Vasomotor and urogenital problems at midlife: a study on rural and urban women in India
TL;DR: The rural–urban difference in experiencing menopausal problems at peri- menopausal and post-menopausal stages is found and socio-demographic and reproductive factors seem to be significantly associated with menopausal issues.
Abstract: Background: During the transition to menopause, women experience symptoms which vary widely. This variation is attributed not only to the hormonal change, but also to the effect of socio-demographic and reproductive factors.Aim: The present research aimed to (a) find out the rural–urban difference in experiencing menopausal problems at peri-menopausal and post-menopausal stages and (b) to identify the factors associated with these problems.Subjects and methods: In total, 1400 Bengali speaking, Hindu women, aged 40–55 years were selected from rural and urban areas of West Bengal. Data on socio-demographic and reproductive variables and menopausal problems were collected using appropriate tools.Results: Bivariate analysis finds a rural–urban difference for vasomotor, urinary and vaginal problems (p ≤ 0.05). Multivariate analysis revealed socio-demographic and reproductive factors were significantly (p ≤ 0.005) associated with vasomotor (age at menarche, menopausal and residential status, duration of...
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01 Jan 2011
629 citations
TL;DR: Emphasis is placed in this narrative on the role of women—their work habits and daily living experiences, particularly during the midlife, allowing one to better understand how the nuclear family is evolving and the problems that have resulted.
Abstract: The author has done a Herculean job of interviewing more than 1000 Japanese women over 20 years. The inquiries were to establish what knowledge these women had about the menopause and the symptoms they experienced. Women from all walks of life were included. Each chapter has a theme, and narratives from selected women are included to describe and emphasize the point being made. Statistics are detailed in one chapter, and the rest of the book is devoted to narrative description. A detailed picture of life in Japan evolves from this. Changes in society are well outlined, allowing one to better understand how the nuclear family is evolving and the problems that have resulted. Information is given about the position of various members of the family and the extended family. Emphasis is placed in this narrative on the role of women—their work habits and daily living experiences, particularly during the midlife
239 citations
TL;DR: The reported prevalences of VMS in Asia, particularly in South Asian and Middle Eastern countries, are consistent across studies that used random sampling and validated questionnaires, and are comparable with those in Western countries.
Abstract: Objective There is a belief that menopausal symptoms, particularly vasomotor symptoms (VMS), are a Western phenomena and less likely to be experienced in women in Asian countries. This systematic review of the literature was undertaken to evaluate the prevalence of VMS in Asian countries. Methods MEDLINE, EMBASE, PsycINFO, CINAHL, SCOPUS, and Google scholar were searched systematically for relevant population-based prevalence studies published between 1981 and 2016. The included studies were assessed for risk of bias using a risk-of-bias tool developed explicitly for the systematic review of prevalence studies. Results A total of 43 articles, comprising 31,945 women, were included. In South Asian and Middle Eastern countries, the prevalence of VMS in perimenopausal and postmenopausal women reported by studies that used random sampling and validated questionnaires was comparable with that reported for Western countries. The other Asian studies that used convenience-sampling procedures, irrespective of questionnaire validation, provided more disparate results. The reasons for the variation in reporting of prevalences of VMS in the included studies are likely to be a function of methodological issues, rather than ethnic, cultural, or socioeconomic differences. Most of the included studies had a medium-to-high risk of bias. Conclusions The reported prevalences of VMS in Asia, particularly in South Asian and Middle Eastern countries, are consistent across studies that used random sampling and validated questionnaires, and are comparable with those in Western countries. Data from nationally representative studies that employ validated instruments are still needed in several Asian countries to ascertain the true prevalence of VMS.
23 citations
TL;DR: Multivariate analyses (binary logistic regression) show that sociodemographic variables and menstrual and reproductive history of the present study participants seem to be the concomitants of menopausal symptoms.
