IMPACT OF MENOPAUSE ON QUALITY OF LIFE AMONG INDIAN WOMEN
DOI:
https://doi.org/10.20319/lijhls.2020.61.3045Keywords:
Menopause, MENQOL Questionnaire, Quality of Life, Indian WomenAbstract
Research Objectives: The objective of the study was to assess the impact of menopause on the quality of life of Indian women. Methodology: 155 women, in the age range of 40 to 60 years, from various parts of India were included in the study based on inclusion criteria (mentally oriented women not using hormonal replacement therapy, without history of hysterectomy and medical conditions like hypertension, diabetes and thyroid problems). Menopause-specific Quality of Life (MENQOL) questionnaire was used to assess the presence of symptoms in vasomotor, psychosocial, physical and sexual domains. Menopausal status was categorized as Late perimenopausal, Early perimenopausal, Premenopausal and postmenopausal. Findings: Descriptive statistics was used to analyze the data. The average age of participants was 50.7 years with average BMI of 25.9. A largest no. of women were in the postmenopausal status (n=115), followed by premenopausal (n=19), early perimenopausal (15) and late perimenopausal (n=6) status. Most common symptom in vasomotor domain was sweating (38.06%), in psychosocial domain feeling anxious (25.80%) and depressed (25.16), in physical domain decrease in physical strength (49.67%), feeling tired (48.38%), lack of energy (47.74%), low backache (47.74%), aching in muscles and joints (46.45%) whereas in sexual domain mild vaginal dryness during intercourse (30%) and change in sexual desire (28.67%). Research Outcomes: The menopausal symptoms lasted many years after the cessation of menstruation. 25-50% of prevalence rate in various domains indicates a need to adopt multidimensional approach, for the better management of menopausal symptoms. Future Scope: Future study may be carried out with equal sample size in all the categories of menopausal status to identify the relationship between the severity of menopausal symptoms and the menopause status.
References
Abedzadeh-Kalahroudi M, Taebi M, Sadat Z, Saberi F and Karimian Z. Prevalence and severity of menopausal symptoms and related factors among women 40-60 years in Kashan, Iran. Nurs Midwifery Stud. 2012; 1(2):88-93. https://doi.org/10.5812/nms.8358
Ahuja M. Age of Menopause and Determinants of Menopause Age: A PAN India Survey by IMS. J Midlife Health. 2016; 7(3):126-131. https://doi.org/10.4103/0976-7800.191012
Al-Olayet AY, Al-Qahtani IF, Al-Essa DI, Al-Saleek FH, Al-Moutary RN, Al-Mudimeg LM, Al-Marri SA and Al-Shemari SS. Severity of menopausal symptoms, and knowledge attitude and practices towards menopause among Saudi women. Scientific Research and Essays. 2010; 5(24):4077-4079.
Ashrafi M, Ashtiani SK, Malekzadeh F, Amirchaghmaghi E, Kashfi F, Eshrati B and Shabani F. Symptoms of natural menopause among Iranian women living in Tehran, Iran. Int. J. Reprod Med. 2010; 8(1):29-32.
