Maria I Rodriguez, Haley Burns, Kaitlin Schrote, Sara Cichowski, Karen Adams
{"title":"Association of insurance type with unmet need for menopause care in Oregon.","authors":"Maria I Rodriguez, Haley Burns, Kaitlin Schrote, Sara Cichowski, Karen Adams","doi":"10.1097/GME.0000000000002437","DOIUrl":"10.1097/GME.0000000000002437","url":null,"abstract":"<p><strong>Objective: </strong>To determine unmet need for menopause care in Oregon and evaluate if insurance type is associated with receipt of care.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey of patients using an Oregon Listserv. Our primary outcome was use of medication for the treatment of moderate or severe symptoms of menopause. We used the Menopause Rating Scale to evaluate respondents' symptoms: 0-4 none or little symptoms; 5-8 mild symptoms; 9-16 moderate symptoms; and 17+ severe symptoms. We abstracted demographic and clinical information including age, rurality, race, ethnicity, primary language, and insurance type. We used a regression model to determine the association between public insurance and treatment for moderate to severe menopause symptoms. We examined reasons for nonuse of therapy.</p><p><strong>Results: </strong>Our sample included 845 perimenopausal or postmenopausal individuals who were predominantly White (93.0%), aged 45-49 (32.8%) or 50-54 years (39.1%), and privately insured (81.3%). Overall, 62.4% of individuals with moderate and severe symptoms of menopause were not receiving any therapy. After adjustment for age and rurality, public insurance was associated with an average of 47% increased odds of nontreatment for moderate or severe menopause symptoms (adjusted odds ratio: 1.47, 95% CI: 0.99-2.19). The most common reasons for nontreatment in both groups were \"therapy was not recommended by a provider\" (43%) and worries about safety or side effects (40%).</p><p><strong>Conclusions: </strong>Even in well-insured persons, the majority of people with moderate and severe symptoms of menopause are not receiving treatment. People who are publicly insured are more likely to go untreated than privately insured individuals.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"1062-1068"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Durmalouk Kesibi, Michael Rotondi, Heather Edgell, Hala Tamim
{"title":"The association between age at natural menopause and risk of asthma among postmenopausal women from the Canadian Longitudinal Study on Aging.","authors":"Durmalouk Kesibi, Michael Rotondi, Heather Edgell, Hala Tamim","doi":"10.1097/GME.0000000000002443","DOIUrl":"10.1097/GME.0000000000002443","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association between age at natural menopause and incidence of asthma among postmenopausal Canadian women.</p><p><strong>Methods: </strong>Women between the ages of 45-85 yr were followed for a 10-yr period. Analysis was restricted to naturally postmenopausal women who are nonsmokers and did not have asthma prior to menopause. Age at natural menopause was examined using the following categories: 40-44, 45-49, 50-54 (reference), and ≥55. Survival analysis was utilized to determine time to onset of asthma. Multivariable Cox regression analysis was performed to assess the relationship between age at natural menopause and asthma after adjusting for covariates.</p><p><strong>Results: </strong>The multivariable Cox regression analysis showed a 30% decreased risk of asthma in women with age at natural menopause of 40-44 yr compared with age at natural menopause of 50-54 yr with a hazard ratio of 0.7 (95% confidence interval: 0.49-0.95).</p><p><strong>Conclusions: </strong>Women with later ages at natural menopause may be at increased risk for asthma.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"1069-1077"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Menopause Society, past presidents.","authors":"","doi":"10.1097/GME.0000000000002475","DOIUrl":"10.1097/GME.0000000000002475","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"1099"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Menopause: The Journal of The Menopause Society Volume 31, 2024: AUTHOR INDEX.","authors":"","doi":"10.1097/GME.0000000000002488","DOIUrl":"https://doi.org/10.1097/GME.0000000000002488","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"e5-e9"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yue Zhao, Kaixin Li, Junge Peng, Jiang Xiao, Mengying Zhang, Hongfei Mo, Guirong Wang, Yan Li
{"title":"Association of the number of pregnancies and births with cognitive performance in older postmenopausal women: a cross-sectional study.","authors":"Yue Zhao, Kaixin Li, Junge Peng, Jiang Xiao, Mengying Zhang, Hongfei Mo, Guirong Wang, Yan Li","doi":"10.1097/GME.0000000000002440","DOIUrl":"10.1097/GME.0000000000002440","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive impairment in the elderly is a serious public health problem. However, the effect of the number of pregnancies and births in the early years of life on cognitive function in postmenopausal women remains controversial. This study aims to investigate the relationship between these two factors.</p><p><strong>Methods: </strong>We used the National Health and Nutrition Examination Survey 2011-2014 data on women aged ≥60 years. This study included sociodemographic data, history of estrogen use, and contraceptive use as confounding variables. The combined scores of the Consortium to Establish a Registry for Alzheimer's Disease Word Learning (CERAD-WL), delayed word recall (CERAD-DR), the Animal Fluency test (AF), and the Digit Symbol Substitution Test (DSST) were used to assess the cognitive performance of participants. Hierarchical multiple regression analysis explored the relationship between the number of pregnancies and births and cognitive function.</p><p><strong>Results: </strong>The study screened 1,259 postmenopausal women and found that 24.3% had low cognitive performance. The study found a significant increase in low cognitive performance among older adults, Mexican Americans, those with a lower education level and poverty-income ratio, those who were widowed, and those with diabetes and hypertension (P < 0.001). In the multiple regression analysis, the number of pregnancies remained a significant determinant of cognitive performance (B = -0.188, P < 0.001).</p><p><strong>Conclusions: </strong>The number of pregnancies was associated with cognitive performance in a population of postmenopausal women in the United States. A lower number of pregnancies is associated with better cognitive performance.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"1055-1061"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole A VanKim, Brittany M Charlton, Isa Berzansky, Nicole D Fields, Brian W Whitcomb, Susan E Hankinson, Lynnette Leidy Sievert, Elizabeth R Bertone-Johnson