Abstract: Present study aimed to compare the incidence of menopausal problems and concomitants between tribe and caste population. This cross section study was conducted in five villages of West Bengal, a state in the eastern part of India. This study was conducted between two different ethnic groups—one of the “Particularly Vulnerable Tribal Groups (PTG)” of India named as “Lodha” and the other was a Bengali speaking caste population. A total number of 313 participants were finally recruited for this study. Study participants were married, had at least one child, had no major gynaecological problems, and had stopped menstrual bleeding spontaneously for at least 1 year. Additionally, data on sociodemographic status and menstrual and reproductive history were collected using a pretested questionnaire/schedule. Bivariate analyses (chi square test) revealed that significantly more number of caste participants suffered from urinary problems than their tribe counterpart. The reverse trend has been noticed for the frequency of vaginal problems. Multivariate analyses (binary logistic regression) show that sociodemographic variables and menstrual and reproductive history of the present study participants seem to be the concomitants of menopausal symptoms. Tribe and caste study population significantly differed with respect to the estrogen deficient menopausal problems and the concomitants to these problems.
12 citations
Cites background or methods or result from "Vasomotor and urogenital problems a..."
...Menopausal problems of the participants were collected (last 30 days’ recall) with the help of a “menopausal problem list” used in study on the Bengali speaking Hindu women of West Bengal [13]....
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...Doyel Dasgupta, Priyanka Karar, Subha Ray, and Nandini Ganguly Department of Anthropology, University of Calcutta, 35 Ballygunge Circular Road, Kolkata, West Bengal 700019, India Correspondence should be addressed to Doyel Dasgupta; doel.dasgupta83@gmail.com Received 1 May 2015; Accepted 9 July 2015 Academic Editor: Fulvio Lauretani Copyright © 2015 Doyel Dasgupta et al.This is an open access article distributed under the Creative CommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited....
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...So women who had the history of scanty menstrual discharge were more likely to suffer from vaginal symptoms during menopause [13]....
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...Studies stated the relationship between hot flashes and certain reproductive history variables, such as age at menarche, age at first and last pregnancy, and parity; however it revealed the inconsistent result [13, 23, 24]....
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...In West Bengal they mainly lived in the district of West Medinipur....
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TL;DR: Multivariable analyses (ANCOVA) showed that postmenopausal women had more positive attitudes toward menopause and aging than perimenopausal women.
Abstract: The objective of this study was to explore the relationship between menopausal status and attitudes toward menopause and aging. We identified 1,400 Bengali Hindu women aged 40-55 years (early perimenopausal n = 445; late perimenopausal n = 240; early postmenopausal n = 285; late postmenopausal n = 430) from West Bengal, India. Information on attitudes toward menopause and aging was collected from March 2009 to July 2012 using ten agree/disagree statements, of which three were positive, four were negative, and the rest were neutral. We used only the positive and negative statements in the analyses. The participants were given three response options for each statement: (1) agreed, (2) disagreed, and (3) felt neutral. Agreement with positive statements and disagreement with negative statements were scored as 3. The converse responses were scored as 1. Neutral responses were not scored. Thus, the total attitude score for each participant ranged from 7 to 21. Additionally, data on sociodemographic and reproductive variables, menopausal symptoms, and perceptions toward menopause were also collected. Multivariable analyses (ANCOVA) showed that postmenopausal women had more positive attitudes toward menopause and aging than perimenopausal women. Providing balanced information about menopause and aging might help to foster positive attitudes toward menopause.
12 citations
Cites methods from "Vasomotor and urogenital problems a..."
...We used a well-tested questionnaire (Ray et al. 2010; Som and Ray 2012; Som, Roy, and Ray 2014) to collect data on sociodemographics: age at the time of interview, years of education, per capita monthly household expenditure (in Indian rupees), and reproductive variables (age at menarche, age at…...
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...We adopted the menopausal symptom list used in some South Asian studies (Chirawatkul and Manderson 1994; Chompootweep et al. 1993; Dasgupta and Ray 2014): hot flushes, night sweats, loss of sexual desire, inability to hold urine, urine leakage during laughing or coughing, vaginal dryness, burning…...
