Psychosocial adjustment in women with premature menopause: a cross-sectional survey

Mann, Eleanor; Singer, Dani; Pitkin, Joan; Panay, Nicholas; Hunter, Myra

doi:10.3109/13697137.2011.647841

Cited by 82 publications

(26 citation statements)

References 30 publications

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“…97 Women with early menopause often have difficulty adapting to an altered self-image, to sexual dysfunction, and to the loss of fertility associated with estrogen deprivation, and may benefit from referral to a psychologist or sex therapist. 10, 98 Fertility preservation may be considered in women prior to initiation of chemotherapy or radiation treatment and in women with POI, and counseling with a fertility specialist is recommended.…”

Section: Discussionmentioning

confidence: 99%

Long-term health consequences of premature or early menopause and considerations for management

et al. 2015

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Aim To review the current evidence concerning the long-term harmful effects of premature or early menopause, and to discuss some of the clinical implications. Material and methods Narrative review of the literature. Results Women undergoing premature or early menopause, either following bilateral salpingo-oophorectomy or because of primary ovarian insufficiency, experience the early loss of estrogen and other ovarian hormones. The long-term consequences of premature or early menopause include adverse effects on cognition, mood, cardiovascular, bone, and sexual health, as well as an increased risk of early mortality. The use of hormone therapy has been shown to lessen some, although not all of these risks. Therefore, multiple medical societies recommend providing hormone therapy at least until the natural age of menopause. It is important to individualize hormone therapy for women with early estrogen deficiency, and higher dosages may be needed to approximate physiological concentrations found in premenopausal women. It is also important to address the psychological impact of early menopause and to review the options for fertility and the potential need for contraception, if the ovaries are intact. Conclusions Women who undergo premature or early menopause should receive individualized hormone therapy and counseling.

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Section: Discussionmentioning

confidence: 99%

Long-term health consequences of premature or early menopause and considerations for management

et al. 2015

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“…Women with primary ovarian insufficiency who were surveyed about their diagnosis report significant levels of grief, diminished self-esteem, sadness, and limited access to psychological support to address these feelings (3,(35)(36)(37)(38)(39). Poor psychosocial functioning is explained, in small part, by vasomotor symptoms in this population (40). The emotional response to a diagnosis of primary ovarian insufficiency may be more complex and challenging in the adolescent population than for adults.…”

Section: Cognition Mood and Psychosocial Functioningmentioning

confidence: 99%

Committee Opinion No. 698: Hormone Therapy in Primary Ovarian Insufficiency

2017

Obstetrics &Amp; Gynecology

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Primary ovarian insufficiency describes a spectrum of declining ovarian function and reduced fecundity due to a premature decrease in initial follicle number, an increase in follicle destruction, or poor follicular response to gonadotropins. The sequelae of primary ovarian insufficiency include vasomotor symptoms, urogenital atrophy, osteoporosis and fracture, cardiovascular disease, and increased all-cause mortality. In women with primary ovarian insufficiency, systemic hormone therapy (HT) is an effective approach to treat the symptoms of hypoestrogenism and mitigate long-term health risks if there are no contraindications to treatment. Hormone therapy is indicated to reduce the risk of osteoporosis, cardiovascular disease, and urogenital atrophy and to improve the quality of life of women with primary ovarian insufficiency. Although exogenous estrogen replacement is recommended for women with primary ovarian insufficiency, data comparing various hormonal regimens for disease prevention, symptom amelioration, and safety are lacking in this population. As a first-line approach, HT (either orally or transdermally) that achieves replacement levels of estrogen is recommended. Combined hormonal contraceptives prevent ovulation and pregnancy more reliably than HT; despite only modest odds of spontaneous pregnancy in women with primary ovarian insufficiency, this is a critical consideration for those who deem pregnancy prevention a priority. Treatment for all women with primary ovarian insufficiency should continue until the average age of natural menopause is reached (age 50-51 years). Finally, considering the challenges that adolescents and young women may face in coping with the physical, reproductive, and social effects of primary ovarian insufficiency, comprehensive longitudinal management of this condition is essential.

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“…특히, 중년여성은 자녀를 독립시키면서, 심리적 공 허감을 갖게 되고, 신체적인 갱년기 증상과 함께, 심리적, 정신적 건강이 취약한 상태라고 보고되고 있다 [3,4]. 중년여성은 안면홍조, 심계항진, 관절통, 체중증가, 두 통, 불면, 우울 및 자아존중감 저하 등 신체․심리적 증상 을 경험하게 되며, 이로 인해 피로가 유발될 수 있다 [5,6].…”

Section: 한국산학기술학회논문지 제13권 제6호 2012unclassified

Relationship of Fatigue, Family Function and Self-esteem of Middle-aged Women in Menopausal Periods

Kweon¹,

Jeon²

2012

Journal of the Korea Academia-Industrial cooperation Society

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The purpose of this study was to examine the relations between fatigue, family function and self-esteem among middle-aged women in menopausal periods. Data were collected through self-administered questionnaire survey form 133 middle-aged women. The data collection was done from March 2nd to April 10th, 2012. As a results, there were significant differences in fatigue by education level and menstrual status. And, there were significant differences in family function according to education level and marital status. Also, there were significant differences in self-esteem by education level, marital status and monthly income. Fatigue was negatively related to family function and self-esteem. And family function was positively related to self-esteem. These results suggest that nursing intervention should be developed to strengthen family function and self-esteem as a way to regulate fatigue for middle-aged women in menopausal periods. Especially, it is necessary to pay more attention to health management of middle-aged women belonging to menopausal transition, with low-income, low-education level.

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Psychosocial adjustment in women with premature menopause: a cross-sectional survey

Cited by 82 publications

References 30 publications

Long-term health consequences of premature or early menopause and considerations for management

Long-term health consequences of premature or early menopause and considerations for management

Committee Opinion No. 698: Hormone Therapy in Primary Ovarian Insufficiency

Relationship of Fatigue, Family Function and Self-esteem of Middle-aged Women in Menopausal Periods

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