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Awareness and Experience of Menopausal Symptom and Hormone Therapy in Korean Postmenopausal Women

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To investigate awareness and experience of menopausal symptom and hormone therapy in Korean postmenopausal women.Methods: A total of 570 postmenopausal women were accepted our survey. The women filled out the questionnaires composed of medical and surgical history, menopausal age and symptom, demand of treatment on menopausal symptom, and personal method for overcoming the symptom. Also, we make inquiries about experience of hormone therapy, concern about hormone therapy, improvement of menopausal symptom after therapy, adverse effect, and cause of cease the therapy.Results: According to the survey, 80% (456/570) of the women experienced menopausal symptom. When they felt the symptom at first, 47% (213/570) of women was 46-50 years old. The most common menopausal symptom was hot flushes (141/570). A number of Korean women regarded that menopause was a natural process of ageing (69%). Eighty two % of women thought to need to have treatment on menopausal symptom. However, only half (43%) visited doctor. The most concerned disease after menopause they had answered was osteoporosis (60%) but only 22% of women were taken regular check-up of bone mineral density. The common causes were unwilling to do treatment were concern about adverse effect (51%) and indefinite fear of cancer (32%). Moreover, many women got diverse information about menopause from the mass media than professional advice.Conclusion: Only a minority of Korean postmenopausal women with menopausal symptoms had taken a hormone therapy. We should provide appropriate education and counsel to Korean peri-menopause women. (J Menopausal Med 2014;20:7-13)

Abstract

To investigate awareness and experience of menopausal symptom and hormone therapy in Korean postmenopausal women.Methods: A total of 570 postmenopausal women were accepted our survey. The women filled out the questionnaires composed of medical and surgical history, menopausal age and symptom, demand of treatment on menopausal symptom, and personal method for overcoming the symptom. Also, we make inquiries about experience of hormone therapy, concern about hormone therapy, improvement of menopausal symptom after therapy, adverse effect, and cause of cease the therapy.Results: According to the survey, 80% (456/570) of the women experienced menopausal symptom. When they felt the symptom at first, 47% (213/570) of women was 46-50 years old. The most common menopausal symptom was hot flushes (141/570). A number of Korean women regarded that menopause was a natural process of ageing (69%). Eighty two % of women thought to need to have treatment on menopausal symptom. However, only half (43%) visited doctor. The most concerned disease after menopause they had answered was osteoporosis (60%) but only 22% of women were taken regular check-up of bone mineral density. The common causes were unwilling to do treatment were concern about adverse effect (51%) and indefinite fear of cancer (32%). Moreover, many women got diverse information about menopause from the mass media than professional advice.Conclusion: Only a minority of Korean postmenopausal women with menopausal symptoms had taken a hormone therapy. We should provide appropriate education and counsel to Korean peri-menopause women. (J Menopausal Med 2014;20:7-13)

참고문헌 (9)

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  4. 정윤지, "호르몬 치료에 대한 한국 폐경 여성의 인식도 변화: Women’s Health Initiative 연구결과 발표 전과 7년 경과 후의 변화", 대한폐경학회지, 18(2), pp.94~99 (2012), 대한폐경학회[DOI]
  5. North American Menopause Society, "Estrogen and progestogen use in postmenopausal women: 2010 position statement of The North American Menopause Society", Menopause, 17, pp.242~255 (2010)
  6. Newton KM, "Hormone therapy discontinuation: physician practices after the Women’s Health Initiative", Menopause, 17, pp.734~740 (2010)
  7. Phillips LS, "Postmenopausal hormone therapy:critical reappraisal and a unified hypothesis", Fertil Steril, 83, pp.558~566 (2005)
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