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Attitudes of Women to Menopause: Implications for Counselling
N Osarenren, M.B Ubangha, I.P Nwadinigwe, T Ogunleye
Edo Journal of Counselling , 2009,
Abstract: Menopause, a normal midlife transition for women remains poorly understood. This study examined the attitudes of women to menopause. A total of 300 married female teachers made up the sample for the study. Data was collected using the modified Attitude Towards Menopause (ATM) checklist. The responses of the participants were analyzed using simple percentages. The results showed that an overwhelming majority of the respondents indicated concern about how their husbands will feel about them after menopause (98%); women should see a doctor at menopause (91%); menopause is an unpleasant experience (83%) among others. The implications these findings have for counselling and counsellors were discussed. The focus was on the key strategies the counsellor should adopt in helping women to cope with menopause and also develop positive attitudes toward it. Key Words:Menopause; Attitudes, Midlife; Aging; Counselling; Assertiveness training; Cognitive re-structuring; Values clarification.
Menopause among Yemen Women  [PDF]
Fawzia AbdulHalim, Amat Alkhlig Mehras, Ali Assabri, Mohamed Alkobaty, Saba’a Alawadi, Ammar Albourhi
Advances in Aging Research (AAR) , 2018, DOI: 10.4236/aar.2018.74006
Abstract: Introduction: Age at menopause, influencing factors associated, symptoms related and protective health behavior vary among populations. Objectives: Objectives of the study were to estimate the age at menopause, identify associated factors, assess the prevalence of menopausal symptoms and relate protective health behavior among Yemeni women. Methodology: A retrospective cross-sectional study was conducted on 1000 women naturally menopause aged 40 - 60 recruited from women community Centres in Sana’a city. Results: The mean age at menopause was found to be 47.8 ± 1.2 years. Significant influencing factors were genetic, biological, physical characteristics, weight, height, BMI, and physiological characteristic, such as menarche age, reproductive history, parity and abortion. Socioeconomic status had no significant influence. Most prevalent menopausal symptoms were hot flushes and sleep problems. The great majority of the women did not practice any special protective health behavior. Conclusion: Further studies on menopause phenomena are needed. Protective health behavior education efforts are made to increase women knowledge about menopause and promote menopausal women quality of life.
Undergraduate nursing textbook coverage of menopause  [cached]
Jennifer J. Markowitz,Janet S Carpenter
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v2n2p18
Abstract: Background: Menopause is a significant part of a woman’s life, it would be expected that nursing students would learn a considerable amount about the changes women go though during this time. The study purpose was to assess the amount of information regarding menopause covered in undergraduate nursing textbooks. Methods: 128 electronic undergraduate nursing textbooks from one publisher were evaluated for menopause content in 11 areas and categorized as having no information (0), some information (1), or complete information (2). The word menopause was searched for each textbook. Results: The number of search hits for the word menopause per textbook was most commonly 1, with 50% having fewer than 7 search hits, and an overall average of 14.02 hits per textbook (SD=15.15, range 1 to 60). The majority of textbooks had no or minimal information about menopause in each category. Conclusions: There is minimal information on menopause in undergraduate nursing textbooks. This suggests that undergraduate nursing students may not be receiving the necessary information to adequately care for menopausal women.
Menopause and cardiovascular risk  [cached]
Anichkov D.A.,Shostak N.A.,Zhuravleva A.D.
Rational Pharmacotherapy in Cardiology , 2005,
Abstract: A role of menopause as a cardiovascular risk factor is reviewed. Menopause influence on the cardiovascular system may be mediated by body fat re-allocation, metabolic, hemodynamic and pro-inflammatory changes. Besides, estrogen deprivation has a direct effect on the arterial wall. Lifestyle modification, lipid-lowering and antihypertensive treatment should be considered for cardiovascular risk reduction in postmenopausal women.
