Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 4/2020

13.07.2019 | Gynecologic Endocrinology and Reproductive Medicine

The impact of perimenopausal symptomatology, sociodemographic status and knowledge of menopause on women’s quality of life

verfasst von: Cristina Larroy, C. Marin Martin, A. Lopez-Picado, I. Fernández Arias

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2020

Einloggen, um Zugang zu erhalten

Abstract

Background

A high percentage of menopausal and perimenopausal women suffer symptoms that deteriorate their quality of life (QoL) significantly. Many studies have focused on the relationship between perimenopausal symptoms and QoL, yet the results obtained have been inconclusive. The aim of this study is to evaluate the relationships among the symptoms of menopause, sociodemographic variables, knowledge of menopause and QoL.

Method

Sociodemographic and clinical data was collected from interviews of 453 women in Madrid, and they also completed questionnaires related to perimenopausal symptomatology (MRS, MENQOL), knowledge of menopause and QoL.

Results

Although dependent on the assessment techniques, all the tools used indicated that more than half of the women studied suffered perimenopausal symptomatology: interview (59.1%), MENQOL (69.2%) and MRS (65.1%). Stronger symptoms were related to a worse QoL (R2 = 0.287 for MENQOL; R2 = 0.390 for MRS), being psychosocial/psychological and urogenital/sexual symptomatology, and educational level and knowledge about menopause the most strongly related to this parameter. Taking into account the main perimenopausal symptoms in Europe, psychosocial and sexual symptoms are also found to be strongly related to QoL.

