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. 2016 Sep;22(3):112-22.
doi: 10.1177/2053369116632439. Epub 2016 Feb 18.

Behaviours and attitudes influencing treatment decisions for menopausal symptoms in five European countries

Ginger D Constantine  1 , Shelli Graham  2 , Cathy Clerinx  3 , Brian A Bernick  2 , Mitchell Krassan  2 , Sebastian Mirkin  2 , Heather Currie  4
Affiliations

Behaviours and attitudes influencing treatment decisions for menopausal symptoms in five European countries

Ginger D Constantine et al. Post Reprod Health. 2016 Sep.

Abstract

Objective: To assess women's behaviours and attitudes regarding the treatment of menopausal symptoms in five European countries.

Study design: Women aged ≥45 years in France, Germany, Italy, Spain, and the United Kingdom participated in an internet survey. Completers were those who reported menopausal symptoms and had treated their symptoms. Women were equally stratified by age (45-54 years, 55-64 years, ≥65 years).

Main outcome measures: Behaviours, attitudes, and experiences regarding treatment of menopausal symptoms.

Results: Of 3890 peri- to postmenopausal women screened, 67% experienced symptoms and 54% sought either medical input or some treatment concerning their symptoms. Hot flushes, the most common symptom, decreased with age but remained prevalent after age 64. Roughly 75% of women who sought relief consulted a physician, mostly a gynaecologist or a general practitioner (GP) as in the United Kingdom. The decision to seek treatment was influenced by age, number, and severity of symptoms. Approximately 79% visiting a physician received prescription therapy. Of the women who received non-hormone therapy (HT) treatment instead of HT: patients refused HT (20-44%), physicians did not discuss HT (32-46%), or advised against HT (24-43%). Women in the United Kingdom were most familiar with and favorable to HT. Interest in a new HT (34-50%) was higher than use (19-28%).

Conclusions: Menopausal symptoms are common, persistent, and bothersome, but many fail to seek treatment. Sources and types of treatment vary among age groups and countries. Education regarding women's attitudes toward treatment should be provided to those physicians who treat menopausal symptoms in each country.

Keywords: Attitude; hormone therapy; menopause; survey; vasomotor symptoms.

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Figures

Figure 1.
Figure 1.
Percentage of women with menopausal symptoms, the treatments sought for their menopausal symptoms, and treatment types. Outliers and treatments of particular interest are defined in bold lettering.
Figure 2.
Figure 2.
Proportion of women with menopausal symptoms who were currently experiencing (a) hot flushes or (b) vaginal dryness at the time of the survey.
Figure 3.
Figure 3.
Types of treatments women use to treat their menopausal symptoms.
Figure 4.
Figure 4.
HT prescribing decision drivers (for women receiving HT treatment from a physician).
See this image and copyright information in PMC

References

    1. Hunter MS, Gentry-Maharaj A, Ryan A, et al. Prevalence, frequency and problem rating of hot flushes persist in older postmenopausal women: Impact of age, body mass index, hysterectomy, hormone therapy use, lifestyle and mood in a cross-sectional cohort study of 10,418 British women aged 54–65. BJOG 2012; 119: 40–50. - PubMed
    1. Buhling KJ, Daniels BV, Studnitz FS, et al. The use of complementary and alternative medicine by women transitioning through menopause in Germany: Results of a survey of women aged 45–60 years. Complement Ther Med 2014; 22: 94–98. - PubMed
    1. Garton M, Reid D, Rennie E. The climacteric, osteoporosis and hormone replacement; views of women aged 45-49. Maturitas 1995; 21: 7–15. - PubMed
    1. van Geelen JM, van de Weijer PH, Arnolds HT. Urogenital symptoms and resulting discomfort in non-institutionalized Dutch women aged 50–75 years. Int Urogynecol J Pelvic Floor Dysfunct 2000; 11: 9–14. - PubMed
    1. Nappi RE, Kokot-Kierepa M. Women’s voices in the menopause: Results from an international survey on vaginal atrophy. Maturitas 2010; 67: 233–238. - PubMed

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