Investigation And Analysis Of Perimenopausal Period And Hormone Replacement Therapy

BackgroundPerimenopausal period,is a women development from the reproductive function of the strong state of transition to the late adulthood.Perimenopausal health is a critical period for prevention of senile degenerative diseases.To investigate the attention from the health status of perimenopausal women on the stage of women’s health care,maintenance and promotion of women’s physical and mental health,improve the quality of life in elderly women.The study has been designed to rescue the symptoms of menopause the incidence of post-menopausal period,perimenopausal symptoms and occupation,education level,such the relevance of the economic status,perimenopausal women on alternative to menopausal hormone therapy(menopausal hormone therapy,MHT)and informed awareness of the way,willingness to treat.In the future,we can know how to look around menopausal women,to delay the occurrence of female age-related diseases,and improve the quality of life of older women.MethodsQuestionnares about menopause and MHT was sent to the The Third Affiliated Hospital of Guangzhou Medical University,popular science lectures in the community and We Chat public platform from April 2016 to April 2017.To investigate the general situation of perimenopausal women,the cognition and acceptance of MHT,there are 261 valid questionnaires collected.All of the parameters were input into a database and analyzed with Descriptive analysis and x2 test.Result 1.There was correlation between menstrual status and Kupperman Index(KI)(P<0.05),and they are positive correlation(r=0.348,P=0.001).The proportion of mild and moderate severe menopausal syndrome with various menstrual status was different,and the highest proportion of moderate and severe symptoms occurred after menopause.However,there was no correlation between different occupations and perimenopausal symptoms(P=0.891).2.The survey showed that perimenopausal symptoms are the major fatigue(69.3%),joint pain(63.6%),insomnia(59.1%),sexual intercourse disorder(58%),tension(58%),while the symptoms of moderate and severe joint pain and paresthesia accounted for relatively high.3.Perimenopausal symptoms and accupation factors that had nothing to do(P>0.05).Then,study showed that with the increase of economic income,the incidence of menopausal syndrome was higher,but the difference was not statistically significant(P=0.173)4.There are differences in the attitude of patients with menopause syndrome.The majority of women believe that climacteric symptom need for medical treatment,especially in the proportion of professional and technical personnel than other groups(P < 0.05).5.Not only professional and technical personnel acceptted the proportion of perimenopausal education to be more than other groups to,but also they have heard and understood more MHT.There was a significant difference between the groups(P <0.05).And know that MHT has a "window period" is still the majority of professional and technical personnel,there are differences in statistics(P <0.05).6.MHT is effective to protect and treat the climacteric syndrome,and women interviewed knew it by the professional staff(48%),media or magazines(24.7%),family and friends(10.3%),and the other 17%.7.The results showed that the proportion of professional and technical personnel who used MHT and willing to recommend to others was the largest in the groups,and there were significant differences(P<0.05).While MHT relieves the recent climacteric symptom,professional and technical personnel(61.7%)are more likely to receive it for long-term benefits than other groups(P<0.05).Most of the respondents indicated that the duration of MHT should depend on the physician’s guidance.8.Approximately 70% of the respondents indicated that they were concerned about MHT,and that the factors were cancer risk(27.0%),lifetime dependence(19.4%),weight gain(18.7%),cardiovascular risk(18.3%),and the difference was significant(P<0.05).Conclusion 1.Menopausal syndrome is very common in climacteric women.Perimenopausal symptoms in order to fatigue,joint pain,insomnia,sexual dysfunction,tension have become the highest incidence.Then the women after the age of 40 should pay attention to the above-mentioned symptoms of the emergence of climacteric,patient to do complete the task of triage,and rational allocation of medical resources.2.The occurrence of perimenopausal symptoms is related to age,education and other factors.Therefore,MHT should be targeted according to the specific circumstances of the object of specific treatment of different,individual treatment.3.Health care behavior is affected by cultural factors.Professional and technical personnel have more opportunities to receive the knowledge about perimenopausal education and MHT,and the level of acceptance,use and awareness of MHT in professional and technical personnel is generally higher than other groups.However,they still have some misconceptions in the risk of MHT.Therefore,we should improve the educational level of all the people and strengthen the effective practice of the cognition of women’s health care in perimenopausal period.4.The awareness of the knowledgement and the use rate of MHT was still lower than the mean average in the developed country.Further more,the perimenopausal women still had some misgivings about the side effects of drugs of MHT.Therefore,the health education for perimenopausal women is a prerequisite for medical intervention.