Conclusion

Perimenopausal symptomatology is frequent and intense, deteriorating women’s QoL. While psychosocial and somatic/physical symptoms are the most frequent and intense, psychosocial/psychological and urogenital/sexual are those that best predict the individual’s QoL. Educational level and knowledge about menopause are also related to a better QoL.
Literatur
1.
Zurück zum Zitat World Health Organization. Report of a WHO Scientific Group: Research on the Menopause. Geneva: World Health Organization; 1981. WHO Technical Report Series No. 670 World Health Organization. Report of a WHO Scientific Group: Research on the Menopause. Geneva: World Health Organization; 1981. WHO Technical Report Series No. 670
2.
Zurück zum Zitat Sherman S (2005) Defining the menopausal transition. Am J M 118(12): 3–7 Sherman S (2005) Defining the menopausal transition. Am J M 118(12): 3–7
3.
Zurück zum Zitat Harlow, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, Sherman S, Sluss PM, de VilliersTJ, for the STRAW + 10 Collaborative Group (2012) Executive summary of the stages of reproductive aging workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab 97(4):1159–1168CrossRef Harlow, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, Sherman S, Sluss PM, de VilliersTJ, for the STRAW + 10 Collaborative Group (2012) Executive summary of the stages of reproductive aging workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab 97(4):1159–1168CrossRef
4.
Zurück zum Zitat Makara-Studzińśka MT, Kryś-Noszczyk KM, Jakiel G (2014) Epidemiology of the symptoms of menopause—an intercontinental review. Prz Menopauzalny 13(3):203–211PubMedPubMedCentral Makara-Studzińśka MT, Kryś-Noszczyk KM, Jakiel G (2014) Epidemiology of the symptoms of menopause—an intercontinental review. Prz Menopauzalny 13(3):203–211PubMedPubMedCentral
5.
Zurück zum Zitat Islam RM, Bell RJ, Rizvi F, Davis SR (2017) Vasomotor symptoms in women in Asia appear comparable with women in Western countries: a systematic review. Menopause 24(11):1313–1322CrossRef Islam RM, Bell RJ, Rizvi F, Davis SR (2017) Vasomotor symptoms in women in Asia appear comparable with women in Western countries: a systematic review. Menopause 24(11):1313–1322CrossRef
6.
Zurück zum Zitat Bernis C, Reher DS (2007) Environmental contexts of menopause in Spain: comparative results from recent research. Menopause 14(4):777–787CrossRef Bernis C, Reher DS (2007) Environmental contexts of menopause in Spain: comparative results from recent research. Menopause 14(4):777–787CrossRef
7.
Zurück zum Zitat Hakimi S, Haggi HB, Shojai SK, Farahbakhsh M, Farhan F (2018) Comparing the pattern of menopausal symptoms, concern and attitudes in urban and rural postmenopausal Iranian women. J Menopausal Med 24(1):50–55CrossRef Hakimi S, Haggi HB, Shojai SK, Farahbakhsh M, Farhan F (2018) Comparing the pattern of menopausal symptoms, concern and attitudes in urban and rural postmenopausal Iranian women. J Menopausal Med 24(1):50–55CrossRef
8.
Zurück zum Zitat McCrea FB (1983) The politics of menopause: the “discovery” of a deficiency disease. Soc Probl 31(1):111–123CrossRef McCrea FB (1983) The politics of menopause: the “discovery” of a deficiency disease. Soc Probl 31(1):111–123CrossRef
9.
Zurück zum Zitat Quiroga A, Larroy C, González-Castro P (2017) Climacteric symptoms and their relation to feminine self-concept. Climacteric 20(3):274–279CrossRef Quiroga A, Larroy C, González-Castro P (2017) Climacteric symptoms and their relation to feminine self-concept. Climacteric 20(3):274–279CrossRef
10.
Zurück zum Zitat Álvarez R, Martín E, Bordones M (2008) Conocimiento y actitud sobre el climaterio en mujeres entre 40 y 50 años. Rev Obstet Ginecología Venezolana. 68(1):32–40 Álvarez R, Martín E, Bordones M (2008) Conocimiento y actitud sobre el climaterio en mujeres entre 40 y 50 años. Rev Obstet Ginecología Venezolana. 68(1):32–40
11.
Zurück zum Zitat Avis NE, Crawford SL, Greendale G, Bromberger JT, Everson-Rose SA, Gold EB, Hess R, Joffe H, Kravitz HM, Tepper PG, Thurston RC, Study of Women's Health Across the Nation (2015) Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med 175(4):531–539CrossRef Avis NE, Crawford SL, Greendale G, Bromberger JT, Everson-Rose SA, Gold EB, Hess R, Joffe H, Kravitz HM, Tepper PG, Thurston RC, Study of Women's Health Across the Nation (2015) Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med 175(4):531–539CrossRef
