Academic Journal

Assessing the burden of menopausal symptoms and their influence on women's quality of life.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Assessing the burden of menopausal symptoms and their influence on women's quality of life.
Συγγραφείς: Nasreen SZA; Department of Gynecology, Sikder Medical College, Dhaka, Bangladesh., Chowdhury SR; Department of Gynecology, Holy Family Red Crescent Medical College, Dhaka, Bangladesh., Shahreen S; Department of Gynecology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK., Huq S; Endocrine Specialty, London North West University Healthcare NHS Trust, London, UK., Huq S; Urological Specialty, Luton and Dunstable University Hospital NHS Foundation Trust, Luton, UK., Islam T; Research and Development, IOJH Ltd, Dhaka, Bangladesh.
Πηγή: Climacteric : the journal of the International Menopause Society [Climacteric] 2026 Oct; Vol. 29 (5), pp. 769-775. Date of Electronic Publication: 2026 Jul 15.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Informa Healthcare Country of Publication: England NLM ID: 9810959 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-0804 (Electronic) Linking ISSN: 13697137 NLM ISO Abbreviation: Climacteric Subsets: MEDLINE
Imprint Name(s): Publication: London : Informa Healthcare
Original Publication: New York : Parthenon Pub., c1998-
Ιατρικοί όροι (MeSH): Menopause*/psychology , Menopause*/physiology , Hot Flashes*/epidemiology , Hot Flashes*/psychology , Quality of Life*, Bangladesh/epidemiology ; Humans ; Female ; Middle Aged ; Cross-Sectional Studies ; Prevalence ; Symptom Burden
Περίληψη: Objective: Menopause can affect women's quality of life through vasomotor, psychological and urogenital symptoms. This study assessed the prevalence and correlates of impaired quality of life across menopausal stages in Bangladeshi women.
Method: This cross-sectional study included 3000 women aged 45-55 years attending outpatient gynecology clinics in Dhaka between December 2022 and June 2024. Menopausal stage was classified using Stages of Reproductive Aging Workshop +10 (STRAW +10) criteria. Symptoms and quality of life were assessed using the Menopause Rating Scale (MRS), with impaired quality of life defined as MRS >16. Multivariable logistic regression identified factors associated with impaired quality of life.
Results: Overall, 825 women (27.5%) had impaired quality of life. Symptom severity increased across menopausal stages, and hot flush prevalence rose from 22.1% in premenopause to 47.8% in late postmenopause. Hot flushes showed the strongest association with impaired quality of life (adjusted odds ratio [aOR] 10.28, 95% confidence interval [CI]: 8.84-11.95). Psychotropic medication use (odds ratio [OR] 2.00) and vaginal dryness (OR 1.28) were also associated with impairment, whereas sexual activity (OR 0.75), hormone therapy use (OR 0.70) and good self-rated health (OR 0.58) were associated with lower odds. Early postmenopause had the highest risk (aOR 2.14, 95% CI: 1.71-2.69).
Conclusion: Early postmenopause is a vulnerable period for impaired quality of life among Bangladeshi women. Vasomotor and urogenital symptoms were important correlates of poorer well-being, supporting routine symptom assessment and culturally appropriate menopausal care.
Contributed Indexing: Keywords: Bangladesh; Menopause; Menopause Rating Scale; hormone therapy; quality of life; vasomotor symptoms
Local Abstract: [plain-language-summary] Menopause is a natural stage of life, but it can bring physical and emotional changes that affect how women feel and function in everyday life. In Bangladesh, many women experience menopausal symptoms without enough medical guidance or social support. This study looked at how common these symptoms are and how strongly they affect women’s quality of life.Researchers surveyed 3000 women aged 45–55 years who attended gynecology clinics in Dhaka. The women answered simple questions about common menopausal symptoms, such as hot flushes, mood changes, sleep problems and vaginal dryness, and how these symptoms affected their daily activities and well-being.About one in four women reported that menopause had a negative effect on their quality of life. Hot flushes were the most common and most disruptive symptom, and women who experienced them were much more likely to report difficulties in daily living. Vaginal dryness and the use of medicines for anxiety or depression were also linked to poorer well-being. Women who were sexually active or who used hormone therapy reported better overall quality of life.The early years after menopause were the most challenging period for many women. These findings highlight the need for better awareness, routine screening and culturally appropriate menopausal care in Bangladesh and similar settings, so women can receive timely support and maintain a good quality of life.
Entry Date(s): Date Created: 20260715 Date Completed: 20261014 Latest Revision: 20261014
Update Code: 20261014
DOI: 10.1080/13697137.2026.2691921
PMID: 42454418
Βάση Δεδομένων: MEDLINE