Prevalence, Severity, and Factors Associated with Severity of Menopausal Symptoms among Women after Hysterectomy with Bilateral Salpingo-Oophorectomy in Thailand
Keywords:
hysterectomy with bilateral salpingo-oophorectomy, menopausal symptom, severityAbstract
Background: Menopausal symptoms can immediately occur in younger women due to a loss of ovarian function after a hysterectomy with bilateral salpingo-oophorectomy (HBSO). Additionally, some factors may increase the level of menopausal severity in these women.
Background: Menopausal symptoms can immediately occur in younger women due to a loss of ovarian function after a hysterectomy with bilateral salpingo-oophorectomy (HBSO). Additionally, some factors may increase the level of menopausal severity in these women.
Objectives: A cross-sectional study was to investigate the prevalence, severity, and related factors of menopausal symptoms among Thai women after HBSO
Methods: The research participants were 126 women, aged 20 to 50 years, and 3 months after their HBSO. The survey was conducted at a hospital-affiliated university. The socio-demographic characteristics, menstrual history, and menopausal symptoms, including vasomotor, physical, psychological, and urogenital symptoms, were collected by using the interview questionnaire. Statistical tests included frequency, percentages, and the chi-square test or Fisher’s exact test.
Results: The mean age of the women was 47.4 ± 3.9 years. The three most common symptoms of menopause included painful urination (92.8% (95%CI: 0.34-0.52)), low back pain and overall back pain (90.4% (95%CI: 0.30-0.46)) and feeling lonely (90.4% (95%CI : 0.16-0.31)) as no or mild symptoms. Additionally, the total mean score of menopausal symptoms was 27.13 ± 12.42, which indicated mild menopausal symptoms. The menopausal severity of women after HBSO was associated with age at menarche (P=0.043).
Conclusion: Most of the women reported mild menopausal symptoms 3 months after surgical menopause. Therefore, it is important to consider the appropriate treatment for this cohort of women before experiencing menopausal symptoms.
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