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Updated: Dec 19, 2025

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Published on: August 13, 2019
Quality of Life and Climacteric Symptoms in Postmenopausal Women Receiving Hormone Therapy for Breast Cancer
Carolina Furtado Macruz1, Sônia Maria Rolim Rosa Lima1, Sóstenes Postigo1
1Department of Obstetrics and Gynecology of the Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Objective:
To assess quality of life and climacteric symptoms for post-menopausal women receiving hormone therapy for breast cancer.
Methods:
A prospective observational study of women treated at the Mastology Outpatient Clinic of the Department of Obstetrics and Gynecology was conducted between 2015 and 2019. Post-menopausal patients who had been diagnosed with breast cancer and who were experiencing climacteric symptoms were selected. These patients had undergone surgery, radiotherapy, and/or chemotherapy more than one year prior and were receiving tamoxifen or an aromatase inhibitor. A total of 57 women were recruited and during visits completed a sociodemographic questionnaire, the Blatt-Kupperman Menopausal Index (KI), and the World Health Organization Quality of Life version-bref (WHOQOL-bref) scale. Repeated measures ANOVA, and Friedman and Pearson tests were conducted.
Results:
Patients had a mean age of 54.4 ± 5.9 years, 86% had ductal carcinoma, 98% had undergone surgery, 70% had received chemotherapy, and 96% had received radiotherapy. Scores on the KI (P < 0.001) and WHOQOL-bref scale (P < 0.046) had improved by the 6-month follow-up. Correlation of the KI and WHOQOL-bref scales showed that less intense climacteric symptoms were associated with higher scores on quality of life domains, and these results were statistically significant (P < 0.001).
Conclusions:
The correlation of the scales showed that reduction in climacteric symptoms is associated with significant improvements in quality of life measures.
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