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Premature menopause: A comprehensive understanding of psychosocial aspects
journal contributionposted on 2022-03-22, 23:01 authored by AA Deeks, Melanie Gibson-HelmMelanie Gibson-Helm, H Teede, A Vincent
Objective To compare experience of premature menopause (PM), information sources, treatments, depression, anxiety, body image, sexual function and self-efficacy, between women with premature ovarian failure (POF), surgically induced menopause (SIPM), chemically induced menopause (CIPM), and controls. Design Cross-sectional observational pilot study using validated and devised questionnaires in 77 Australian women (POF, n = 25; SIPM, n = 17; CIPM, n = 12; controls, n = 23). Results The average age of all women was 34.8 years (standard deviation (SD) ± 5.7 years), and time since PM diagnosis was 3.8 years (SD ± 4.4 years, p = 0.19). The gynecologist (69%) and internet (67%) were the best expected sources of information. Women with PM feared osteoporosis more than controls (p < 0.0001). Women with SIPM (p = 0.006) and POF (p = 0.01) had higher rates of depression compared to controls. SIPM women were more anxious than women with POF (p = 0.04) and both SIPM (p = 0.002) and CIPM (p = 0.02) women were more anxious than controls. Women with POF had higher health evaluation (p = 0.03), fitness evaluation (p = 0.01) and fitness orientation (p = 0.01) than women with SIPM. Controls had higher health evaluation than women with SIPM (p = 0.001) and CIPM (p = 0.04), higher fitness evaluation than women with SIPM (p = 0.02) and CIPM (p = 0.04), and higher fitness orientation than SIPM women (p < 0.0001). Sexual dysfunction (p < 0.0001) and dyspareunia (p = 0.001) were higher in CIPM women than controls. Controls were more sexually responsive than POF women (p = 0.008). SIPM (p = 0.008) and POF (p = 0.04) women reported decreased confidence to manage disease. Conclusion Depression, anxiety, body image, sexual dysfunction and self-confidence are compromised for women across different groups of premature menopause. Understanding these differences is important to the development of individual management plans based on the needs of women. © 2011 International Menopause Society.
Preferred citationDeeks, A. A., Gibson-Helm, M., Teede, H. & Vincent, A. (2011). Premature menopause: A comprehensive understanding of psychosocial aspects. Climacteric, 14(5), 565-572. https://doi.org/10.3109/13697137.2011.566390
PublisherInforma UK Limited
Online publication date2011-08-21
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AdultAnxietyBody ImageDepressionFemaleHumansMenopause, PrematureOsteoporosis, PostmenopausalPhysical FitnessPrimary Ovarian InsufficiencySelf ConceptSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalAgingMental HealthBehavioral and Social ScienceContraception/ReproductionReproductive health and childbirthObstetrics & Reproductive Medicine