scholarly journals A study on the modified menopause rating scale as a tool in the assessment of prevalence of menopausal symptoms in women of Dakshina Kannada district: a cross sectional study

Author(s):  
Vangara Sushmitha ◽  
Nishita Shettian

Background: Menopause is defined as complete cessation of menses for a period of twelve months or more as a result of complete loss of ovarian follicular activity. Issues related to menopausal symptoms are complicated in terms of experience, severity, and dynamics of the symptoms. Various studies had showed that these symptoms vary among individuals depending on the menopausal stage, ethnicity, geographic location, and other factors menopause rating scale is an effective tool to assess the severity of these symptoms. The aims and objectives of this study were to assess the commonly reported menopausal symptoms among the women of Dakshina Kannada district using a modified menopause rating scale.Methods: This study was conducted in A.J Institute of Medical Sciences and Research Centre from January 2019. A total of 360 postmenopausal women were interviewed using predesigned questionnaire. Menopausal symptoms were assessed using modified menopause rating scale.Results: Majority of women attained menopause at the age of 51-55 years and the calculated mean age was 51.33+3.36. 85% were symptomatic with at least one symptom. The most common symptom reported was joint and muscular discomfort (80%), psychological symptoms like depressive mood (68%), vasomotor symptoms (60%), sleep disorders (50%) urogenital problem (30%). The menopausal symptoms were more prevalent in women of lower socioeconomic status and the ones who were illiterate and this difference was significant.Conclusions: There is an increasing need for establishment of specific health intervention for postmenopausal women by specialty clinics as the burden of menopausal symptoms is high in the Indian women due to lack of awareness, socio cultural and economic factors, and inaccessibility of health services, which may negatively affect the attitude of women towards menopause.

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.


2021 ◽  
Vol 12 (1) ◽  
pp. 136-140
Author(s):  
Aariya Srinivasan ◽  
Archana kumari

Menopausal symptoms can often be distressing and affect the normal activities of women in their middle age. This can significantly reduce their quality of life. This study was done to assess the prevalence of vasomotor menopausal symptoms using a modified menopause rating scale (MRS) in Peri and postmenopausal women. A cross-sectional observational study was done on 100 middle-aged women (40-65 yrs) during the period January-June 2020 using the modified menopause rating scale (MRS). The mean age of the respondents in the study was 52.71 yrs. The mean age at menopause is 56 yrs. The commonly found symptoms were joint and muscular discomfort (80%), physical and mental exhaustion (65%) and sleeping problems (50%) appears to be the most commonly experienced symptoms by these women. The other symptoms are hot flushes and night sweats (46%), irritability (40%), dryness of vagina (38%), anxiety (36%), depressive mood (34%), sexual problems(30%), heart discomfort (16%) bladder problems (14%). This study showed that the typical vasomotor symptoms of menopause like sweating and hot flushes were comparatively lower than that of somatic symptoms like joint and muscular discomfort, mental and physical exhaustion in general. At the same time, postmenopausal women experienced more of urogenital symptoms, while Peri and premenopausal women experienced somatic and psychological symptoms.


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.


Author(s):  
Ramya N. R. ◽  
Radhika Gadgi

Background: Menopause is a physiological event, a unique stage of a female reproductive system and transition in life that occurs in all women who reach midlife. The clinical consequence of menopause is due to estrogen deficiency. Some of menopausal symptoms experienced by these women can be severe enough to affect their normal lifestyle. Unfortunately, majority of these women are not aware of the changes brought about by menopause. Objective of the study was to assess the prevalence of different menopausal symptoms and their severity according to menopause rating scale and their impact on quality of life.Methods: A cross sectional study was conducted by the department of obstetrics and gynaecology, Yenopaya Medical College, Mangalore between June 2020 to August 2020. A total of 210 women who are between the age of 40 and 65 years who had their last menstrual period of at least 1 year ago and were included in the study.Results: In the study majority of subjects were in the age group 46 to 50 years (42.9%). In the study there was significant association between general health and hot flushes, heart discomfort, depressive mood, irritability, physical and mental exhaustion, bladder problems and joint and muscular pain. There was no significant association between general health and sleep problem, anxiety, sexual problems and dryness of vagina.Conclusion: The menopausal rating scale can be used an effective tool while examining the patients for menopausal symptoms. Regular screening of such women can make a huge difference, and their quality of life can be improved.


