Correlation of Menopausal Symptoms with Serum Estradiol in Pre and Postmenopausal Women of Nawabshah (SBA)
Correlation of Menopausal Symptoms with Serum Estradiol
DOI:
https://doi.org/10.54393/pjhs.v4i09.1037Keywords:
Menopause, Premenopause, PostmenopauseAbstract
The term menopause accurately incomes termination of menstrual cycle. A diversity of physiological changes proceeds in the body, certain of these are the consequence of cessation of ovarian function and decreased production of estrogen. Objective: To determine the serum estrogen levels and to study menopause related symptoms in pre and postmenopausal women due to declined estrogen levels. Methods: This was a cross sectional study. Participants were recruited from the Gynecology and Obstetrics and Medicine OPD/Ward PMCH and from the general public. After explaining the study's goal to all participants, they gave their written and verbal agreement. Blood samples were collected for biochemical testing and stored at -20℃ in the laboratory. ANOVA test was applied for comparison of estrogen among the study participants. This study involved 400 individuals who were separated into two groups, Premenopause and Postmenopause. Results: The mean ±SD of age of Premenopausal participants was 44.44±2.61 years and the mean ±SD of Postmenopausal females remained 54.78±2.80 years. The mean value of serum estradiol of pre and postmenopausal participants was noted as 13.03±11.42 pg/ml 8.21±4.7 pg/ml. The predominant symptoms among the premenopausal women experienced were depressive mood and irritability (61%) while the symptoms experienced by postmenopausal women were dryness of vagina (59%) and heart discomfort (54%). Conclusions: The decrease in estrogen may lead to symptoms like vaginal dryness, mood changes, night sweats and hot flashes. The symptoms experienced are similar as elsewhere in the world, although occurring with varying frequencies.
References
Simon JA, Kokot-Kierepa M, Goldstein J, Nappi RE. Vaginal health in the United States: results from the vaginal health: insights, views & attitudes survey. Menopause. 2013 Oct; 20(10): 1043-8. doi: 10.1097/GME.0b013e318287342d. DOI: https://doi.org/10.1097/GME.0b013e318287342d
Kim TH and Lee HH. Alternative therapy trends among Korean postmenopausal women. Journal of Menopausal Medicine. 2016 Apr; 22(1): 4-5. doi: 10.6118/jmm.2016.22.1.4. DOI: https://doi.org/10.6118/jmm.2016.22.1.4
Namazi M, Sadeghi R, Behboodi Moghadam Z. Social determinants of health in menopause: an integrative review. International Journal of Women's Health. 2019 Dec; 11: 637-47. doi: 10.2147/IJWH.S228594. DOI: https://doi.org/10.2147/IJWH.S228594
Miziołek B, Brzezińska-Wcisło L, Wcisło-Dziadecka D, Zbiciak-Nylec M, Michalska-Bańkowska A. Trichological problems related to menopause. Postępy Nauk Medycznych. 2015 Feb; 3: 211-6.
Gava G, Orsili I, Alvisi S, Mancini I, Seracchioli R, Meriggiola MC. Cognition, mood and sleep in menopausal transition: the role of menopause hormone therapy. Medicina. 2019 Oct; 55(10): 668. doi: 10.3390/medicina55100668. DOI: https://doi.org/10.3390/medicina55100668
Gracia CR and Freeman EW. Onset of the menopause transition: the earliest signs and symptoms. Obstetrics and Gynecology Clinics. 2018 Dec; 45(4): 585-97. doi: 10.1016/j.ogc.2018.07.002. DOI: https://doi.org/10.1016/j.ogc.2018.07.002
Bjelland EK, Hofvind S, Byberg L, Eskild A. The relation of age at menarche with age at natural menopause: a population study of 336 788 women in Norway. Human Reproduction. 2018 Jun; 33(6): 1149-57. doi: 10.1093/humrep/dey078. DOI: https://doi.org/10.1093/humrep/dey078
Bull JR, Rowland SP, Scherwitzl EB, Scherwitzl R, Danielsson KG, Harper J. Real-world menstrual cycle characteristics of more than 600,000 menstrual cycles. NPJ Digital Medicine. 2019 Aug; 2(1): 83. doi: 10.1038/s41746-019-0152-7. DOI: https://doi.org/10.1038/s41746-019-0152-7
Soares CN. Perimenopause-related mood disturbance: an update on risk factors and novel treatment strategies available. Psychopharmacology and Reproductive Transitions Symposium. American Psychiatric Association 157th Annual Meeting. 2004 May: 1-6.
