The association between recent abuse and menopausal symptom bother

Vegunta, Suneela; Kuhle, Carol L.; Kling, Juliana M.; Files, Julia A.; Kapoor, Ekta; David, Paru S.; Rullo, Jordan; Sood, Richa; Thielen, Jacqueline M.; Jatoi, Aminah; Schroeder, Darrell R.; Faubion, Stephanie S.

doi:10.1097/gme.0000000000000578

Cited by 20 publications

(9 citation statements)

References 18 publications

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“…To our knowledge, the association between lifetime IPV or sexual assault and menopause symptoms has not been previously examined. However, evidence from the Study of Women’s Health Across the Nation suggests a similar association between childhood abuse and hot flashes, while smaller studies of women seeking menopause-related care suggest that IPV in the past year is associated with general menopause symptoms and poor sleep among women in midlife …”

Section: Discussionmentioning

confidence: 99%

Associations of Intimate Partner Violence, Sexual Assault, and Posttraumatic Stress Disorder With Menopause Symptoms Among Midlife and Older Women

et al. 2019

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Section: Discussionmentioning

confidence: 99%

Associations of Intimate Partner Violence, Sexual Assault, and Posttraumatic Stress Disorder With Menopause Symptoms Among Midlife and Older Women

et al. 2019

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“… 35 Finally, a study showed an association between recent abuse and the severity of menopausal symptoms. 27 …”

Section: Discussionmentioning

confidence: 99%

Adverse childhood or adult experiences and risk of bilateral oophorectomy: a population-based case–control study

et al. 2017

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ObjectivesBilateral oophorectomy has commonly been performed in conjunction with hysterectomy even in women without a clear ovarian indication; however, oophorectomy may have long-term deleterious consequences. To better understand this surgical practice from the woman’s perspective, we studied the possible association of adverse childhood or adult experiences with the subsequent occurrence of bilateral oophorectomy.DesignPopulation-based case–control study.SettingOlmsted County, Minnesota (USA).ParticipantsFrom an established population-based cohort study, we sampled 128 women who underwent bilateral oophorectomy before age 46 years for a non-cancerous condition in 1988–2007 (cases) and 128 age-matched controls (±1 year).MethodsInformation about adverse experiences was abstracted from the medical records dating back to age 15 years or earlier archived in the Rochester Epidemiology Project (REP) records-linkage system. Adverse childhood experiences were summarised using the Adverse Childhood Experience (ACE) score.ResultsWe observed an association of bilateral oophorectomy performed before age 46 years with verbal or emotional abuse, physical abuse, any abuse, substance abuse in the household, and with an ACE score ≥1 experienced before age 19 years (OR=3.23; 95% CI 1.73 to 6.02; p<0.001). In women who underwent the oophorectomy before age 40 years, we also observed a strong association with physical abuse experienced during adulthood (OR=4.33; 95% CI 1.23 to 15.21; p=0.02). Several of the associations were higher in women who underwent oophorectomy at a younger age (<40 years) and in women without an ovarian indication for the surgery. None of the psychosocial or medical variables explored as potential confounders or intervening variables changed the results noticeably.ConclusionsWomen who suffered adverse childhood experiences or adult abuse are at increased risk of undergoing bilateral oophorectomy before menopause. We suggest that the association may be explained by a series of biological, emotional, and psychodynamic mechanisms.

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“…5-10 Moreover, many factors can impact both sleep and sexual function such as general health, age, emotional and psychological issues, life events/changes contributing to stress, social support or lack thereof, recent abuse, medications and chronic disease. 11-19 For example, data from the Study of Women's Health Across the Nation (SWAN) demonstrated a co-occurrence of a triad of menopausal symptoms including sleep disturbance, depressed mood and sexual problems. 20 …”

Section: Introductionmentioning

confidence: 99%

Association of sleep disturbance and sexual function in postmenopausal women

et al. 2017

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Objective Sleep disturbance and sexual dysfunction are common in menopause; however, the nature of their association is unclear. The present study aimed to determine whether sleep characteristics were associated with sexual activity and sexual satisfaction. Methods Sexual function in the last year and sleep characteristics (past 4 weeks) were assessed by self-report at baseline for 93,668 women age 50 to 79 years enrolled in the Women's Health Initiative (WHI) Observational Study (OS). Insomnia was measured using the validated WHI Insomnia Rating Scale (WHIIRS). Sleep-disordered breathing (SDB) risk was assessed using questions adapted from the Berlin Questionnaire. Using multivariate logistic regression, we examined cross-sectional associations between sleep measures and two indicators of sexual function: partnered sexual activity and sexual satisfaction within the last year. Results Fifty-six percent overall reported being somewhat or very satisfied with their current sexual activity and 52% reported partnered sexual activity within the last year. Insomnia prevalence was 31%. After multivariable adjustment, higher insomnia scores were associated with lower odds of sexual satisfaction (yes/no) (OR 0.92, 95% CI 0.87-0.96). Short sleep duration (< 7-8 hours) was associated with lower odds of partnered sexual activity (yes/no) (≤ 5 hours OR 0.88, 95% CI 0.80-0.96) and less sexual satisfaction (≤ 5 hours OR 0.88, 95% CI 0.81-0.95). Conclusions Shorter sleep durations and higher insomnia scores were associated with decreased sexual function, even after adjustment for potential confounders, suggesting the importance of sufficient, high quality sleep for sexual function. Longitudinal investigation of sleep and its impact on sexual function post-menopause will clarify this relationship.

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The association between recent abuse and menopausal symptom bother

Abstract: In the present study from the Data Registry on Experiences of Aging, Menopause, and Sexuality, menopausal symptom bother scores were directly associated with recent self-reported abuse.

Cited by 20 publications

References 18 publications

Associations of Intimate Partner Violence, Sexual Assault, and Posttraumatic Stress Disorder With Menopause Symptoms Among Midlife and Older Women

Associations of Intimate Partner Violence, Sexual Assault, and Posttraumatic Stress Disorder With Menopause Symptoms Among Midlife and Older Women

Adverse childhood or adult experiences and risk of bilateral oophorectomy: a population-based case–control study

Association of sleep disturbance and sexual function in postmenopausal women

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