12.
Zurück zum Zitat Escobar F, Chica H, Cuevas F (2008) Trastornos del sueño relacionados con el climaterio femenino y su tratamiento. Rev Colombiana Obstetr Ginecol. 59(2):131–139 Escobar F, Chica H, Cuevas F (2008) Trastornos del sueño relacionados con el climaterio femenino y su tratamiento. Rev Colombiana Obstetr Ginecol. 59(2):131–139
13.
Zurück zum Zitat Rohde A (2008) Psychological aspects of the menopause. Ann Gen Psychiatry 7(S1):S72CrossRef Rohde A (2008) Psychological aspects of the menopause. Ann Gen Psychiatry 7(S1):S72CrossRef
14.
Zurück zum Zitat Pinkerton JV, Zion AS (2006) Vasomotor symptoms in menopause: where we’ve been and where we’re going. J Womens Health 15(2):135–145CrossRef Pinkerton JV, Zion AS (2006) Vasomotor symptoms in menopause: where we’ve been and where we’re going. J Womens Health 15(2):135–145CrossRef
15.
Zurück zum Zitat Cornellana MJ (2010) Estudio de las Mujeres Menopaúsicas en España. Fita Farma, Barcelona Cornellana MJ (2010) Estudio de las Mujeres Menopaúsicas en España. Fita Farma, Barcelona
16.
Zurück zum Zitat Mendoza N, Sánchez-Borrego R, Cancelo MJ, Calvo A, Checa MA, Cortés J, Elorriaga MA, Díaz T, González JV, Lete I, Lobo P, Martínez-Astorquiza T, Nieto A, Olalla MA, Pérez-Campos E, Porqueras R, Quereda F, Salamanca A, De La Viuda E (2013) Position of the Spanish menopause society regarding the management of perimenopause. Maturitas 74(3):283–290CrossRef Mendoza N, Sánchez-Borrego R, Cancelo MJ, Calvo A, Checa MA, Cortés J, Elorriaga MA, Díaz T, González JV, Lete I, Lobo P, Martínez-Astorquiza T, Nieto A, Olalla MA, Pérez-Campos E, Porqueras R, Quereda F, Salamanca A, De La Viuda E (2013) Position of the Spanish menopause society regarding the management of perimenopause. Maturitas 74(3):283–290CrossRef
17.
Zurück zum Zitat Larroy C, Robles JI (2016) Psychological symptoms of menopausal women in the state of Madrid: a study of prevalence. Int J Psychol 51(1):701 Larroy C, Robles JI (2016) Psychological symptoms of menopausal women in the state of Madrid: a study of prevalence. Int J Psychol 51(1):701
18.
Zurück zum Zitat Larroy C, Marin C, Gutierrez S (2015) The effects of Cognitive-Behavioral techniques on hot flushes, depression and anxiety related to menopause in Spanish women. Wulfenia 22(3):31–43 Larroy C, Marin C, Gutierrez S (2015) The effects of Cognitive-Behavioral techniques on hot flushes, depression and anxiety related to menopause in Spanish women. Wulfenia 22(3):31–43
19.
Zurück zum Zitat Avis NE, Assmann SF, Kravitz HM, Ganz PA, Ory M (2004) Quality of life in diverse groups of midlife women: assessing the influence of menopause, health status and psychosocial and demographic factors. Qual Life Res 13(5):933–946CrossRef Avis NE, Assmann SF, Kravitz HM, Ganz PA, Ory M (2004) Quality of life in diverse groups of midlife women: assessing the influence of menopause, health status and psychosocial and demographic factors. Qual Life Res 13(5):933–946CrossRef
20.
Zurück zum Zitat Avis NE, Colvin A, Bromberger JT, Hess R, Matthews KA, Ory M, Schocken M (2009) Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of Women’s Health Across the Nation (SWAN). Menopause 16(5):860–869CrossRef Avis NE, Colvin A, Bromberger JT, Hess R, Matthews KA, Ory M, Schocken M (2009) Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of Women’s Health Across the Nation (SWAN). Menopause 16(5):860–869CrossRef
21.
Zurück zum Zitat Utian WH (2007) Quality of life (QOL) in menopause. Maturitas 57(1):100–102 Utian WH (2007) Quality of life (QOL) in menopause. Maturitas 57(1):100–102
22.
Zurück zum Zitat Elavsky S (2009) Physical activity, menopause, and quality of life: the role of affect and self-worth across time. Menopause 16(2):265–271CrossRef Elavsky S (2009) Physical activity, menopause, and quality of life: the role of affect and self-worth across time. Menopause 16(2):265–271CrossRef
23.
Zurück zum Zitat Ayers B, Hunter MS (2013) Health-related quality of life of women with menopausal hot flushes and night sweats. Climacteric 16(2):235–239CrossRef Ayers B, Hunter MS (2013) Health-related quality of life of women with menopausal hot flushes and night sweats. Climacteric 16(2):235–239CrossRef
24.
