Menopausal syndrome: clinical presentation and management

Authors

  • Sunil Somnath Patil Department of obstetrics and gynaecology, B J Gov. Medical College and Sassoon Hospital, Pune, Maharashtra, India
  • Pradip Wamanrao Sambarey Department of obstetrics and gynaecology, B J Gov. Medical College and Sassoon Hospital, Pune, Maharashtra, India
  • Chandrakala Sunil Patil Department of obstetrics and gynaecology, B J Gov. Medical College and Sassoon Hospital, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20160579

Keywords:

Menopause, Estrogen, Vasomotor symptoms

Abstract

Background: Menopause is physiological stage in woman’s life. Although most of women accept them, some do have a disturbed life due to various symptoms, mostly because of estrogen deprivation.

Methods: This is a prospective clinical study of 200 menopausal women attending the gynaecology OPD or admitted in the wards with various symptoms as well as some gynaecological problems. Young women with surgically induced menopause and women with psychiatric disorders were excluded.

Results: The duration between menopause and appearance of symptoms varied from 1yr to 10 yrs. The average age of menopause in our study was 46.5 yrs. Vasomotor symptoms (65%) were common followed by psychosomatic symptoms (62%), vaginal dryness (45%) and urinary symptoms (40%). Stress, irritability, sleep problem, weight gain were some of common presentations to OPD. Urinary incontinence and atrophic vaginitis were also seen predominantly. The management consists mainly of counseling and life style modification, exercise, yoga meditation etc. Some of the women required estrogen cream, 70 women required surgical treatment. Overall the response to various medications was satisfactory and on follow up the symptoms was found to be much less.

Conclusions: There is need of setting menopausal clinics and centres to help women with symptoms and signs of estrogen deprivation. Counseling and education are main treatment modalities.

References

Marc A, Leon Speroff. Menopause and perimenopause transition: Clinical Gynecological Endocrinology and Infertility. 8th ed. South Asian edition: Lippincott Williams and Wilkins. 2013:680-2.

Chompootweep S, Tankeyoon M, Yamarat K, Poomsuwan P, Dusitsin N. The menopause age and climacteric complaints in Thai women in Bangkok Maturitas. 1993;17:63-71.

Yahya S, Rehan N. Age, pattern and symptoms of menopause among rural women of Lahore. J. Ayub Med. Coll. Abbottabad. 2002;14:9-12.

McKinlay S, Brambilla D, Posner J. The normal menopause transition. Am. J. Hum. Biol. 1992;4:37-46.

Dasgupta D, Ray S. Menopausal Problems among Rural and Urban Women. Eastern India. Journal of Social, Behavioral, and Health Sciences. 2009;3:20-33

Sharma S, Tandon VR, Mahajan A. Menopausal Symptoms in women of Jammu. JK Science. 2007;9(1):13-7.

Shah M. Menopausal uro-genital problems and remedy.2005 Cited from Souvenir of IMS Conference. Xth Annual Conference of Indian Menopause Society, Ahmedabad. 2005.

Kronenberg F. Fugh-Berman. Complementary and alternative medicines for menopausal symptoms. A review of randomized control trials- Ann. Intern med. 2002:805-14.

Albertazzi. The effect of dietary soy supplementation on hot flushes. Obs-Gyn. 1998;91:6-11.

Nelson D, Sammel D, Freeman W, Lin H ,Schmitz K. Effect of physical activity on menopausal symptoms amongs urban women, Medicine and science in sport and exercise. 2008;50:8

Telang M, Chakaravarty D. Study of effect of yoga in menopausal problems. Journal of Obstetrics and Gynecology. 2004;9(10):676-8.

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Published

2017-02-23

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Original Research Articles