Climacteric最新文献_第3页

Genitourinary syndrome of menopause among Chinese women during the menopausal transition and postmenopause: findings from a longitudinal cohort study. 中国妇女绝经过渡期和绝经后的泌尿生殖系统综合征：一项纵向队列研究的结果。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1080/13697137.2025.2497427

Yubo Fan, Jingbo Huang, Feiling Huang, Ruiyi Tang, Penghui Feng, Xuanjin Yang, Zhuolin Xie, Lingjin Yang, Xiaonan Ma, Keyang Yang, Rong Chen

{"title":"Genitourinary syndrome of menopause among Chinese women during the menopausal transition and postmenopause: findings from a longitudinal cohort study.","authors":"Yubo Fan, Jingbo Huang, Feiling Huang, Ruiyi Tang, Penghui Feng, Xuanjin Yang, Zhuolin Xie, Lingjin Yang, Xiaonan Ma, Keyang Yang, Rong Chen","doi":"10.1080/13697137.2025.2497427","DOIUrl":"10.1080/13697137.2025.2497427","url":null,"abstract":"Objective: This study aims to explore the prevalence and related factors of genitourinary syndrome of menopause (GSM) in a Chinese longitudinal cohort.Method: A total of 616 women in the menopausal transition or postmenopausal stage from an urban Chinese community were included in this study. The study assessed the prevalence, degree and factors associated with different types of GSM.Results: The prevalence of moderate/severe GSM rose from 23.9% in the early menopausal transition to 36.8% in the late menopausal transition, to 56.1% in postmenopause stage +1 and 71.4% in postmenopause stage +2. More than half of the postmenopausal women reported loss of libido (68.7%), vaginal dryness (60.2%), stress urinary incontinence (59.8%) and low sexual pleasure (58.8%). Multivariable analysis revealed that Stages of Reproductive Aging Workshop +10 (STRAW +10) stages (p = 0.009), marital status (p < 0.001) and anxiety (p = 0.005) were independently associated with GSM.Conclusion: This study shows that as women progress through the menopausal transition, GSM symptoms become increasingly common and severe. In particular, postmenopausal women experience a higher burden of these symptoms. Additionally, menopausal stage, marital status and anxiety were identified as independent factors associated with GSM. These findings provide a comprehensive insight of GSM among middle-aged Chinese women, underlining the importance of diagnosis and treatment for GSM.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"319-328"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075914","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}

引用次数: 0

Genitourinary syndrome of menopause: a multicenter study from the Indian Midlife Registry. 绝经期泌尿生殖系统综合征：一项来自印度中年登记处的多中心研究。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-05-21 DOI: 10.1080/13697137.2025.2496681

Asna Beg Ashraf, Meeta Meeta, A B Chitra, Sangeeta Pahwa, Jyoti Shah, Manjit Mohi, Geeta Reddy, Kiran Aggarwal, Amrita Sarkari, Sudha Sharma, Jyoti Jaiswal, Jignesh Shah, Bipasa Sen, Jyothi Unni, Sheela Mane, Jyothika Desai

{"title":"Genitourinary syndrome of menopause: a multicenter study from the Indian Midlife Registry.","authors":"Asna Beg Ashraf, Meeta Meeta, A B Chitra, Sangeeta Pahwa, Jyoti Shah, Manjit Mohi, Geeta Reddy, Kiran Aggarwal, Amrita Sarkari, Sudha Sharma, Jyoti Jaiswal, Jignesh Shah, Bipasa Sen, Jyothi Unni, Sheela Mane, Jyothika Desai","doi":"10.1080/13697137.2025.2496681","DOIUrl":"10.1080/13697137.2025.2496681","url":null,"abstract":"Objective: This study aimed to investigate the prevalence and characteristics of genitourinary syndrome of menopause (GSM) in midlife women.Methods: The cross-sectional study from the Indian Midlife Registry included women aged >40 years attending outpatient clinics at multiple centers across India. Real-world data were collected on an Electronic Health Record platform. GSM was diagnosed in the presence of either two genitourinary or sexual symptoms or one symptom and a Vaginal Health Index (VHI) score of ≤15.Results: A total of 1781 women, 826 perimenopausal and 955 postmenopausal, were included. The prevalence of GSM was 48.5%, and the most prevalent symptoms were lower urinary tract symptoms (LUTS) (38.2%) and vaginal dryness (26.4%). The VHI score was ≤15 in 42.1% of women. Based on logistic regression analysis, age ≥70 years, late postmenopause, low education, insomnia and other sleep problems were associated with higher odds of GSM.Conclusion: GSM is highly prevalent in Indian women. GSM remains under-recognized and undertreated. Sleep problems, advanced age, late postmenopause and low education significantly increase the odds. This study underscores the importance of routine screening for GSM, especially in those with sleep disturbances or LUTS in order to improve quality of life (QoL).","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"329-336"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109621","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}

