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Many midlife women are unaware of their menopause stage, leading to significant discrepancies between self-reported and clinical assessments. This lack of awareness may delay crucial health interventions.

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Area of Science:

  • Women's Health
  • Menopause Research
  • Clinical Accuracy

Background:

  • Menopause is a critical transition in women's health.
  • Accurate staging is essential for timely medical interventions.
  • Patient awareness of menopause stage is often suboptimal.

Purpose of the Study:

  • To assess the accuracy of self-reported menopause stage in midlife US women.
  • To identify discrepancies between patient and clinician assessments.

Main Methods:

  • Cross-sectional analysis of 3411 women aged 40-65 from Mayo Clinic health clinics.
  • Comparison of self-reported menopause stage with clinician-determined stage.
  • Analysis of agreement using kappa statistics.

Main Results:

  • Patient-reported and clinician-determined menopause stages agreed in only 56.6% of cases (kappa=0.38).
  • Over one-third of women (37.1%) were unsure of their menopause stage, compared to 11.4% classified as unknown by clinicians.
  • Among women unsure of their stage, 75.7% were clinically determined to be postmenopausal.

Conclusions:

  • Significant discrepancies exist between patient self-reporting and clinical determination of menopause stage.
  • A notable lack of awareness regarding menopause stage was observed among women.
  • This knowledge gap may lead to missed opportunities for appropriate women's health interventions.