Indah Yuliana Wulandari,Sitti Nur Djannah,Isti Ken Utami
Jurnal Kesehatan Masyarakat , 2012,
Abstract: Background: The knowledge of husband fowards menopause will help women to understand and prepare themselves in the period of menopause. Normally women will experience menopause between the ages of 45 years and 50 years. Support from her husband when the wife entering menopause can increase the confidence and the spirit of living of the wife, so that they will get a harmonic family in facing their elderly life. Goal of this research is to understand the relationship between the level of knowledge on menopause and social support of husband while the wife entering menopause in the Village of Somagede, Somagede sub district, Banyumas Regency Method: This was an observational analytic research using cross sectional approach . The simple of this research were 70 respondents. Data collections for primary data used questionnaire. Results: There is a relationship between the level of knowledge on menopause and social support of husband when his wife entering menopause with correlation coefficient value (R) = 0, 523 and R square 0, 273, and a significant value (Sig) = 0,000 lower than the alpha value (?), then Ha that there was a connection between the levels of knowledge about menopause with social support while the wife of the husband menopause is "received". Conclusion: There was a relationship between the level of knowledge about menopause and social support of husband when the wife entering menopause. The level of knowledge about menopause contributes 27,3 percent of the social of support the husband when the wife entering menopause in Somagede village, Somagede sub district, Banyumas Regency. Keywords: Knowledge, Menopause, Age
HIV and Menopause: A Systematic Review of the Effects of HIV Infection on Age at Menopause and the Effects of Menopause on Response to Antiretroviral Therapy  [PDF]
Kentaro Imai,Madeline Y. Sutton,Rennatus Mdodo,Carlos del Rio
Obstetrics and Gynecology International , 2013, DOI: 10.1155/2013/340309
Abstract: More than half of persons living with HIV infection in the United States (U.S.) will be ≥50 years of age by 2020, including postmenopausal women. We conducted a systematic literature review about the effects of (1) HIV infection on age at menopause and (2) menopause on antiretroviral therapy (ART) response, in order to inform optimal treatment strategies for menopausal women living with HIV infection. We used the Ovid Medline database from 1980 to 2012. We included studies that focused on HIV-infected persons, included postmenopausal women, and reported outcome data for either age at menopause or response to ART across menopause. We identified six original research articles for age at menopause and five for response to ART across menopause. Our review revealed that current data were conflicting and inconclusive; more rigorous studies are needed. Disentangling the effects of menopause requires well-designed studies with adequate numbers of HIV-infected and HIV-uninfected women, especially disproportionately affected women of color. Future studies should follow women from premenopause through menopause, use both surveys and laboratory measurements for menopause diagnoses, and control for confounders related to normal aging processes, in order to inform optimal clinical management for menopausal women living with HIV. 1. Introduction Globally, persons with human immunodeficiency virus (HIV) are living longer, healthier lives, due largely to the widespread use of effective highly active antiretroviral therapy (HAART) [1, 2]. It is projected that by 2015–2020, half of persons living with HIV infection in the United States will be 50 years of age or older [3, 4] and likely living with and managing other comorbid, chronic medical conditions that often accompany the aging process. These conditions include hypertension, diabetes, and for women, who make up half of all persons living with HIV infection worldwide, menopause [5]. For HIV-infected women taking effective ART, this longer survival translates into many women likely living beyond menopause well into their postmenopausal years. Yet large gaps exist in our understanding of the effect of HIV on the aging process for HIV-infected women as they approach and live through menopause. Prioritizing efforts to learn more about the potential impact of HIV on the lives of menopausal women are warranted in an effort to optimize care and treatment for older HIV-infected women. In 2011, an estimated 25% of U.S. adults and adolescents living with HIV infection were women; many were near or already into their menopausal
Manifestations of somatic disturbances in early postmenopause in women after physiological and surgical menopause  [PDF]
Nin?i? Dejan,?iki? Dragan,Ivkovi?-Kapicl Tatjana,Mastilovi? Katarina
Vojnosanitetski Pregled , 2006, DOI: 10.2298/vsp0611929n
Abstract: Background/Aim. The most common secondary manifestations of menopause are clinical manifestations of estrogen deficiency. They could be early and late. The aim of this study was to compare manifestations of somatic disturbances in early postmenopause in women after physiological and surgical menopause. Methods. This prospective study included 60 women, age 41-55 years, divided into two groups: physiological (30 of them) and surgically induced menopause. For every subject a special evidence list, consisting of the disease history questions, physical and gynecology examination as well as dates about physiological variables (arterial tension, height, weight, and body-mass index) and laboratory examination was formed. The values of arterial blood pressure, body height, body mass, body mass index (BMI), and lipid status were determined and gynecological examinations were performed in each patient. Results. The most frequent symptoms in both groups were vasomotor ones. Headache was the more intensive sign in the group after induced menopause. Extra systolic heart excursion was a common symptom in both study groups. Arterial tension, regardless of the type of menopause, was in the physiological range. The frequent organic signs of menopause, more intensive in the group after induced menopause, were genitourinary and skin atrophy. An analysis of the BMI showed that the women in both groups were obese (BMI > 25). The lipids analysis confirmed the predomination of hyperlipoproteinemia type IIa in the group with physiologic menopause and type IIb after induced menopause. Conclusion. The dominant signs of menopausal syndrome were vasomotor and bone-joint symptoms, more frequent in the group after induced menopause. There were no statistically significant differences between the study groups according to the genitourinary atrophy and other signs of aging. Menopausal hormonal changes, regardless of the way of menopause developing, increase the risk for hyperlipoproteinemia. The frequency of somatic signs in early post menopause is typically higher after induced menopause. More intensive follow-up in patients after surgical removing of the ovaria is necessary in order to improve the quality of life in these patients.