引用次数: 0

The influence of HIV on body composition and its relationship with physical function in mid-life women: a cross-sectional study from Zimbabwe. 艾滋病毒对中年妇女身体成分的影响及其与身体功能的关系：来自津巴布韦的横断面研究。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-05-14 DOI: 10.1080/13697137.2025.2496685

Mícheál Ó Breasail, Jakub Mesinovic, Tafadzwa Madanhire, Cynthia Kahari, Peter R Ebeling, Victoria Simms, Rashida A Ferrand, Kate A Ward, Celia L Gregson

{"title":"The influence of HIV on body composition and its relationship with physical function in mid-life women: a cross-sectional study from Zimbabwe.","authors":"Mícheál Ó Breasail, Jakub Mesinovic, Tafadzwa Madanhire, Cynthia Kahari, Peter R Ebeling, Victoria Simms, Rashida A Ferrand, Kate A Ward, Celia L Gregson","doi":"10.1080/13697137.2025.2496685","DOIUrl":"10.1080/13697137.2025.2496685","url":null,"abstract":"Objective: Menopause-related changes in body composition and physical function are unclear in Southern Africa, particularly in the context of a generalized HIV epidemic with high antiretroviral therapy (ART) coverage.Method: A total of 263 Zimbabwean women (53% women living with HIV [WLH]) aged 40-60 years provided data on menopause, ART use, anthropometry, body composition (appendicular lean mass [ALM], muscle area, fat mass), handgrip strength (HGS) and gait speed. Linear regression determined relationships between body composition and physical function, unadjusted and age-menopause-adjusted, stratified by HIV status. Univariate logistic regression investigated associations between body composition and self-reported falls.Results: WLH (96% ART established) were a median (interquartile range) 10.4 (6.4-14.5) years since diagnosis, with lower weight, body mass index, ALM, fat mass and HGS than women living without HIV (WLWOH). With menopause transition, WLH lost weight, ALM, gynoid mass and muscle area (all p-trend <0.05); however, WLWOH did not. Both WLH and WLWOH lost HGS (p-trend <0.05). ALM was positively associated with HGS in all women. In WLH, greater percentage body fat, particularly gynoid fat, was associated with increased odds of falls (1.69 [1.00-2.89], p = 0.049 and 1.72 [1.08-2.75], p = 0.023, respectively).Conclusion: Women living with HIV were more likely to experience adverse changes in body composition through menopause; fat mass gains were associated with risk of falls.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"351-359"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076343","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}

引用次数: 0

Awareness of menopause and menopause hormone therapy in India: perspectives of healthcare providers and consumers. 印度对更年期和更年期激素治疗的认识：保健提供者和消费者的观点。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-06-02 DOI: 10.1080/13697137.2025.2503876

