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围绝经期和绝经后女性的绝经症状及其对这些症状的态度。

Symptoms Of Menopause In Peri And Postmenopausal Women And Their Attitude Towards Them.

作者信息

Inayat Kausar, Danish Nargis, Hassan Lubna

机构信息

Gynaecology & Obstetrics Department, Women Medical College, Abbottabad, Gynaecology & Obstetrics Department, Hayatabad Medical Complex, Hayatabad, Peshawar, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2017 Jul-Sep;29(3):477-480.

Abstract

BACKGROUND

The climacteric or perimenopause is the transitional phase during which reproductive function ceases. The average age of the menopause is 51.4 years with a duration of two years. Symptomatology include: vasomotor, psychological, urogenital/sexual, skin, menstrual irregularities and others. The objective was to study the attitude of these women towards menopause.

METHODS

In this cross-sectional study, 500 women were included.

RESULTS

Palpitations and headaches were found in 30% and 32% respectively in perimenopausal women compared to 16% and 20% in postmenopausal women. Irritability, anxiety and lethargy affected every 3 in 10 women while 24% reported forgetfulness and 12% had loss of libido in the peri menopausal group. The incidence of the above symptoms was much lower in the postmenopausal group, irritability being on the top (16%) followed by forgetfulness (12%), lethargy in 10% and loss of libido in 3%. Dyspareunia was reported by 18% of perimenopasual and 8% of menopausal women. Urinary complaints were found in 9% and 3% of the perimenopausal and menopausal women respectively. About 2 in 10 complained of dryness of skin. Menstrual irregularities affected 3 in 10 women and the commonest form of abnormality was delayed cycles (23%). Concerning their attitude towards menopause 46% perimenopausal and 76% of the postmenopausal women did not perceive menopause as a medical condition and were found satisfied as they had accepted it as a natural ageing process. Some 20-40% of women who were worried or dreading menopause were those who linked impairment of vision with menopause.

CONCLUSIONS

Attitude of women in our society was found positive towards menopause.

摘要

背景

更年期或围绝经期是生殖功能停止的过渡阶段。绝经的平均年龄为51.4岁,持续时间为两年。症状包括:血管舒缩症状、心理症状、泌尿生殖系统/性方面症状、皮肤症状、月经不规律及其他症状。目的是研究这些女性对更年期的态度。

方法

在这项横断面研究中,纳入了500名女性。

结果

围绝经期女性中分别有30%和32%出现心悸和头痛,而绝经后女性中这一比例分别为16%和20%。易怒、焦虑和无精打采影响了十分之三的围绝经期女性,而24%的围绝经期女性报告有健忘症状,12%有性欲减退症状。上述症状在绝经后组的发生率要低得多,易怒症状最为常见(16%),其次是健忘(12%)、无精打采(10%)和性欲减退(3%)。18%的围绝经期女性和8%的绝经后女性报告有性交困难。围绝经期和绝经后女性中分别有9%和3%存在泌尿系统问题。约十分之二的女性抱怨皮肤干燥。十分之三的女性月经不规律,最常见的异常形式是月经周期延迟(23%)。关于她们对更年期的态度,46%的围绝经期女性和76%的绝经后女性不认为更年期是一种疾病,并且由于她们将其视为自然衰老过程而感到满意。约20 - 40%担心或害怕更年期的女性是那些将视力损害与更年期联系起来的人。

结论

我们社会中的女性对更年期的态度是积极的。

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