{"title":"Natural menopause timing and menopause symptoms among lesbian, bisexual, and heterosexual women in the Nurses' Health Study II.","authors":"Nicole A VanKim, Brittany M Charlton, Isa Berzansky, Nicole D Fields, Brian W Whitcomb, Susan E Hankinson, Lynnette Leidy Sievert, Elizabeth R Bertone-Johnson","doi":"10.1097/GME.0000000000002442","DOIUrl":"10.1097/GME.0000000000002442","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine sexual orientation differences in natural menopause timing and symptoms between lesbian and bisexual women compared with heterosexual women.</p><p><strong>Methods: </strong>We used longitudinal questionnaire data (1989-2015) from 92,314 women (858 lesbian, 375 bisexual) in the Nurses' Health Study II cohort. Women were 24-44 yr old at baseline and biennially reported their menopause status, including reasons for cessation of menstrual periods. In 2009 and 2013, women reported on their experience of hot flashes and night sweats. Covariates included age, age at menarche, body mass index, smoking, and parity. Sexual orientation was reported in 1995 and 2009.</p><p><strong>Results: </strong>Age-adjusted Cox models and logistic regression models suggest that there were no statistically significant differences in menopause timing between lesbian or bisexual women when compared with heterosexual women. When examining menopause symptoms, lesbian women consistently had a statistically significantly (P < 0.05) higher odds of experiencing hot flashes or night sweats (odds ratio range: 1.17 to 1.72) and moderate/severe symptoms (OR range: 1.26 to 1.77) than heterosexual women, even after adjusting for covariates such as smoking and obesity. There were no statistically significant differences in menopause symptoms between bisexual and heterosexual women.</p><p><strong>Conclusions: </strong>Our findings suggest no meaningful difference in menopause timing between sexual minority and heterosexual women. Additionally, menopause symptoms were more likely among lesbian women and warrants additional study.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"1049-1054"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cinnamon potential in alleviating early postmenopause symptoms: a randomized clinical trial.","authors":"Mansoureh Refaei, Zahra Karami, Farideh Kazemi, Shirin Moradkhani, Seyedeh Zahra Masoumi, Ensieh Jenabi, Mobina Jafari","doi":"10.1097/GME.0000000000002444","DOIUrl":"10.1097/GME.0000000000002444","url":null,"abstract":"<p><strong>Objective: </strong>Menopause is a substantial physical, mental, and emotional transition in a woman's life. Most women suffer symptoms during menopause, impacting their quality of life for a decade or more. This study aimed to determine the effect of cinnamon on the severity of postmenopause symptoms.</p><p><strong>Methods: </strong>A randomized, triple-blind, parallel clinical trial was conducted on 60 postmenopausal women in the health centers of Hamadan, Iran. The study included women aged 45 to 60 years who were 1 to 3 years after their last menstrual period. The participants were assigned to two groups using a permuted block randomization method. The intervention group received a daily dose of one cinnamon capsule (1 g) for 2 months, whereas the control group received a placebo. The participants, researchers, and statistical analysts were all blinded. The study measured the severity of menopause symptoms using the Menopause Rating Scale before and 2 months later. Data were analyzed using Stata-13 software.</p><p><strong>Results: </strong>Data from 59 individuals were analyzed. The analyses were adjusted for baseline Menopause Rating Scale scores. After the intervention, the severity of menopause symptoms was lower in the intervention group (13.95 ± 4.16) compared to the control group (16.64 ± 4.16) (P = 0.01), with an effect size of 0.65 (95% CI, 0.12-1.17). Additionally, the intervention group had lower scores for psychological symptoms compared to the control group (P = 0.006), with an effect size of 0.74 (95% CI, 0.21-1.27).</p><p><strong>Conclusions: </strong>The consumption of cinnamon in postmenopausal women has been found to improve the severity of menopause symptoms, with a particular emphasis on the psychological domain.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"1078-1084"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postmenopausal dyspareunia.","authors":"Lauren Streicher","doi":"10.1097/GME.0000000000002438","DOIUrl":"10.1097/GME.0000000000002438","url":null,"abstract":"<p><p>Dyspareunia in the postmenopausal woman is often multifactorial and requires a thorough history, a targeted physical examination, and coordination of multiple disciplines, including medical professionals, pelvic floor physical therapists, and sex therapists. Although we have come a long way since early assessments of painful sex, evaluation and treatment of dyspareunia remain an unmet need. This is particularly true in postmenopausal women in whom it is commonly assumed that pain with penetrative sex is solely a consequence of atrophy.</p>","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":" ","pages":"1087-1089"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abstract Author Index.","authors":"","doi":"10.1097/GME.0000000000002472","DOIUrl":"10.1097/GME.0000000000002472","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"e1-e4"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Claudio N Soares, MD, PhD, FRCPC, MBA, CPTR 2024-2025 President, The Menopause Society.","authors":"","doi":"10.1097/GME.0000000000002466","DOIUrl":"https://doi.org/10.1097/GME.0000000000002466","url":null,"abstract":"","PeriodicalId":18435,"journal":{"name":"Menopause: The Journal of The North American Menopause Society","volume":"31 12","pages":"1031-1032"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}