ClimactericPub Date : 2025-04-22DOI: 10.1080/13697137.2025.2486047
Yujie Xu, Shujin Ye, Lan Shi, Zhifen Zhang
{"title":"Psychosomatic and medical experiences of menopause in Chinese women: a social media study.","authors":"Yujie Xu, Shujin Ye, Lan Shi, Zhifen Zhang","doi":"10.1080/13697137.2025.2486047","DOIUrl":"https://doi.org/10.1080/13697137.2025.2486047","url":null,"abstract":"<p><strong>Objective: </strong>Menopause has a significant effect on a woman's quality of life, which leads to physical illnesses and mental stresses. Social media listening (SML) studies reveal the experiences of users, sources of information on disease experiences and health dynamics in populations. The aim of this study was to assess the overview of portraits, complaints, symptom distribution and treatment methods of menopausal women through SML.</p><p><strong>Methods: </strong>An info-surveillance study was conducted wherein the search was performed in the question and answer (Q&A) search and online consultation forums. Using the Python + Scrapy crawl technology tool, the search involved single or combined keywords related to menopause, including population, diagnosis, symptom, treatment and treatment comparison.</p><p><strong>Results: </strong>Data were extracted from three menopause-related Q&A search platforms and 15 online consultation forums. Menstrual disorders, menopausal symptoms, and menopausal examination and treatment were the high-frequency keywords while irritability, insomnia and hot flashes were the most commonly mentioned symptoms. A total of 76.62% of menopausal women had a willingness for tier 3 hospitals, with gynecology being the most preferred department chosen by the majority. Among the 359 women reporting hormone treatment to be effective, 90.96% women showed an improvement in symptoms, and the rest had improvement in emotions, various improvements and overall improvement.</p><p><strong>Conclusion: </strong>The results of this SML study indicate that menopausal women in China have a strong urge for menopause-related knowledge but are not well informed. Thus, there is a need for science popularization to sensitize menopausal women to choose the right department, and explore the long-term management of menopause and menopausal hormone therapy.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-09DOI: 10.1080/13697137.2025.2480591
Karen Walker-Bone, Susan Davis
{"title":"Menopause, women and the workplace.","authors":"Karen Walker-Bone, Susan Davis","doi":"10.1080/13697137.2025.2480591","DOIUrl":"10.1080/13697137.2025.2480591","url":null,"abstract":"<p><p>This invited review is a synthesis of a plenary lecture presented at International Menopause Society Conference in Melbourne 2024. The focus was to set the historic context within which research about women in the workplace must be approached. It is exciting for occupational health researchers to see expansion of the evidence about health and work but we urge menopause and work researchers to collaborate with occupational health colleagues. The growing literature suggests that most women do not experience problems coping with their menopause in the workplace. Most research, however, fails to consider any workplace factors or even the nature of the job women are needing to do. Where studies have focused on occupational groups, they have focused on nurses or other professional/leadership groups. So far, it appears that women's ability to cope is influenced by the number of symptoms, severity of symptoms, and workplace and personal psychosocial factors. However, the problems with coping may be greater for disadvantaged women doing less well-paid work with less flexibility and autonomy. The same women probably have less access to appropriate advice, treatment and support. Researchers must focus on women at highest risk and take a nuanced approach to optimize support without increasing gender-based discrimination.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-04DOI: 10.1080/13697137.2025.2480581
Herjan J T Coelingh Bennink, Jan F M Egberts, Frank Z Stanczyk
{"title":"Premature ovarian insufficiency and the risk of breast cancer.","authors":"Herjan J T Coelingh Bennink, Jan F M Egberts, Frank Z Stanczyk","doi":"10.1080/13697137.2025.2480581","DOIUrl":"https://doi.org/10.1080/13697137.2025.2480581","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"1-2"},"PeriodicalIF":2.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-04DOI: 10.1080/13697137.2025.2480588
Nick Panay, Nathalie Vermeulen, Richard A Anderson, Amanda J Vincent
{"title":"Premature ovarian insufficiency and the risk of breast cancer: author reply.","authors":"Nick Panay, Nathalie Vermeulen, Richard A Anderson, Amanda J Vincent","doi":"10.1080/13697137.2025.2480588","DOIUrl":"https://doi.org/10.1080/13697137.2025.2480588","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"1-2"},"PeriodicalIF":2.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-03DOI: 10.1080/13697137.2025.2480584