Meeta Meeta, Sujatha Guduru, Tanvir Tanvir, Akanshi Madan

{"title":"Awareness of menopause and menopause hormone therapy in India: perspectives of healthcare providers and consumers.","authors":"Meeta Meeta, Sujatha Guduru, Tanvir Tanvir, Akanshi Madan","doi":"10.1080/13697137.2025.2503876","DOIUrl":"10.1080/13697137.2025.2503876","url":null,"abstract":"Objective: This study was a dual-module approach that aimed to evaluate knowledge and concerns of healthcare providers (HCPs) about menopause hormone therapy (MHT) in under-resourced communities, and to understand the awareness and sources of information on menopause and MHT in these communities.Methods: The cross-sectional survey study consisted of two modules: the population module was administered offline and followed the computer-aided personal interview methodology; and the HCP module was an online, self-administered survey.Results: Out of 32,518 women surveyed from underprivileged communities, 50% were unaware of the effects of menopause, and 62% were unaware of the available treatment; if offered by the HCP, 48% were willing to take treatment. Responses from 1261 HCPs showed that systemic MHT was prescribed by 62.4% of HCPs and vaginal estrogen therapy by 86.0%. Although 95% of HCPs were aware of the indications, risks and benefits of MHT, 57% used alternative therapies as first-line therapy and 71% used them as an adjunct to MHT.Conclusions: There is a lack of awareness regarding the impact of menopause on health and on the use of MHT, and educational programs may encourage women to seek help. While HCPs are knowledgeable, hesitancy in the use of systemic MHT indicates the need for professional training programs to increase confidence in prescription writing.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"286-295"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198382","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}

引用次数: 0

Understanding experiences and views of the menopause in Zimbabwe and South Africa: a qualitative study. 了解经验和观点的更年期在津巴布韦和南非：一项定性研究。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/13697137.2025.2499054

Sarah Drew, Nyasha Buwu, Celia L Gregson, Lisa K Micklesfield, Rashida A Ferrand, Rachael Gooberman-Hill

{"title":"Understanding experiences and views of the menopause in Zimbabwe and South Africa: a qualitative study.","authors":"Sarah Drew, Nyasha Buwu, Celia L Gregson, Lisa K Micklesfield, Rashida A Ferrand, Rachael Gooberman-Hill","doi":"10.1080/13697137.2025.2499054","DOIUrl":"10.1080/13697137.2025.2499054","url":null,"abstract":"Objective: Menopause experiences are diverse and vary by social and cultural contexts. This study explored midlife women's experiences and views about menopause in urban settings in Zimbabwe and South Africa to inform co-production of supportive interventions.Method: Forty semi-structured interviews were conducted with women aged 40-60 years. Purposive sampling identified women, considering their age, comorbidities, HIV status and socioeconomic background. Data were audio-recorded, transcribed and analyzed thematically.Results: Three inter-related themes were identified: loss and decline; uncertainty; and acceptance and growth. For some women, fertility was integral to their identity, without which they felt 'incomplete'. Several women described shock and confusion at their unanticipated experiences of bodily changes. Difficulties arose distinguishing menopause symptoms from other conditions, and women highlighted absence of information about symptom management. To gauge what was 'normal', women compared their experiences with those of trusted women. Some women in South Africa welcomed menopause as their transition to a respected elder; menopause meant freedom from menstruation and childbirth. Acceptance related to women's sense of whether they experienced menopause at 'the right time'.Conclusion: The study highlights similarities in women's menopausal experiences across Africa, as well as affirming the existence of wide and varied local views.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"337-344"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233326","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}

引用次数: 0

Menopausal symptoms among multi-ethnic working women in Malaysia. 马来西亚多民族职业妇女的更年期症状。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-06-12 DOI: 10.1080/13697137.2025.2507906