Zurück zum Zitat Heinemann LA, Potthoff P, Schneider HP (2003) International versions of the menopause rating scale (MRS). Health Qual Life Outcomes 1:28CrossRef Heinemann LA, Potthoff P, Schneider HP (2003) International versions of the menopause rating scale (MRS). Health Qual Life Outcomes 1:28CrossRef
25.
Zurück zum Zitat Hilditch JR, Lewis J, Peter A (1996) A menopause specific quality of life questionnaire, development and psychometric properties. Maturitas 24(3):161–175CrossRef Hilditch JR, Lewis J, Peter A (1996) A menopause specific quality of life questionnaire, development and psychometric properties. Maturitas 24(3):161–175CrossRef
26.
Zurück zum Zitat Barati M, Ahmadpanah M, Shirahmadi S, Bashirian S, Parsa P, Holsboer-Trachsler E, Brand S, Haghighi M (2016) Differential impact of sociodemographic variables on the quality of life of menopausal Iranian women Avicenna. J Neuro Psych Physio 3(2):e39026 Barati M, Ahmadpanah M, Shirahmadi S, Bashirian S, Parsa P, Holsboer-Trachsler E, Brand S, Haghighi M (2016) Differential impact of sociodemographic variables on the quality of life of menopausal Iranian women Avicenna. J Neuro Psych Physio 3(2):e39026
27.
Zurück zum Zitat Żołnierczuk-Kieliszek D, Kulik TB, Janiszewska M, Stefanowicz A (2014) Influence of sociodemographic factors on quality of life in women living in Lublin Province in Poland. Prz Menopauzalny 13(1):13–17PubMedPubMedCentral Żołnierczuk-Kieliszek D, Kulik TB, Janiszewska M, Stefanowicz A (2014) Influence of sociodemographic factors on quality of life in women living in Lublin Province in Poland. Prz Menopauzalny 13(1):13–17PubMedPubMedCentral
28.
Zurück zum Zitat Chedraui P, San Miguel G, Avila C (2009) Quality of life impairment during the female menopausal transition is related to personal and partner factors. Gynecol Endocrinol 25(2):130–135CrossRef Chedraui P, San Miguel G, Avila C (2009) Quality of life impairment during the female menopausal transition is related to personal and partner factors. Gynecol Endocrinol 25(2):130–135CrossRef
29.
Zurück zum Zitat Schoenaker DA, Jackson CA, Rowlands JV, Mishra GD (2014) Socioeconomic position, lifestyle factors and age at natural menopause: a systematic review and meta-analyses of studies across six continents. Int J Epidemiol 43(5):1542–1562CrossRef Schoenaker DA, Jackson CA, Rowlands JV, Mishra GD (2014) Socioeconomic position, lifestyle factors and age at natural menopause: a systematic review and meta-analyses of studies across six continents. Int J Epidemiol 43(5):1542–1562CrossRef
30.
Zurück zum Zitat Calvo A, Campillo C (2013) Quality of life of menopausal women in the island of Majorca: a population based study. Gynecol Endocrinol 29(6):556–558CrossRef Calvo A, Campillo C (2013) Quality of life of menopausal women in the island of Majorca: a population based study. Gynecol Endocrinol 29(6):556–558CrossRef
31.
Zurück zum Zitat Cuadros JL, Pérez-Roncero G, López-Baena T, Cuadros-Celorrio A, Fernández-Alonso A (2014) Satisfacción vital y factores sociodemográficos en mujeres de mediana edad. Enferm Clin 24(6):315–322CrossRef Cuadros JL, Pérez-Roncero G, López-Baena T, Cuadros-Celorrio A, Fernández-Alonso A (2014) Satisfacción vital y factores sociodemográficos en mujeres de mediana edad. Enferm Clin 24(6):315–322CrossRef
33.
Zurück zum Zitat Vega G, Hernández A, Leo G, Vega J, Escartin M, Luengas J, Guerrero MG (2007) Incidencia y factores relacionados con el síndrome climatérico en una población de mujeres mexicanas. Rev Chil Obstet Ginecol 72(5):314–320CrossRef Vega G, Hernández A, Leo G, Vega J, Escartin M, Luengas J, Guerrero MG (2007) Incidencia y factores relacionados con el síndrome climatérico en una población de mujeres mexicanas. Rev Chil Obstet Ginecol 72(5):314–320CrossRef
35.
Zurück zum Zitat Sánchez-Cánovas J, Marín RM, Salas MD, Pastor E, Zorroza J, López M.(1999) Valoración de la calidad de vida en mujeres climatéricas y su relación con factores somáticos. Análisis del cambio. Ministerio de Trabajo y Asuntos Sociales. Instituto de la Mujer. Expediente Nº 48/97 [Not published] Sánchez-Cánovas J, Marín RM, Salas MD, Pastor E, Zorroza J, López M.(1999) Valoración de la calidad de vida en mujeres climatéricas y su relación con factores somáticos. Análisis del cambio. Ministerio de Trabajo y Asuntos Sociales. Instituto de la Mujer. Expediente Nº 48/97 [Not published]
