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What Do Women in Rural Tamil Nadu Think about Postmenopausal Bleeding? A Mixed-Method Study
1Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Introduction:
Perception of women about postmenopausal bleeding (PMB) may have a greater influence on their treatment-seeking behavior.
Objectives:
The objective was to explore the perceptions of causes and treatment of PMB among menopausal women and to quantify its perceived reasons.
Materials And Methods:
It was a sequential exploratory mixed-method study design, with two group interviews (qualitative phase), followed by a survey among 1530 postmenopausal women (quantitative phase). The qualitative data were analyzed by thematic analysis and quantitative data using descriptive statistics.
Results:
Lack of seriousness about PMB and stigma were stated as barriers for the treatment of PMB. Among 1530 women, 40.8% of them did not know the cause for PMB. The problem in the uterus, cancer, and improved nutrition were stated as reasons by 17.6%, 16.8%, and 15.8% of women, respectively.
Conclusion:
Most of the women did not know the reason for PMB and its awareness is crucial for better uptake of screening and detection of pathology at an early stage.
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