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References
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TL;DR: This abridged version of the "Anthropometric Standardisation Reference Manual" contains the heart of the original manual - complete procedures for 45 anthropometric measurements.
Abstract: This edition of "Anthropometric Standardisation Reference Manual" contains 45 anthropometric measurement procedures, and also addresses special issues such as reliability and accuracy and details various applications. It can be used as a supplemental text for courses in fitness assessment and exercise prescription, kinanthropometry, body composition, nutrition, and exercise physiology. The text is also suitable as a reference for exercise scientists.
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...Weight (kg) and standing height (cm) were obtained using standard techniques (Lohman et al., 1988) to calculate body mass index (BMI) (kg/m(2))....
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...Weight (kg) and standing height (cm) were obtained using standard techniques (Lohman et al., 1988) to calculate body mass index (BMI) (kg/m2)....
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TL;DR: The standardisation of terminology of lower urinary tract function: Report from the standardistation sub-committee of the International Continence Society.
Abstract: The standardisation of terminology of lower urinary tract function: Report from the standardistation sub-committee of the International Continence Society.
7,467 citations
TL;DR: The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International ContinenceSociety.
Abstract: The standardisation of terminology in lower urinary tract function: reportfrom the standardisation sub-committee of the International ContinenceSociety.
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"Vasomotor and urogenital problems a..." refers background in this paper
...…women include stress urinary incontinence (SUI) (leakage of urine with an increase in intraabdominal pressure such as coughing or sneezing) and urge incontinence/overactive bladder (OAB) (a leaking bladder caused by the bladder muscle’s squeezing uncontrollably) (Abrams et al., 1988, 2003)....
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Book•
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01 Jan 1986
TL;DR: Pediatric Urology Normal and Anomalous Development of the Urogenital System Renal Function in the Fetus, Neonate, and Child Perinatal Urology Evaluation of the Pediatric Urologic Patient Renal Disease in Childhood Urinary Tract.
Abstract: (Contents of Campbell's Urology 8e only listed) VOLUME 1 Part I. Anatomy Surgical Anatomy of the Retroperitoneum, Kidneys, and Ureters Anatomy of the Lower Urinary Tract and Male Genitalia Part II. Urologic Examination and Diagnostic Techniques Evaluation of the Urologic Patient: History, Physical Examination and Urinalysis Basic Instrumentation and Cystoscopy Urinary Tract Imaging - Basic Principles Part III. Physiology, Pathophysiology and Management of Upper Urinary Tract Diseases Renal Physiology and Pathophysiology Renovascular Hypertension and Ischemic Nephropathy Etiology, Pathogenesis, and Management of Renal Failure Basic Principles of Immunology in Urology Renal Transplantation Physiology and Pharmacology of the Renal Pelvis and Ureter Pathophysiology of Urinary Tract Obstruction Management of Upper Urinary Tract Obstruction Part IV. Infections and Inflammations of the GU Tract Infections of the Urinary Trarct Prostatitis and Related Conditions Interstitial Cystitis and Related Disorders Sexually Transmitted Diseases Acquired Immunodeficiency Syndrome and Related Conditions Cutaneous Diseases of the Male External Genitalia Color Atlas of Cutaneous Diseases of the Male External Genitalia Tuberculosis and Parasitic Diseases of the Genitourinary System Fungal and Actinomycotic Infections of the Genitourinary System VOLUME 2 Part V. Voiding Function and Dysfunction Physiology and Pharmacology of the Bladder and Urethra Pathophysiology and Categorization of Voiding Dysfunction