Quality of life assessment in perimenopausal women with abnormal uterine bleeding and endometrial hyperplasia
https://doi.org/10.17749/2313-7347/ob.gyn.rep.2020.176
Abstract
Aim: to assess the effects of several symptoms on the quality of life (QoL) in perimenopausal women with endometrial hyperplasia and abnormal uterine bleeding (АUB).
Materials and Methods. This study was conducted from September, 2019 to June, 2020. In total, 50 women aged 45–55 years who visited gynecological department with complaints of AUB were randomly interviewed by using relevant questionnaire. MENQOL (Menopause-Specific Quality of Life Questionnaire) was used to assess and evaluate perimenopause related symptoms. Menopausal status was classified according to the definition of menopause proposed by the World Health Organization.
Results. The majority (the total of 97.14 %) of women experienced at least five or more menopausal symptoms. Vasomotor symptoms were recorded as hot flushes (80 %), sweating (70 %), and night sweating (62 %). The most common physical symptoms were frequent back pain in the lumbar region (96 %), decreased physical strength (92 %), generalized weakness, tiredness (90 %), weight gain (80 %), and pain in the neck (90 %). Among participants, there were reported various problems such as depressive feeling of unknown reasons (20 %), anxiety and nervousness (20 %), dissatisfaction with personal life (44 %), poor memory (14 %), low mood (14 %), as well as impatience and irritability (12 %). Sexual problems were reported as changed sexual drive (20 %), vaginal dryness (10 %), and few avoided intimate contacts with the partners (10 %). Menopausal status, educational level and body mass indexes as well as marital status were also studied as those among the multi-factors significantly associated with the frequency and severity of menopause related symptoms.
Conclusion. The severity of perimenopausal symptoms decreases the QoL in everyday life of women aged 45–55 years with endometrial hyperplasia and АUB.
About the Author
F. V. Abdiyeva
Azerbaijan Medical University
Azerbaijan
Azerbaijan
Farida V. Abdiyeva – Doctoral Candidate, Department of Obstetrics and Gynecology II
100 Bratyev Mardanovykh Str., Baku AZ 1078
References
1. Nisar N., Sohoo N.A. Severity of menopausal symptoms and the quality of life at different status of menopause: a community based survey from rural Sindh, Pakistan. Int J Collaborative Res Intern Med Public Health. 2010;2(5):118–30.
2. Avis N.E., Ory M., Matthews K.A. et al. Health-related quality of life in a multiethnic sample of middle-aged women: Study of Women's Health Across the Nation (SWAN). Med Care. 2003;41(11):1262–76. https://doi.org/10.1097/01.MLR.0000093479.39115.AF.
3. Berecki-Gisolf J., Begum N., Dobson A.J. Symptoms reported by women in midlife: Menopausal transition or aging? Menopause. 2009;16(5):1021–9. https://doi.org/10.1097/gme.0b013e3181a8c49f.
4. Chedraui P., San Miguel G., Avila C. Quality of life impairment during female menopausal transition is related to personal and partner factors. Gynecol Endocrinol. 2009;25(2):130–5. https://doi.org/10.1080/09513590802617770.
5. Funmilola M.O., Taiwo O. Experience of menopausal symptoms by women in an urban community in Ibadan, Nigeria. Menopause. 2009;16(4):822–30. https://doi.org/10.1097/gme.0b013e318198d6e7.
6. Loutfy I., Abdel Aziz F., Dabbous N. Women’s perception and experience of menopause: a community-based study in Alexandria, Egypt. East Mediterr Health J. 2006;12(2):93–106. https://apps.who.int/iris/handle/10665/117198.
7. Peeyananjarassri K., Cheewadhanaraks S., Hubbard M. et al. Menopausal symptoms in a hospital-based sample of women in southern Thailand. Climacteric. 2006;9(1):23–9. https://doi.org/10.1080/13697130500487422.
8. Robin G., Baffet H., Catteau-Jonard S. et al. Perimenopause or menopausal transition. Endocrinol Gynecol Obstet. 2012;21:243–56.
9. Avis N.E., Colvin A., Bromberger J.T. et al. Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of Women's Health Across the Nation. Menopause. 2009;16(5):860–9. https://doi.org/10.1097/gme.0b013e3181a3cdaf.
10. Munro M.G., Critchley H.O., Broder M.S., Fraser I.S., FIGO Working Group on Menstrual Disorders. FIGO classification system (PALMCOEIN) for causes of abnormal uterine bleeding in non gravid women of reproductive age. Int J Gynaecol Obstet. 2011;113(1):3–13. https://doi.org/10.1016/j.ijgo.2010.11.011.
11. Saraswathi D., Thanka J., Shalinee R. et al. Study of endometrial pathology in abnormal uterine bleeding. J Obstet Gynecol India. 2011;61(4):426–30. https://doi.org/10.1007/s13224-011-0047-2.
12. Dravta J., Real F., Schindler C. et al. Is age at menopause increasing across Europe? Results on age at menopause and determinants from two population-based studies. Menopause. 2009;16(2):385–94. https://doi.org/10.1097/gme.0b013e31818aefef.
13. Vehid S., Aran S., Koksal S. et al. The prevalence and the age at the onset of menopause in Turkish women in rural area. Saudi Med J. 2006;27(9):1381–6.
14. Norozi E., Mostafavi F., Hasanzadeh A. et al. Factors affecting quality of life in postmenopausal women, Isfahan, 2011. J Educ Health Promot. 2013;2:58. https://doi.org/10.4103/2277-9531.120857.
15. Poomalar G.K., Arounassalame B. The quality of life during and after menopause among rural women. J Clin Diagn Res. 2013;7(1):135–9. https://doi.org/10.7860/JCDR/2012/4910.2688.
16. Lewis J.E., Hilditch J.R., Wong C.J. Further psychometric property development of the menopause-specific quality of life questionnaire and development of a modified version, MENQOL-Intervention questionnaire. Maturitas. 2005;50(3):209–21. https://doi.org/10.1016/j.maturitas.2004.06.015.
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For citations:
Abdiyeva F.V. Quality of life assessment in perimenopausal women with abnormal uterine bleeding and endometrial hyperplasia. Obstetrics, Gynecology and Reproduction. 2020;14(6):630-636. https://doi.org/10.17749/2313-7347/ob.gyn.rep.2020.176
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