynecology, Era’s Lucknow Medical College and hospital, Lucknow for a period of one year.300 patients who had attained menopause were analyzed. Menopausal symptoms were assessed using Modified Menopause Rating Scale (MRS).Results: Majority of patients attained menopause at the age of 50-54 years and the calculated mean age came to be 50.33±5.26. The most common symptom reported was joint and muscular discomfort (87%), depressive mood (70%), heart discomfort (60.3%), physical and mental exhaustion (60%), sleep problems (56%). The most classical symptom of menopause i. e. hot flushes was reported in 53.3%. Prevalence of other symptoms in decreasing order were irritability (46.6%), anxiety (40.3%), bladder problem (26%), dryness of vagina (23%), sexual problems (20%). The menopausal symptoms were found to be more prevalent in women of lower socio economic strata and those who had no formal education and this difference was found to be statistically significant.Conclusions: There is a high burden of postmenopausal symptoms which have shown an increasing trend with advancement of age. This calls for establishment of specific health intervention for postmenopausal women through the existing health centres by having geriatric clinics.


2014 ◽  
Vol 6 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Mona Srivastava ◽  
Ritu Srivastava ◽  
Balram Pandit

Background: The present observational, cross sectional study was carried out in rural women (n=117) from the Varanasi area with natural menopause to evaluate menopausal symptoms in women above the age of 40, as well as to evaluate the correlation of age on these symptoms. Materials and Methods: A crossectional assessment by interviewing regarding the menopausal complaints in the following 40-44(n=27), 45- 50(n=30) and above 50 (n =60) years age groups. Menstrual rating scale (MRS) was administered to all the women forming the sample. Results: Mean age at menopause was 47.35 years. Mean number of menopausal symptoms in three age groups were as (mean±SD)10.53±7.33, 7.70± 6.76 and14.50±10.77 respectively, which varied significantly (F=4.86, df=2, 87, P=0.009). The study reveal, varying nature of symptoms with age and MDSM (Mean Duration since Menopause), with vasomotor symptoms being more prevalent with lesser MDSM and psychological and rheumatic complaints more prevalent with increasing age and MDSM in this region. Conclusion: Such regional studies will help to corroborate data so that health care providers can plan strategies for the middle aged women suffering from these menopausal symptoms. DOI: http://dx.doi.org/10.3126/ajms.v6i1.8431 Asian Journal of Medical Sciences Vol.6(1) 2015 87-90


2021 ◽  
Vol 26 (4) ◽  
pp. 699-707
Author(s):  
Ozlem Beton ◽  
Hesna Bektas

Objective: The aim of this study was to determine whether a relationship exists between pain questionnaires, diabetic peripheral neuropathy, and the severity of electrophysiological findings. Methods: Patients with diabetes mellitus (DM) whose clinical signs and symptoms were found to be consistent with diabetic neuropathy were included in the present study in Ankara City Hospital Neurology Department between June 2020-January 2021. It was designed as a prospective cross-sectional study. Demographic characteristics, type and duration of DM, the onset of neuropathic complaints, systemic diseases, and DM treatments were noted. Blood tests were performed on all patients. Participants were administered the Douleur Neuropathique 4 Questions (DN4), Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), and Numerical Rating Scale (NRS) questionnaires and an electrophysiological examination. Results: The study included 108 patients. A statistically significant correlation was found between the severity of electrophysiological findings and the age of patients, duration of diabetes, and treatment modality. Additionally, a statistically significant correlation was found between the severity of electrophysiological findings and blood urea nitrogen (BUN) levels and monocyte and platelet counts. According to the NRS, a significant relation was found between BUN values and the severity of pain experienced. The LANSS predicted the severity of electrophysiological findings at a significantly higher accuracy than other questionnaires. Conclusion: Questionnaires can detect diabetic neuropathy, which is mostly asymptomatic, before the onset of DM complications. The LANSS questionnaire reflects the electrophysiological findings severity.


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