2021 ◽  
Vol 59 (243) ◽  
pp. 1155-1160
Author(s):  
Sitasma Sharma ◽  
Laxmi Adhikari ◽  
Isha Karmacharya ◽  
Maheshor Kaphle

Introduction: Postmenopausal women experience various menopause-specific somatic, psychological, and urogenital symptoms which tend to affect their overall well-being. However, there is a scant focus on menopausal health problems of postmenopausal women in Nepal. The aim of the study was to find out the prevalence of menopausal symptoms among postmenopausal women of a Municipality. Methods: A cross-sectional survey was conducted in selected wards of Tokha Municipality of Kathmandu district among postmenopausal women aged 45-60 years from September to October 2019. Ethical approval was taken from the Ethical Review Board, Nepal Health Research Council (reference number 694). Random sampling was used as the sampling technique. Face-to-face interview was used for data collection while a semi-structured interview schedule including the Nepali version of Menopause Rating Scale was used as a tool for measuring menopausal symptoms. EpiData version 3.1 was used for data entry while data analysis was performed using Statistical Packages for the Social Sciences version 20. Results: Amongst the postmenopausal women, all 203 (100%) had menopausal symptoms with majority reporting milder symptoms as found in 143 (70.4%). The mean Menopause Rating Scale (MRS) score was obtained as 13.21±5.1. The most prevalent moderate and mild symptoms were vaginal dryness 94 (46.3%), and depressive mood 71 (35%) respectively while physical and mental exhaustion 175 (86.2%) was the most common in all forms. Over half 102 (50.2%) of the respondents were unaware of menopausal symptoms and almost three-fifth 121 (59.6%) reported menopause related symptoms affected their daily work activities. Conclusions: The majority of postmenopausal women in this study had milder menopausal symptoms, which parallels findings from other national studies.


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.


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.


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):  
Fereshteh Dadfar ◽  
Kourosh Bamdad

Background: The menopausal symptoms are the most common problems in postmenopausal women. Due to the side effects of hormone replacement therapy, the use of medicinal herbs has increased for the treatment of menopausal symptoms. Objective: The aim of this study was to evaluate the effect of Saliva officinal is on the decreasing of the severity of the menopausal symptoms in postmenopausal women. Materials and Methods: The study was performed on 30 postmenopausal women aged 46–58 yr referred to the healthcare center of Darab who experienced various degrees of postmenopausal symptoms. The severity of menopausal symptoms is recorded by a Menopause Rating Scale. Participants received a 100 mg capsule of sage extract daily for 4 wk. The severity of postmenopausal symptoms was compared before and after four weeks of the consumption of sage extract. Results: The results showed the severity of hot flashes, night sweats, panic, fatigue, and concentration had significant differences before and after the consumption of sage extract. Conclusion: It was concluded that Saliva officinal is were effective to change the severity of some of the menopausal symptoms in postmenopausal women.


2020 ◽  
Vol 6 (2) ◽  
pp. 57-62
Author(s):  
Juminten Saimin ◽  
Steven Ridwan ◽  
Mono Valentino Yohanis ◽  
Lianawati Lianawati ◽  
Arimaswati Arimaswati ◽  
...  

Background: Menopausal symptoms are common problem in menopausal women. The severity of menopausal symptoms is influenced by the interaction of biological, genetic and nutritional factors.Objective: This study aimed to determine correlation between menopausal symptoms and fish consumption of postmenopausal women in the coastal areas.Method: This was a cross-sectional study conducted on 234 postmenopausal women in the coastal areas of Southeast Sulawesi. Severity of menopausal symptoms was assessed using Menopause Rating Scale (MRS). Quantity of fish consumption was calculated using 24-hour recall questionnaires. Frequency of fish consumption was evaluated using Food Frequency Questionnaires (FFQ). Data analysis used Chi-square test with a significance value of p=0.05.Results: The majority of fish consumption was sufficient in quantity (81.6%) and frequency (95.3%). Menopausal symptoms are found to be very mild (14.1%), mild (36.3%), moderate (38.5%), and severe (11.1%). There was a correlation between menopausal symptoms and the quantity of fish consumption (p=0.000), and between menopausal symptoms and the frequency of fish consumption (p=0.000).  Conclusion: There was a correlation between menopausal symptoms and fish consumption of postmenopausal women, both in the quantity and frequency. Therefore, increasing the quantity and frequency of fish consumption will reduce the severity of menopausal symptoms.


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