Premitha Damodaran, Beng Kwang Ng, Aini Hanan Azmi

{"title":"Menopausal symptoms among multi-ethnic working women in Malaysia.","authors":"Premitha Damodaran, Beng Kwang Ng, Aini Hanan Azmi","doi":"10.1080/13697137.2025.2507906","DOIUrl":"10.1080/13697137.2025.2507906","url":null,"abstract":"Objective: This study investigated the impact of ethnicity, annual income and age on menopausal symptoms among working Malaysian women aged 40-60 years.Method: A population-based study was conducted among Malaysia's multi-ethnic women (Malay, Chinese, Indian and mixed ethnicity). A structured 20-question survey collected data on demographics (ethnicity, annual income and age) and symptom prevalence. A total of 1825 eligible responses were analyzed to assess associations between ethnicity, annual income, age and symptom burden.Results: The most common symptoms were joint pain (34.6%), sleep disturbances (31.1%), brain fog (26.2%), mood swings (25.8%) and digestive issues (25.5%). Indian women reported the highest prevalence of symptoms and had a 2.9-fold higher likelihood of experiencing four or more symptoms compared to Chinese women. Women in higher annual income groups reported more symptoms than those in lower annual income groups. Symptoms such as joint pain and vaginal dryness increased with age, peaking in women aged 55-60 years. Mood swings were highest in women aged 45-49 years, while hot flushes, night sweats and sleep disturbances peaked at age 50-54 years.Conclusion: Menopausal symptoms vary by ethnicity, income and age. Individualized, culturally sensitive approaches are essential to reduce the health and economic burdens of menopause.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"296-303"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274293","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}

引用次数: 0

Obesity indices and cardiometabolic diseases in postmenopausal women in Ilorin, Nigeria. 尼日利亚伊洛林绝经后妇女的肥胖指数和心脏代谢疾病

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.1080/13697137.2025.2496692

Ismaila Aberi Obalowu, Louis Okeibunor Odeigah, Abdulkadir Mohammed, Oyeronke A Oyeleke, Toyin Tawa Odediji, Majidat Funmilayo Amin

{"title":"Obesity indices and cardiometabolic diseases in postmenopausal women in Ilorin, Nigeria.","authors":"Ismaila Aberi Obalowu, Louis Okeibunor Odeigah, Abdulkadir Mohammed, Oyeronke A Oyeleke, Toyin Tawa Odediji, Majidat Funmilayo Amin","doi":"10.1080/13697137.2025.2496692","DOIUrl":"10.1080/13697137.2025.2496692","url":null,"abstract":"Objective: Obesity is a known risk factor for the development of cardiometabolic diseases (CMD) globally. The study focus was finding the best predictor of CMD among the four anthropometric indices of obesity studied: body mass index (BMI), waist to hip ratio (WHR), waist to height ratio (WHtR) and visceral adiposity index (VAI).Method: A total of 310 postmenopausal women participated in the study. Sociodemographic data, anthropometric measurements, serum high-density lipoprotein and serum triglycerides were taken for all participants. The receiver operating characteristic curve was used to detect the valid cut-off point for the VAI.Results: The VAI cut-off point for diagnosing visceral adiposity dysfunction (VAD) in the study was >1.92. The prevalence of peripheral obesity in the study was 18.1%, while that of truncal obesity was 76.5% using the WHR and 81.9% using the WHtR. The prevalence of CMD in the study was 51.6% while that for VAD was 60.3%. The WHtR (p = 0.041) and the VAI (p < 0.001) had statistically significant associations with the presence of CMD among the participants but only the VAI was found to be a significant predictor of CMD.Conclusion: We recommend use of the VAI for CMD screening among postmenopausal women.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"345-350"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101445","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}

引用次数: 0

Challenges in setting up menopause care clinics in the Philippines. 在菲律宾设立更年期护理诊所的挑战。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-04-25 DOI: 10.1080/13697137.2025.2491639

Maria Antonia E Habana, Menefrida S Reyes, Maria Jesusa Banal-Silao, Agnes L Soriano-Estrella, Lisa T Prodigalidad-Jabson, Marinella G Abat, Debby P Songco, Anna Belen I Alensuela, Stephanie H Supan, Gregorio Marcelo S Azores, Maria Virginia S Abalos

