Constantine Ginger D, Graham Shelli, Clerinx Cathy, Bernick Brian A, Krassan Mitchell, Mirkin Sebastian, Currie Heather
EndoRheum Consultants LLC, Malvern, PA, USA
TherapeuticsMD, Boca Raton, FL, USA.
Post Reprod Health. 2016 Sep;22(3):112-22. doi: 10.1177/2053369116632439. Epub 2016 Feb 18.
To assess women's behaviours and attitudes regarding the treatment of menopausal symptoms in five European countries.
Women aged ≥45 years in France, Germany, Italy, Spain, and the United Kingdom participated in an internet survey. Completers were those who reported menopausal symptoms and had treated their symptoms. Women were equally stratified by age (45-54 years, 55-64 years, ≥65 years).
Behaviours, attitudes, and experiences regarding treatment of menopausal symptoms.
Of 3890 peri- to postmenopausal women screened, 67% experienced symptoms and 54% sought either medical input or some treatment concerning their symptoms. Hot flushes, the most common symptom, decreased with age but remained prevalent after age 64. Roughly 75% of women who sought relief consulted a physician, mostly a gynaecologist or a general practitioner (GP) as in the United Kingdom. The decision to seek treatment was influenced by age, number, and severity of symptoms. Approximately 79% visiting a physician received prescription therapy. Of the women who received non-hormone therapy (HT) treatment instead of HT: patients refused HT (20-44%), physicians did not discuss HT (32-46%), or advised against HT (24-43%). Women in the United Kingdom were most familiar with and favorable to HT. Interest in a new HT (34-50%) was higher than use (19-28%).
Menopausal symptoms are common, persistent, and bothersome, but many fail to seek treatment. Sources and types of treatment vary among age groups and countries. Education regarding women's attitudes toward treatment should be provided to those physicians who treat menopausal symptoms in each country.
评估五个欧洲国家女性在更年期症状治疗方面的行为和态度。
法国、德国、意大利、西班牙和英国年龄≥45岁的女性参与了一项网络调查。完成调查者为报告有更年期症状并对症状进行了治疗的女性。女性按年龄（45 - 54岁、55 - 64岁、≥65岁）进行了均衡分层。
更年期症状治疗方面的行为、态度和经历。
在3890名围绝经期至绝经后女性中，67%有症状，54%就其症状寻求了医疗建议或某种治疗。潮热是最常见的症状，随年龄增长而减少，但在64岁后仍很普遍。寻求缓解的女性中约75%咨询了医生，在英国，大多咨询妇科医生或全科医生（GP）。寻求治疗的决定受年龄、症状数量和严重程度影响。约79%看医生的女性接受了处方治疗。在接受非激素疗法（HT）而非HT治疗的女性中：患者拒绝HT（20 - 44%）、医生未讨论HT（32 - 46%）或建议不采用HT（24 - 43%）。英国女性对HT最熟悉且最支持。对新型HT的兴趣（34 - 50%）高于使用率（19 - 28%）。
更年期症状常见、持续且令人烦恼，但许多人未寻求治疗。治疗来源和类型在不同年龄组和国家有所不同。应向各国治疗更年期症状的医生提供有关女性治疗态度的教育。