Freeman EW, Sammel MD, Liu L, Gracia CR, Nelson DB, Hollander L. Hormones and menopausal status as predictors of depression in womenin transition to menopause. Archives of General Psychiatry. 2004 Jan; 61(1): 62-70. doi: 10.1001/archpsyc.61.1.62. DOI: https://doi.org/10.1001/archpsyc.61.1.62
Lee PS and Lee CL. Prevalence of symptoms and associated factors across menopause status in Taiwanese women. Menopause. 2021 Feb; 28(2): 182-8. doi: 10.1097/GME.0000000000001662. DOI: https://doi.org/10.1097/GME.0000000000001662
Dutta R, Dcruze L, Anuradha R, Rao S, Rashmi MR. A population based study on the menopausal symptoms in a rural area of Tamil Nadu, India. Journal of Clinical Diagnostic and Research. 2012 May; 6(4): 597-601.
Malik R, Pokeria C, Singh S. Correlation of menopausal symptoms with serum estradiol: a study in urban Indian postmenopausal women. The Journal of Obstetrics and Gynecology of India. 2022 Jul; 72: 322-9. doi: 10.1007/s13224-021-01518-6. DOI: https://doi.org/10.1007/s13224-021-01518-6
Halbreich U. Role of estrogen in postmenopausal depression. Neurology. 1997 May; 48(5 Suppl 7): S16-9. doi: 10.1212/wnl.48.5_suppl_7.16s. DOI: https://doi.org/10.1212/WNL.48.5_Suppl_7.16S
Prairie BA, Wisniewski SR, Luther J, Hess R, Thurston RC, Wisner KL, et al. Symptoms of depressed mood, disturbed sleep, and sexual problems in midlife women: cross-sectional data from the Study of Women's Health Across the Nation. Journal of Women’s Health. 2015 Feb; 24(2): 119-26. doi: 10.1089/jwh.2014.4798. DOI: https://doi.org/10.1089/jwh.2014.4798
Rahman S, Salehin F, Iqbal A. Menopausal symptoms assessment among middle age women in Kushtia, Bangladesh. BMC Research Notes. 2011 Dec; 4(1): 1-4. doi: 10.1186/1756-0500-4-188. DOI: https://doi.org/10.1186/1756-0500-4-188
Simon JA, Nappi RE, Kingsberg SA, Maamari R, Brown V. Clarifying Vaginal Atrophy’s Impact on Sex and Relationships (CLOSER) survey: emotional and physical impact of vaginal discomfort on North American postmenopausal women and their partners. Menopause. 2014 Feb; 21(2): 137-42. doi: 10.1097/GME.0b013e318295236f. DOI: https://doi.org/10.1097/GME.0b013e318295236f
Dąbrowska-Galas M, Dąbrowska J, Michalski B. Sexual dysfunction in menopausal women. Sexual Medicine. 2019 Dec; 7(4): 472-9. doi: 10.1016/j.esxm.2019.06.010. DOI: https://doi.org/10.1016/j.esxm.2019.06.010
Santoro N, Roeca C, Peters BA, Neal-Perry G. The menopause transition: signs, symptoms, and management options. The Journal of Clinical Endocrinology & Metabolism. 2021 Jan; 106(1): 1-5. doi: 10.1210/clinem/dgaa764. DOI: https://doi.org/10.1210/clinem/dgaa764
Aladhab R and Alabbood M. Perception of Menopausal Symptoms Among Menopause Women in Basra Southern Iraq: A Cross-Sectional Study. Current Women's Health Reviews. 2021 Aug; 17(3): 260-6. doi: 10.2174/1573404817666210105145732. DOI: https://doi.org/10.2174/1573404817666210105145732
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