{"title":"Challenges in setting up menopause care clinics in the Philippines.","authors":"Maria Antonia E Habana, Menefrida S Reyes, Maria Jesusa Banal-Silao, Agnes L Soriano-Estrella, Lisa T Prodigalidad-Jabson, Marinella G Abat, Debby P Songco, Anna Belen I Alensuela, Stephanie H Supan, Gregorio Marcelo S Azores, Maria Virginia S Abalos","doi":"10.1080/13697137.2025.2491639","DOIUrl":"10.1080/13697137.2025.2491639","url":null,"abstract":"Objective: With a growing population of women transitioning into menopause, there is a need to offer comprehensive care to midlife women in the Philippines. The Philippine Society of Climacteric Medicine (PSCM) and the Philippine Obstetrical and Gynecological Society (POGS) recommend the establishment of menopause clinics in all centers. This study aimed to identify strengths, weaknesses, opportunities and challenges in establishing menopause clinics at hospitals in the Philippines.Methods: A pre-workshop survey was sent to 95 hospitals followed by an online workshop on how to set up a menopause clinic. Thereafter, a series of lectures and group discussions regarding their clinics followed. There was an online evaluation of the workshop and an online test to assess their knowledge in menopause care and in setting up a menopause clinic.Results: Thirty hospitals responded to the pre-workshop survey. There were 248 attendees who attended. Weaknesses and challenges included the lack of infrastructure support, limited training and interest in menopause care, and hesitancy in prescribing menopause hormone therapy (MHT). Strengths and opportunities mentioned were the existing curriculum on menopause, established referral system and supportive hospital administration.Conclusion: Similarities and differences between the institutions were identified and participants found the workshop helpful and relevant. In addition, the workshop increased participants' understanding of menopause and highlighted the importance for having a designated clinic and opportunities to address the gaps in midlife care.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"280-285"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969830","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}

引用次数: 0

Premature ovarian insufficiency and the risk of breast cancer. 卵巢功能不全和乳腺癌的风险。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1080/13697137.2025.2480581

Herjan J T Coelingh Bennink, Jan F M Egberts, Frank Z Stanczyk

引用次数: 0

Menopause and aging in sub-Saharan Africa: a narrative review. 撒哈拉以南非洲的更年期和老龄化：叙述回顾。

IF 2.9 4区医学

Climacteric Pub Date : 2025-06-01 Epub Date: 2025-06-17 DOI: 10.1080/13697137.2025.2511906

Sostina Spiwe Matina, Emmanuel Cohen, Kebogile Mokwena, Emily Mendenhall

{"title":"Menopause and aging in sub-Saharan Africa: a narrative review.","authors":"Sostina Spiwe Matina, Emmanuel Cohen, Kebogile Mokwena, Emily Mendenhall","doi":"10.1080/13697137.2025.2511906","DOIUrl":"10.1080/13697137.2025.2511906","url":null,"abstract":"Menopause is commonly viewed as a hormone deficiency and a risk factor for chronic illness, but it also represents a biological transition and profound social role change for women. This narrative review synthesises evidence on how women in sub-Saharan Africa conceptualise and experience menopause and ageing, and examines how research has captured these dimensions. Databases including SCOPUS, Science Direct, Mendeley Data, Web of Science, PubMed, Medline African Medical Index, and the National Library of Medicine were searched using the terms 'menopause', 'ageing/aging' and 'sub-Saharan Africa'. Forty-two qualitative and quantitative studies in English and French were included. The review found that while many studies emphasise biological markers, symptoms, and the links between menopause and chronic disease, a significant number also highlight women's own interpretations of menopause as a social transition, sometimes associated with enhanced status and autonomy. In some contexts, menopause is linked to stigma or loss of femininity, while in others, it enables greater autonomy and decision-making power. Few women report awareness or acceptance of biomedical interventions such as menopause hormone therapy, tending to view menopause as a natural process rather than a medical condition. These findings underscore the importance of culturally sensitive public health interventions and clinical strategies that address both the biomedical and sociocultural dimensions of menopause, to promote healthy ageing and reduce the burden of chronic disease among women in sub-Saharan Africa.","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"230-241"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309568","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}

引用次数: 0