Xiru Lyu, Alison J Huang, Alexa V Kelman, Riva Tauman, Alka M Kanaya, Galit Levi Dunietz
{"title":"Experiences of hot flashes, urinary incontinence and mood among South Asian American women: the MASALA study.","authors":"Xiru Lyu, Alison J Huang, Alexa V Kelman, Riva Tauman, Alka M Kanaya, Galit Levi Dunietz","doi":"10.1080/13697137.2025.2480584","DOIUrl":"10.1080/13697137.2025.2480584","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to characterize menopause timing, type (natural or surgical) and symptoms in US-based South Asian women.</p><p><strong>Method: </strong>The study included 405 women of South Asian descent aged between 43 and 78 years who participated in the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study. Menopause experiences were assessed with structured questionnaires. The study described sociodemographic, health and lifestyle characteristics and menopause symptoms by menopause stage, type (natural or surgical) and timing, and tested for differences using chi-square and Fisher's exact tests.</p><p><strong>Results: </strong>Most women (92%) were postmenopausal, and 7% reported surgical menopause. The mean recalled age at natural menopause was 48 years, and the median recalled age was 49 years. Nearly a third of women experienced premature/early menopause (age ≤45 years). Overall, women reported hot flashes of any intensity (from mild to extremely bothersome) in the past month (30%), urinary incontinence in the past 12 months (37%) and depressive symptoms (15%). Menopause symptoms varied by menopause timing and type (natural vs. surgical). Particularly, the point prevalence of bothersome hot flashes of any intensity in the past month, urinary leakage in the past 12 months and depressive symptoms in the past week was 28%, 37% and 14%, respectively, for women who had natural menopause, and 40%, 48% and 20%, respectively, for surgical menopause.</p><p><strong>Conclusion: </strong>Women of South Asian ancestry reported an earlier recalled age at natural menopause than the average age of 52 years reported in the USA. The burden of hot flashes of any intensity, urinary and mood disturbances suggested distinct postmenopause experiences.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-01Epub Date: 2025-02-10DOI: 10.1080/13697137.2025.2457993
James A Simon, Susan R Davis, Angelica Lindén Hirschberg, Ludwig Kiesel, Luciano de Melo Pompei, Jean-Yves Reginster, Tommaso Simoncini, Timothy Hillard
{"title":"State of the art in menopause: current best practice approaches from the IMS World Congress 2024, Melbourne.","authors":"James A Simon, Susan R Davis, Angelica Lindén Hirschberg, Ludwig Kiesel, Luciano de Melo Pompei, Jean-Yves Reginster, Tommaso Simoncini, Timothy Hillard","doi":"10.1080/13697137.2025.2457993","DOIUrl":"10.1080/13697137.2025.2457993","url":null,"abstract":"<p><p>The 19th World Congress on Menopause, hosted by the International Menopause Society in 2024, convened global experts to discuss the latest advances in menopause management. This review highlights key focus areas presented at the congress, offering insights into best practices for clinical application. Cardiovascular health remains a priority, with emphasis on recognizing sex-specific risk factors and exploring emerging therapies. Osteoporosis management underscores the role of menopausal hormone therapy (MHT) as foundational, complemented by anti-resorptive and bone-forming agents in high-risk populations and those not candidates for MHT. Addressing genitourinary symptoms and sexual health, vaginal estrogen therapy is confirmed as a safe and effective option with vaginal dehydroepiandrosterone (DHEA) and oral ospemifene as suitable alternatives, while testosterone therapy offers benefits for hypoactive sexual desire disorder in postmenopausal women. Sleep disturbances, depression and workplace challenges linked to menopause were explored, with tailored interventions such as MHT and cognitive behavioral therapy specifically for sleep recommended. Cancer risk management stressed the need for a multidisciplinary approach to risk reduction beginning with lifestyle modification, and with non-hormonal therapies prioritized for symptomatic treatment of menopausal symptoms in those with hormone-sensitive cancers. Lastly, perimenopause management highlighted comprehensive approaches integrating symptom relief and contraceptive needs.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"98-103"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-01Epub Date: 2024-12-02DOI: 10.1080/13697137.2024.2429423
Pascual García-Alfaro, Faustino R Pérez-López, Ignacio Rodríguez