36.
Zurück zum Zitat Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P (2010) Age of menopause and impact of climacteric symptoms by geographical región. Climanteric 13:419–428CrossRef Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P (2010) Age of menopause and impact of climacteric symptoms by geographical región. Climanteric 13:419–428CrossRef
37.
Zurück zum Zitat Chedraui P, Blümel JE, Baron G, Belzares E, Bencosme A, Calle A, Danckers L, Espinoza MT, Flores D, Gomez G, Hernandez-Bueno JA, Izaguirre H, Leon-Leon P, Lima S, Mezones-Holguin E, Monterrosa A, Mostajo D, Navarro D, Ojeda E, Onatra W, Royer M, Soto E, Tserotas K (2008) Impaired quality of life among middle aged women: a multicentre Latin American study. Maturitas 61(4):323–329CrossRef Chedraui P, Blümel JE, Baron G, Belzares E, Bencosme A, Calle A, Danckers L, Espinoza MT, Flores D, Gomez G, Hernandez-Bueno JA, Izaguirre H, Leon-Leon P, Lima S, Mezones-Holguin E, Monterrosa A, Mostajo D, Navarro D, Ojeda E, Onatra W, Royer M, Soto E, Tserotas K (2008) Impaired quality of life among middle aged women: a multicentre Latin American study. Maturitas 61(4):323–329CrossRef
38.
Zurück zum Zitat Blumel JE, Castelo-Branco C, Binfa L, Gramegna G, Tacla X, Aracena B, Cumsille MA, Sanjuan A (2000) Quality of life after the menopause: a population study. Maturitas 34(1):17–23CrossRef Blumel JE, Castelo-Branco C, Binfa L, Gramegna G, Tacla X, Aracena B, Cumsille MA, Sanjuan A (2000) Quality of life after the menopause: a population study. Maturitas 34(1):17–23CrossRef
39.
Zurück zum Zitat Gamaldo A, Beydoun MA, Beydoun HA, Liang H, Salas RE, Zonderman AB (2016) Sleep disturbances among older 7adults in the united states, 2002–2012: Nationwide inpatient rates, predictors, and outcomes. Front Aging Neurosci 8:266CrossRef Gamaldo A, Beydoun MA, Beydoun HA, Liang H, Salas RE, Zonderman AB (2016) Sleep disturbances among older 7adults in the united states, 2002–2012: Nationwide inpatient rates, predictors, and outcomes. Front Aging Neurosci 8:266CrossRef
40.
Zurück zum Zitat Li S, Ho DC, Sham A (2016) Relationship between menopause status, attitude toward menopause, and quality of life in Chinese midlife women in Hong Kong. Menopause 23(1):67–73CrossRef Li S, Ho DC, Sham A (2016) Relationship between menopause status, attitude toward menopause, and quality of life in Chinese midlife women in Hong Kong. Menopause 23(1):67–73CrossRef
41.
Zurück zum Zitat Lee M, Kim J, Park MS (2010) Factors influencing the severity of menopause symptoms in korean post-menopausal women. J Korean Med Sci 25(5):758–765CrossRef Lee M, Kim J, Park MS (2010) Factors influencing the severity of menopause symptoms in korean post-menopausal women. J Korean Med Sci 25(5):758–765CrossRef
42.
Zurück zum Zitat Guthrie JR, Dennerstein L, Taffe JR, Lehert P, Burger HG (2004). The menopausal transition: a 9-year prospective population-based study. The Melbourne Women's Midlife Health Project. Climacteric 7(4):375–389 Guthrie JR, Dennerstein L, Taffe JR, Lehert P, Burger HG (2004). The menopausal transition: a 9-year prospective population-based study. The Melbourne Women's Midlife Health Project. Climacteric 7(4):375–389
43.
Zurück zum Zitat Nisar N, Sohoo NA (2009) Frequency of menopausal symptoms and their impact on the quality of life of women: a hospital based survey. JPMA 59(11):752–756 Nisar N, Sohoo NA (2009) Frequency of menopausal symptoms and their impact on the quality of life of women: a hospital based survey. JPMA 59(11):752–756
44.
Zurück zum Zitat Mishra G, Kuh D (2006) Perceived change in quality of life during the menopause. Soc Sci Med 62(1):93–102CrossRef Mishra G, Kuh D (2006) Perceived change in quality of life during the menopause. Soc Sci Med 62(1):93–102CrossRef
Metadaten
Titel
The impact of perimenopausal symptomatology, sociodemographic status and knowledge of menopause on women’s quality of life
verfasst von
Cristina Larroy
C. Marin Martin
A. Lopez-Picado
I. Fernández Arias
Publikationsdatum
13.07.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 4/2020
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-019-05238-1

Weitere Artikel der Ausgabe 4/2020

Archives of Gynecology and Obstetrics 4/2020 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.