探索不育史与经历更年期症状之间的关系
Victoria W Fitz1, Diana C Soria-Contreras2, Sheryl L Rifas-Shiman3
1From the Massachusetts General Hospital, Boston, MA.
概括
在中年期间,有不孕史的女性报告更严重的更年期症状,包括抑郁情绪和易怒性. 这凸显了针对这一群体提供有针对性的心理健康支持的需要.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 中年健康 中年健康
背景情况:
- 不孕症影响了大量寻求生殖辅助的女性.
- 中年期是女性的关键时期,通常与更年期和某些健康状况的风险增加相吻合.
- 了解不孕症对健康的长期后果对于全面的妇女医疗保健至关重要.
研究的目的:
- 在中年女性中,研究史上的不孕症和经历更年期症状之间的纵向关系.
- 为了识别与先前不孕症相关的特定更年期症状.
- 探索中年妇女心理健康查的影响.
主要方法:
- 展望性队列研究 (Project Viva) 对695名中年女性进行了18年的跟踪.
- 通过怀孕的时间,医疗治疗或咨询来定义不孕.
- 使用更年期评分表 (MRS) 和自我报告的更年期年龄来评估更年期症状.
主要成果:
- 36.6%的女性报告有不孕症史.
- 以前患有不孕症的女性在中年访问时年龄较大,更有可能达到更年期.
- 以前的不孕症与MRS中位数以上得分的几率更高,抑郁情绪和易怒性有关.
结论:
- 曾经患有不孕症的女性更有可能出现显著的绝经症状,包括情绪障碍和易怒.
- 在评估更年期症状严重程度和中年期精神健康方面,不孕史可能是相关因素.
- 研究结果表明,需要提高对中年女性的认识,并对中年女性进行潜在的心理健康查,这些女性有不育史.
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