Climacteric最新文献

{"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":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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'.</p><p><strong>Conclusion: </strong>The study highlights similarities in women's menopausal experiences across Africa, as well as affirming the existence of wide and varied local views.</p>","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}

{"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":"<p><strong>Objective: </strong>This study investigated the impact of ethnicity, annual income and age on menopausal symptoms among working Malaysian women aged 40-60 years.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Menopausal symptoms vary by ethnicity, income and age. Individualized, culturally sensitive approaches are essential to reduce the health and economic burdens of menopause.</p>","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}

{"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":"<p><strong>Objective: </strong>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).</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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 (<i>p</i> = 0.041) and the VAI (<i>p</i> < 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.</p><p><strong>Conclusion: </strong>We recommend use of the VAI for CMD screening among postmenopausal women.</p>","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}

{"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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"10.1080/13697137.2025.2480581","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"365-366"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","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}

{"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":"<p><p>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.</p>","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}

{"title":"Menopause in low and middle-income countries: a scoping review of knowledge, symptoms and management.","authors":"Rakibul M Islam, Juwel Rana, Sadia Katha, Md Anwer Hossain, Siraj Us Salekin, Anika Tasneem Chowdhury, Ashraful Kabir, Lorena Romero, Susan R Davis","doi":"10.1080/13697137.2025.2509254","DOIUrl":"10.1080/13697137.2025.2509254","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to systematically map available evidence on menopause-related knowledge, symptoms and management in low and middle-income countries (LMICs) and identify critical gaps to inform research and policy.</p><p><strong>Methods: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines, the MEDLINE, EMBASE, CINAHL and Scopus databases were searched for studies published between 2000 and 2024. Eligible studies were those that reported on menopause-related knowledge, symptom prevalence or management in LMICs. Data were extracted and synthesised descriptively and thematically.</p><p><strong>Results: </strong>From 10,758 records, 252 studies from 41 LMICs were included. Most were cross-sectional (85%) and relied on non-probability sampling (62%), with only 4% being nationally representative. Menopause classification methods were often inconsistent, with only 17.5% of studies using the Stages of Reproductive Aging Workshop (STRAW) +10 or World Health Organization (WHO) criteria. National-level data on age at menopause are lacking across all LMICs. The prevalences of vasomotor symptoms, joint pain and sexual concerns were comparable with high-income countries. However, data on the severity and burden of symptoms were scarce. Knowledge about menopause and menopausal hormone therapy (MHT) was poor, especially in low-income and rural settings. Cultural stigma, misconceptions and healthcare provider knowledge gaps contributed to low uptake of evidence-based menopause care. MHT use was consistently low, with women predominantly using traditional remedies. Provider hesitancy, lack of training and structural health system barriers were key limitations in service delivery.</p><p><strong>Conclusions: </strong>Despite a growing population of postmenopausal women, menopause remains a neglected health issue across LMICs. There is an urgent need to integrate menopause into reproductive and non-communicable disease policies, invest in provider education and ensure equitable access to evidence-based menopause care, including MHT, for women in LMICs.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"242-279"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324609","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}

{"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":"10.1080/13697137.2025.2480588","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"367-368"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","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}

{"title":"Correction.","authors":"","doi":"10.1080/13697137.2025.2485571","DOIUrl":"10.1080/13697137.2025.2485571","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"369"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778984","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}

{"title":"Menopause in low and middle-income countries - an untold story.","authors":"Nicole G Jaff, Nigel J Crowther","doi":"10.1080/13697137.2025.2513140","DOIUrl":"https://doi.org/10.1080/13697137.2025.2513140","url":null,"abstract":"","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":"28 3","pages":"217-219"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504996","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}