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Is menopause withering away?

P Topo¹, E Hemminki

¹Health Research Unit, National Research and Development Centre for Welfare and Health, Helsinki, Finland.

Journal of Biosocial Science

|July 1, 1995

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Hormone therapy and hysterectomy influence women's perception of menopause and the climacteric phase, often differing from definitions based on the last menstrual period (LMP). These medical interventions can blur the understanding of reproductive life

Area of Science:

Reproductive Endocrinology
Women's Health
Sociology of Medicine

Background:

Menopause and the climacteric are typically defined retrospectively using the date of the last menstrual period (LMP).
Women's self-perception of their menopausal status may differ from clinical definitions.
Hormone therapy and hysterectomy are common interventions affecting reproductive health.

Purpose of the Study:

To examine the relationship between clinical definitions of menopause/climacterium (based on LMP) and women's self-defined status.
To investigate the impact of hormone therapy and hysterectomy on the definition and perception of menopause and climacterium.

Main Methods:

Survey of 2000 women aged 45-64 in Finland (1989).
Analysis of self-reported climacteric status and interval since LMP.

Keywords:

Attitude--women Behavior Developed Countries Europe Finland Gynecologic Surgery Hormone Replacement Therapy Hysterectomy Menopause Northern Europe Psychological Factors Reproduction Scandinavia Surgery Terminology--determinants Treatment Urogenital Surgery

Related Experiment Videos

Comparison of definitions between current hormone users, hysterectomized women, and controls.

Main Results:

Agreement between self-definition and LMP-based definition varied: 64% (no intervention), 41% (hysterectomy), 25% (hormone users).
Current hormone users perceived the climacteric phase as longer than suggested by LMP.
Hormone use and hysterectomy had minimal impact on reported final cessation of menstruation.

Conclusions:

Hysterectomy and hormone therapy significantly shape women's understanding of the end of reproductive life.
These interventions blur the distinct concepts of menopause and postmenopause.
Medical interventions complicate the accurate measurement of age at menopause.