{"title":"Association of serum uric acid with handgrip strength and dynapenia in postmenopausal women.","authors":"Pascual García-Alfaro, Faustino R Pérez-López, Ignacio Rodríguez","doi":"10.1080/13697137.2024.2429423","DOIUrl":"10.1080/13697137.2024.2429423","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the association of serum uric acid levels with handgrip strength (HGS) and dynapenia in postmenopausal women.</p><p><strong>Methods: </strong>A cross-sectional study among 422 participants collected data on age, age at menopause, adiposity, alcohol consumption, body mass index, current smoking status, HGS (measured using a digital dynamometer) and physical activity. Serum levels of creatinine, glucose, glycated hemoglobin, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, thyroid-stimulating hormone and uric acid were evaluated. Women were categorized into quartiles. A directed acyclic graph was designed to identify confounding variables. Multivariable regression analysis was used to assess associations between uric acid with HGS or dynapenia.</p><p><strong>Results: </strong>Women with hyperuricemia presented significant association with lower HGS (<i>p</i> = 0.00028). After adjusting for potential confounders, the multivariable linear regression to analyze the association between uric acid and HGS showed an inverted U-shaped curve, with quartile 1 (β = -0.54; 95% confidence interval [CI]: -1.50, 0.40), quartile 3 (β = -0.21; 95% CI: -1.20, 0.74) and quartile 4 (β = -1.3; 95% CI: -2.3, -0.37) compared with quartile 2. Serum uric acid levels were significantly associated with HGS (<i>p</i> = 0.036).</p><p><strong>Conclusions: </strong>The association between uric acid quartiles with HGS or dynapenia displayed an inverted U-shaped curve. These findings suggest that specific serum uric acid levels within the normal range are associated with better HGS.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"126-132"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-01Epub Date: 2025-03-07DOI: 10.1080/13697137.2025.2469476
Seng Bin Ang, Tim Hillard
{"title":"Preparing for the future: artificial intelligence in menopausal health care.","authors":"Seng Bin Ang, Tim Hillard","doi":"10.1080/13697137.2025.2469476","DOIUrl":"10.1080/13697137.2025.2469476","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"95-97"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ClimactericPub Date : 2025-04-01Epub Date: 2025-02-07DOI: 10.1080/13697137.2025.2455168
Yan Zhang, Xiujuan Chen, Yuan Lin, Xiaoqing Liu, Xiumei Xiong
{"title":"Knowledge and attitudes of premenopausal women in southern China toward menopause and menopausal hormone therapy.","authors":"Yan Zhang, Xiujuan Chen, Yuan Lin, Xiaoqing Liu, Xiumei Xiong","doi":"10.1080/13697137.2025.2455168","DOIUrl":"10.1080/13697137.2025.2455168","url":null,"abstract":"<p><strong>Objective: </strong>Menopause is a significant and natural phase in a woman's life, representing a transition that requires early understanding to manage its effects and promote overall well-being. This study aimed to evaluate the awareness, understanding and perceptions of menopause and menopausal hormone therapy (MHT) among premenopausal women in southern China.</p><p><strong>Methods: </strong>A cross-sectional design was employed to enroll women aged 18-40 years (<i>n</i> = 1631) from August 2022 to January 2023 at a public hospital in Fujian, China. A structured questionnaire, developed from existing research and the Climacteric Scale, was used to assess women's menopausal symptoms and MHT knowledge. Face-to-face interviews were conducted to identify factors correlated with menopausal knowledge levels.</p><p><strong>Results: </strong>More than 50% of women demonstrated a comprehensive understanding of menopause. Education level was a significant predictor of menopause knowledge (<i>p</i> < 0.001), with women holding higher education (college degree or above) demonstrating greater knowledge than those with lower education (high school or below). High awareness of common menopausal symptoms, including irritability, sleep disturbances, fatigue, difficulty concentrating and hot flashes, was observed. Although most participants lacked detailed knowledge of MHT, they agreed on the importance of managing menopausal symptoms and recognized the usefulness of MHT for symptom management.</p><p><strong>Conclusions: </strong>Premenopausal women in southern China possess a basic understanding of menopause but lack sufficient knowledge about MHT. This highlights the need for educational initiatives and targeted counseling to increase awareness of menopause and MHT, especially regarding its implications and treatment options.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"191-199"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}