An investigation on the stimulated salivary flow rate in menopause and post menopause women
Aghahosseini F. Associate Professor,Akhavan Karbasi MH. Assistant Professor
Journal of Dental Medicine , 2003,
Abstract: Statement of Problem: Menopause can exert extensive somatic and psychological effects on women at this stage including: oral complaints such as dry mouth, glossodynia, viscous saliva, although these findings should be studied further."nPurpose: The aim of this study was to investigate the stimulated salivary flow rate of 158 menopause and post menopause women."nMaterial and Methods: In this cross- sectional and analytic- descriptive study, 158 women, at post menopause stage, were selected as case group. The controls consisted of 83 same aged men. None of the subjects had any systemic disease and did not use any drugs. Age range, in both groups, was 50-69 years old. Psychical condition of two groups, were compared by HADSCALE test. Oral symptoms were also compared and evaluated. In order to analyze the results, "t" and "Mann- Whitney" tests were used. Results: No significant difference was found between two groups regarding the quantity of stimulated saliva and psychological condition, but the incidence of oral symptoms in case group was significantly higher than the control group (P=0.002)."nConclusion: Based on this study, although oral symptoms have a significant relation with menopause, can not be attributed to the quantity of saliva or psychical condition. In order to find the underlying reasons, more investigations should be performed on quality changes of saliva or other factors.
Pulse pressure and age at menopause
Riitta Luoto, A Richey Sharrett, Marsha Eigenbrodt, Donna Arnett
BMC Women's Health , 2002, DOI: 10.1186/1472-6874-2-6
Abstract: The effect of natural menopause was studied in 2484 women from the Atherosclerosis Risk in Communities (ARIC) Study who had not used hormone replacement therapy and who had not had a hysterectomy. The cross-sectional association of age with PP was evaluated in the entire cohort. The cross-sectional association of recalled age at menopause was evaluated in the 1688 women who were postmenopausal at baseline. PP change over 6 years was assessed in relation to menopausal age separately in women who were postmenopausal at baseline and in those whose menopause occurred during the 6-year interval.Chronological age was strongly and positively associated with PP in cross-sectional analyses, but not independently associated with PP change. While menopausal age was not associated cross-sectionally with PP, early age at menopause (age<45) was significantly and independently associated with a slightly larger increase in PP (8.4, 95% CI 7.0–9.8) than later menopause (6.5, 95% CI 5.8;7.2). However, among normotensive women the difference was not statistically significant (p = 0.07, 6.1 vs 4.7).Early age at menopause may be related to a greater increase in arterial stiffness, but the effect appears to be small and further evidence is needed.Pulse pressure, i.e. the difference between systolic (SBP) and diastolic blood pressure (DBP), is a crude but readily acquired measure of arterial stiffness. Recent findings from the Framingham study have suggested pulse pressure being superior to SBP and DBP in predicting CHD risk [1]. Increased arterial stiffness has been proposed as a marker or mechanism for initiation or progression of atherosclerosis and/or structural arterial changes due to hypertension [2]. Arterial stiffness estimated with ultrasound measured arterial diameter change, adjusted for blood pressure, was found to be higher in boys and men than in girls or women up to the age of 50–54 years, whereas these differences disappeared thereafter [2,3]. Menopausal factors, or loss o
Prevalence of Menopause Symptoms Aamong Iranian Women
Mojgan Asadi,Zahra Jouyandeh,Farnaz Nayebzadeh
Journal of Family and Reproductive Health , 2012,
Abstract: Objective:The aim of this study was to determine the symptoms associated with menopause amongwomen referred to menopause clinic of Tehran Women General Hospital.Materials and methods: In this cross sectional study which has been done between January 2011 andJanuary 2012, in menopause clinic of Tehran Women's General Hospital 134 women were studied. Foreach woman a questionnaire was completed. The data gained from each questionnaire were analyzedusing SPSS version 13.Results: The mean age of natural menopause onset was 47.35 (SE=0.11) year. The symptomsassociated with menopause were hot flushes (59.5%),mood swing (42.6%), vaginal dryness (41.1%)sleep problems(40.4%), night sweats (38.2%), memory loss (32.3%), urinary symptoms (18.3%),palpitation (6.6%), anxiety (5.8%), Joint and muscle pain (59.9%), depression (4.4%), Irritability (3.6%)..Conclusion: This study showed that hot flushes, mood swing and vaginal dryness were the mostcommon symptoms associated with menopause.
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