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多症状支持对围绝经期常见症状更好缓解和减轻的有效性(EMBRACE围绝经期)

Effectiveness of Multisymptom Support for Better Relief and Alleviation of Common Effects in Perimenopause (EMBRACE PERIMENOPAUSE).

作者信息

Choudhury Reena, Coelho Kiran, Suryawanshi Sachin, Hajare Anoop, Kumar Abhijeet

机构信息

General Medicine, Redkar Hospital and Research Center, Goa, IND.

Gynecology, Lilavati Hospital and Research Centre, Mumbai, IND.

出版信息

Cureus. 2025 Jun 15;17(6):e86091. doi: 10.7759/cureus.86091. eCollection 2025 Jun.

Abstract

BACKGROUND

Menopause affects 1.5 million women annually, with perimenopause lasting 2-8 years and causing symptoms like hot flashes, sleep disturbances, mood changes, and joint pain. While hormone replacement therapy (HRT) is effective, safety concerns limit its use, leading many women to seek nonhormonal alternatives. Nutraceuticals such as ashwagandha, vitex, and black cohosh offer potential benefits, with 80% of women using supplements. This study evaluates the efficacy and safety of Arth perimenopause multisymptom capsules, providing evidence for nutraceuticals as an alternative to HRT.

METHODOLOGY

The Effectiveness of Multisymptom Support for Better Relief and Alleviation of Common Effects in Perimenopause (EMBRACE PERIMENOPAUSE) study was a prospective, observational trial conducted at Redkar Hospital and Research Center, Goa. Thirty perimenopausal women aged 40-48 years with irregular menstrual cycles and at least two menopausal symptoms received one Arth capsule daily for 60 days. Using standardized case report forms, data were collected at screening, baseline, and days 7, 15, 30, and 60. Primary outcomes included changes in menopausal symptoms (Menopause Rating Scale (MRS)), reduction in daily hot flashes, and improvement in breast tenderness. Secondary outcomes assessed the quality of life (QoL), changes in hair and skin texture, patient and physician global assessments, and intervention tolerability. Statistical analyses included Chi-square tests and analysis of variance (ANOVA) (p < 0.05).

RESULTS

At baseline, 100% of patients reported hot flashes, followed by irritability (90%) and night sweating (83%). The mean MRS score decreased from 39 at baseline to 2.74 by day 60 (-92.97%, p < 0.01). By day 60, 93% of patients achieved complete resolution of hot flashes, 88% for sweating, 91% for anxiety, and 90% for depressive mood (p < 0.05). Overall, treatment significantly improved menopausal symptoms, QoL, and patient satisfaction.

CONCLUSION

Arth Perimenopause Multisymptom Support capsules demonstrated significant efficacy in alleviating perimenopausal symptoms while improving QoL. This nonhormonal, well-tolerated nutraceutical represents a promising alternative for managing perimenopause-related discomfort.

摘要

背景

更年期每年影响150万女性,围绝经期持续2至8年,会引发潮热、睡眠障碍、情绪变化和关节疼痛等症状。虽然激素替代疗法(HRT)有效,但安全问题限制了其使用,导致许多女性寻求非激素替代方案。诸如南非醉茄、牡荆和黑升麻等营养保健品具有潜在益处,80%的女性使用补充剂。本研究评估了围绝经期多症状胶囊的疗效和安全性,为营养保健品作为激素替代疗法的替代品提供了证据。

方法

围绝经期多症状支持改善和缓解常见症状的有效性(EMBRACE PERIMENOPAUSE)研究是在果阿的雷德卡尔医院和研究中心进行的一项前瞻性观察性试验。30名年龄在40至48岁、月经周期不规律且至少有两种更年期症状的围绝经期女性每天服用一粒Arth胶囊,持续60天。使用标准化病例报告表,在筛查、基线以及第7、15、30和60天收集数据。主要结局包括更年期症状的变化(更年期评定量表(MRS))、每日潮热次数的减少以及乳房压痛的改善。次要结局评估生活质量(QoL)、头发和皮肤质地的变化、患者和医生的总体评估以及干预耐受性。统计分析包括卡方检验和方差分析(ANOVA)(p<0.05)。

结果

在基线时,100%的患者报告有潮热,其次是易怒(90%)和盗汗(83%)。MRS平均评分从基线时的39降至第60天的2.74(-92.97%,p<0.01)。到第60天,93%的患者潮热完全缓解,盗汗为88%,焦虑为91%,抑郁情绪为90%(p<0.05)。总体而言,治疗显著改善了更年期症状、生活质量和患者满意度。

结论

Arth围绝经期多症状支持胶囊在缓解围绝经期症状的同时改善生活质量方面显示出显著疗效。这种非激素、耐受性良好的营养保健品是管理围绝经期相关不适的一种有前景的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/12267593/07d58bc25a6f/cureus-0017-00000086091-i12.jpg

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