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Climacteric symptoms in healthy middle-aged women
1Department of Geriatric Medicine, West Middlesex University Hospital, Isleworth.
The British Journal of Clinical Practice
|September 1, 1994
Summary
Hot flushes are a true menopausal symptom, unlike mood disturbances and breast discomfort, which appear linked to menstruation. This study clarifies climacteric symptom attribution in healthy premenopausal women.
Area of Science:
- Gynecology
- Menopause Research
- Women's Health
Background:
- The menopausal transition is characterized by various symptoms, but their direct attribution to menopause versus menstruation remains debated.
- Understanding climacteric symptom incidence is crucial for accurate diagnosis and management in women's health.
Purpose of the Study:
- To determine the incidence of climacteric symptoms in healthy premenopausal women.
- To differentiate symptoms truly associated with menopause from those related to menstruation.
Main Methods:
- A longitudinal study involving 247 healthy premenopausal women.
- Subgroup analysis of 46 women who experienced menstrual cessation during the study.
- Comparison of symptom frequency before and after menopause onset.
Main Results:
- Hot flushes significantly increased after cessation of menstruation and showed age correlation.
- Cold sweats and suffocation symptoms were also suggested as potentially menopausal.
- Breast discomfort and mood symptoms (irritability, excitability, depression, poor concentration) improved post-menopause, suggesting a link to menstruation.
Conclusions:
- Hot flushes are identified as a genuine menopausal symptom.
- Mood symptoms and breast discomfort are unlikely to be part of the menopausal syndrome and are more likely related to the menstrual cycle.
- This research provides evidence to distinguish between menopausal and menstrual symptomology.
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