Górecka Katarzyna, Krzyżanowska Monika
Department of Human Biology, University of Wroclaw, Poland.
Prz Menopauzalny. 2022 Mar;21(1):27-36. doi: 10.5114/pm.2022.113731. Epub 2022 Feb 17.
The aim of the study was to assess the prevalence of menopausal symptoms, and the use of menopausal hormone therapy (MHT) and nonconventional methods of alleviating menopausal symptoms and their health benefits in peri- and postmenopausal women. A sample of 349 peri- or postmenopausal women were studied, all of whom had experienced menopausal symptoms. A pre-tested questionnaire was used to assess the kinds of menopausal symptoms experienced, the types of therapies used, and the health benefits of using MHT or alternative therapies (AT). The mean age of peri- and postmenopausal women was 49.55 (±2.51) and 61.32 (±6.77) years, respectively. The most common symptoms in both groups of peri- and postmenopausal women related to mental health. Altogether 45% of women used MHT and 27.8% AT. Those using MHT reported significant benefits in their sexual life ( < 0.001), whereas those using AT reported significant benefits of better sexual life ( < 0.001), skin condition ( < 0.001), and physical activity ( < 0.05). This study indicated that the most common symptoms connected with the menopausal transition were mental ailments. In order to prevent them, the women more frequently applied MHT in comparison to alternative methods, with postmenopausal women using MHT more often than perimenopausal women. Satisfaction was found with both conventional and alternative treatments for the relief of menopausal symptoms.
该研究的目的是评估围绝经期和绝经后女性更年期症状的患病率、更年期激素疗法（MHT）的使用情况、缓解更年期症状的非传统方法及其健康益处。对349名围绝经期或绝经后女性进行了研究，她们均经历过更年期症状。使用经过预测试的问卷来评估所经历的更年期症状类型、所使用的疗法类型以及使用MHT或替代疗法（AT）的健康益处。围绝经期和绝经后女性的平均年龄分别为49.55（±2.51）岁和61.32（±6.77）岁。围绝经期和绝经后两组女性中最常见的症状都与心理健康有关。共有45%的女性使用MHT，27.8%的女性使用AT。使用MHT的女性报告称其性生活有显著改善（<0.001），而使用AT的女性报告称在性生活改善（<0.001）、皮肤状况（<0.001）和身体活动方面有显著益处（<0.05）。这项研究表明，与更年期过渡相关的最常见症状是精神疾病。为了预防这些症状，与替代方法相比，女性更频繁地使用MHT，绝经后女性比围绝经期女性更常使用MHT。研究发现，传统和替代疗法在缓解更年期症状方面都能让患者满意。
