Choudhary Priyanka, Smitha Moonjelly Vijayan
Department of Obstetric and Gynaecological Nursing, College of Nursing, All India Institute of Medical Science, Bhubaneswar, India.
J Midlife Health. 2025 Jul-Sep;16(3):285-294. doi: 10.4103/jmh.jmh_82_25. Epub 2025 Sep 5.
Perimenopause is a transitional phase before menopause, characterized by hormonal fluctuations and irregular menstrual cycles, which can impact overall well-being and relationship. This study examines the prevalence of menopausal symptoms in perimenopausal women and their association with marital relationship.
A cross-sectional study from November 2023 to February 2024 recruited 979 perimenopausal women aged 40-60 from 7 rural and 3 urban sectors of Khordha district, Odisha. On screening, 768 participants who fulfilled the inclusion criteria were assessed for the severity of menopausal symptoms using the Menopause Rating Scale and the Marital Relationship Questionnaire assessed marital relationship. A semi-structured interview was conducted to explore the partner's support from a woman's point of view. Chi-square and Bonferroni's post hoc analysis were used to associate the severity of menopausal symptoms with marital relationship.
The prevalence of menopausal symptoms was 81.19% among the women whose mean age was 47.8 ± 5.2 years. On assessment, severe symptoms were more prevalent among 52.73% of women, whereas only 1.40% reported mild symptoms. There was a significant association between the severity of menopausal symptoms and marital relationship. On Bonferroni's post hoc analysis, a significant association existed between mild symptoms with good marital relationship and severe menopausal symptoms with a poor relationship. The age and previous medical history were also associated with severe menopausal symptoms, whereas marital relationship was associated with previous medical history.
In perimenopausal women, the symptoms significantly impact marital relationship. Effectively addressing the needs and challenges of menopause can facilitate a smoother transition, promoting better health outcomes and overall well-being for women during this phase.
围绝经期是绝经前的一个过渡阶段，其特征是激素波动和月经周期不规律，这可能会影响整体健康和人际关系。本研究调查了围绝经期女性绝经症状的患病率及其与婚姻关系的关联。
2023年11月至2024年2月进行的一项横断面研究，从奥里萨邦科德哈区的7个农村和3个城市地区招募了979名40 - 60岁的围绝经期女性。经筛查，768名符合纳入标准的参与者使用绝经评定量表评估绝经症状的严重程度，并使用婚姻关系问卷评估婚姻关系。进行了半结构化访谈，从女性的角度探讨伴侣的支持情况。采用卡方检验和Bonferroni事后分析将绝经症状的严重程度与婚姻关系相关联。
平均年龄为47.8 ± 5.2岁的女性中，绝经症状的患病率为81.19%。经评估，52.73%的女性中严重症状更为普遍，而只有1.40%的女性报告有轻微症状。绝经症状的严重程度与婚姻关系之间存在显著关联。在Bonferroni事后分析中，轻微症状与良好婚姻关系以及严重绝经症状与不良关系之间存在显著关联。年龄和既往病史也与严重绝经症状相关，而婚姻关系与既往病史相关。
在围绝经期女性中，这些症状对婚姻关系有显著影响。有效解决绝经的需求和挑战可以促进更平稳的过渡，在此阶段为女性带来更好的健康结果和整体幸福感。
