DeStephano C C, Allyse M A, Abu Dabrh A M M, Ridgeway J L, Salinas M, Sherman M E, Spaulding A C
Department of Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, FL, USA.
Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.
Climacteric. 2022 Oct;25(5):510-515. doi: 10.1080/13697137.2022.2073810. Epub 2022 Jun 2.
We gained insights into women's experiences and knowledge about the occurrence of vaginal bleeding during perimenopause requiring evaluation.
Qualitative inquiry was chosen to explore topics in greater depth to understand individuals' experiences. Interviews with individuals were chosen due to the sensitive nature of gynecologic symptoms and management. Interviews were completed following gynecologic care to explore individuals' experiences with the evaluation and management of vaginal bleeding during perimenopause.
Twelve individuals were interviewed between December 2019 and March 2020. Patient uncertainty about the medical significance of developing vaginal bleeding during perimenopause was associated with self-appraisal and gathering information from multiple sources. This experience of seeking evaluation and treatment resulted in varying degrees of trust concerning information received within or outside the clinic. Regarding new technologies that could replace the current invasive tests performed for diagnosis (i.e. ultrasound, hysteroscopy and biopsy), most women preferred the smartphone app and tampon home collection option.
The experience of irregular or heavy vaginal bleeding during perimenopause is fraught with ambiguity, feelings of uncertainty about how to make sense of symptoms and inevitably begins with a period of self-appraisal.
我们深入了解了围绝经期女性出现需要评估的阴道出血的经历和相关知识。
选择定性研究方法以更深入地探讨相关主题，从而了解个体经历。鉴于妇科症状及治疗的敏感性，选择对个体进行访谈。访谈在妇科护理之后进行，以探究个体在围绝经期阴道出血评估与治疗方面的经历。
2019年12月至2020年3月期间对12名个体进行了访谈。围绝经期出现阴道出血时患者对其医学意义的不确定与自我评估以及从多个来源收集信息有关。这种寻求评估和治疗的经历导致对诊所内外所获信息有不同程度的信任。对于可替代当前用于诊断的侵入性检查（即超声、宫腔镜检查和活检）的新技术，大多数女性更喜欢智能手机应用程序和棉塞家庭采集选项。
围绝经期出现不规则或大量阴道出血的经历充满了不确定性，对于如何理解症状感到困惑，并且不可避免地始于一段自我评估时期。