Avis NE, Assmann SF, Kravitz HM, Ganz PA, Ory M. Quality of life in diverse groups of midlife women: assessing the influence of menopause, health status and psychosocial and demographic factors. Quality of Life Research. 2004; 13(5):933-946. https://doi.org/10.1023/B:QURE.0000025582.91310.9f
Berecki-Gisolf J. Begum N. Dobson AJ. Symptoms reported by women in midlife: Menopausal transition or aging? Menopause. 2009; 16:1021–1029. [PubMed] [Google Scholar]. https://doi.org/10.1097/gme.0b013e3181a8c49f
Chedraui P, Hidalgo L, Chavez D, Morocho N, Alvarado M and Huc A. Menopausal symptoms and associated risk factors among postmenopausal women screened for the metabolic syndrome. Archives of gynecology and obstetrics. 2007; 275(3):161-168. https://doi.org/10.1007/s00404-006-0239-7
Chen Y, Lin SQ, Wei Y, Gao HL and Wu ZL. Menopause-specific quality of life satisfaction in community-dwelling menopausal women in China. Gynecological endocrinology. 2007; 23(3):166-172. https://doi.org/10.1080/09513590701228034
Colditz GA, Willett WC, Stampfer MJ, Rosner B, Speizer FE, Hennekens CH. Menopause and the risk of coronary heart disease in women. N Engl J Med. 1987; 316:1105–10. [PubMed] [Google Scholar]. https://doi.org/10.1056/NEJM198704303161801
ElShafe K, Al Farsi Y, Al Zadjali N, Al Adawi S, Al Busaidi Z, AlShafee M. Menopausal symptoms among healthy, middle-aged Omani women as assessed with the menopause rating scale. Menopause. 2011; 10:1113-9. https://doi.org/10.1097/gme.0b013e31821b82ee
Gharaibeh M, Al-Obeisat S and Hattab J. Severity of menopausal symptoms of Jordanian women. Climacteric. 2010; 13(4):385-394. [Google Scholar]. https://doi.org/10.3109/13697130903050009
Jahanfar S, Abdul RA, Shah RB, Nor AI, Sharifah D and Siti R. Age of menopause and menopausal symptoms among Malaysian women who referred to health clinic in Malaysia. Shiraz E-Med J. 2006; 7:1-9.
Kelsey JL, Gammon MD, John EM. Reproductive factors and breast cancer. Epidemiol Rev. 1993; 15:36–47. [PubMed] [Google Scholar]. https://doi.org/10.1093/oxfordjournals.epirev.a036115
Khosla S, Riggs BL. Pathophysiology of age-related bone loss and osteoporosis. EndocrinolMetabClin North Am. 2005; 34:1015–30, xi. [PubMed] [Google Scholar]. https://doi.org/10.1016/j.ecl.2005.07.009
Lewis JE, Hilditch JR, Wong CJ. Further Psychometric Property Development of the Menopause-specific quality of life questionnaire and Development of a Modified Version, MENQOL- Intervention questionnaire. Maturitas. 2005; 50(3):209–21. https://doi.org/10.1016/j.maturitas.2004.06.015
Mohamed HA, Lamadah SM and Zamil LGA.Quality of life among menopausal women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology.2014; 3(3): 552-61. https://doi.org/10.5455/2320-1770.ijrcog20140906
Moustafa M, Ali R, Sahar El Saied and Taha SM. Impact of menopausal symptoms on quality of life among women in Qena City. Journal of Nursing and Health Science.2015; 4(2):49-59.
National Institutes of Health (NIH) State-of-the-Science Conference Statement on management of menopause-related symptoms. NIH Consens State Sci Statements. 2005; 22:1–38. [PubMed] [Google Scholar].
Rachel W, Kristen L, Kalilani L, Jacqueline L, Richard V. Effects of quetiapine extended release on sleep and quality of life in midlife women with major depressive disorder. Maturitas. 2009; 62(2):153-9.
Robinson G. Cross-cultural perspectives on menopause. The Journal of nervous and mental disease. 1996; 184(8):453-458. https://doi.org/10.1097/00005053-199608000-00001
Singh A, Pradhan SK. Menopausal symptoms of postmenopausal women in a rural community of Delhi, India: A cross-sectional study. J Midlife Health. 2014; 5:62–7. [PMC free article] [PubMed] [Google Scholar]. https://doi.org/10.4103/0976-7800.133989
Singh M. Early age of natural menopause in India, a biological marker for early preventive health programs. Climacteric. 2012; 15:581–6. [PubMed] [Google Scholar]. https://doi.org/10.3109/13697137.2011.643514
Yakout SM, Kamal SM and Moawed S. Menopausal Symptoms and Quality of Life among Saudi Women in Riyadh and Taif. Journal of American Science. 2011; 7(5): 778- 782.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 LIFE: International Journal of Health and Life-Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of Published Articles
Author(s) retain the article copyright and publishing rights without any restrictions.
All published work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.