The Neurologic Evaluation Neuromuscular Dysfunction of the Lower Urinary Tract and Its Management Urinary Incontinence: Pathophysiology, Evaluation, and Management Overview Postprostatectomy Incontinence Urinary Incontinence: Nonsurgical Management Vaginal Reconstructive Surgery for Sphincteric Incontinence and Prolapse Retropublic Suspension Surgery for Female Incontinence Pubovaginal Slings Injection Therapy for Urinary Incontinence Implantation of the Artificial Genitourinary Sphincter Surgery for Vesicovaginal Fistula, Urethrovaginal Fistula and Urethral Diverticulum Geriatric Incontinence and Voiding Dysfunction Part VI. Benign Prostatic Hyperplasia The Molecular Biology, Endocrinology, and Physiology of the Prostate and Seminal Vesicles Epidemiology, Etiology and Pathophysiology of BPH Natural History, Evaluation, and Nonsurgical Management of Benign Prostatis Hperplasia Minimally Invasive and Endoscopic Management of Benign Prostatic Hyperplasia Retropublic and Suprapubic Open Prostatectomy Part VII. Reproductive Function and Dysfunction Male Reproductive Physiology Male Infertility Surgical Management of Male Infertility and Other Scrotal Disorders Part VIII. Sexual Function and Dysfunction Physiology of Penile Erection and Pathophysiology of Erectile Dysfunction and Priapism Pathophysiology, Evaluation and Non-Surgical Management of Erectile Dysfunction and Priapism Surgery for Erectile Dysfunction Female Sexual Function and Dysfunction VOLUME 3 Part IX. Pediatric Urology Normal and Anomalous Development of the Urogenital System Renal Function in the Fetus, Neonate, and Child Perinatal Urology Evaluation of the Pediatric Urologic Patient Renal Disease in Childhood Urinary Tract Infections in Infants and Children Anomalies of the Upper Urinary Tract Renal Dysgenesis and Cystic Disease of the Kidney Anaomalies and Surgery of the Uteropelvic Junction in Children Ectopic Ureter, Ureterocele, and Other Anomalies of the Ureter Vesicoureteral Reflux and Megaureter Prune-Belly Syndrome Exstrophy, Epispadias, and Other Bladder Anomalies Surgical Technique for One-Stage Reconstruction of the Exstrophy-Epispadias Complex Posterior Urethral Valves and Other Urethral Anamalies Voiding Dysfunction in Children-Neurogenic and Non-neurogenic Hypospadias Abnormalities of the Genitalia in Boys and Their Surgical Management Abnormalities of the Testes and Scrotum and Their Surgical Management Sexual Differentiation: Normal and Abnormal Surgical Management of Intersexuality, Cloacal Malformations, and Other Abnormalities of the Genitalia in Girls Pediatric Urologic Oncology Urinary Tract Reconstruction in Children Pediatric Endourology and Laparoscopy Tissue Engineering Perspectives for Reconstructive Surgery VOLUME 4 Part X. Oncology Molecular Genetics and Cancer Biology Renal Tumors Urothelial Tumors: Etiology, Natural History, Pathology, Detection and Staging Management of Superficial Bladder Cancer Management of Invasive and Metastatic Bladder Cancer Surgery of Bladder Cancer Management of Urothelial Tumors of the Renal Pelvis and Ureter Neoplasms of the Testis Surgery of Testicular Tumors Tumors of the Penis Surgery of Penile and Urethral Carcinoma Part XI. Carcinoma of the Prostate Epidemiology, Etiology, and Prevention of Prostate Cancer Pathology of Prostatic Neoplasia Ultrasonography and Biopsy of the Prostate Diagnosis and Staging of Prostate Cancer Radical Prostatectomy Anatomic Radial Retropubic Prostatectomy Radical Perineal Prostatectomy Radiation Therapy for Prostate Cancer Cryotherapy for Prostate Cancer Hormonal Therapy of Prostate Cancer Chemotherapy for Hormone-Resistant Prostate Cancer Part XII. Urinary Lithiasis and Endourology Urinary Lithiasis: Etiology, Diagnosis, and Medical Management Ureteroscopy and Retrograde Ureteral Access Percutaneous Approaches to the Upper Urinary Tract Surgical Management of Urinary Lithiasis Part XIII. Urologic Surgery Basics of Laparoscopic Urologic Surgery The Adrenals Surgery of the Kidney Laparoscopic Surgery of the Kidney Other Applications of Laparoscopic Surgery Genitourinary Trauma Use of Intestinal Segments and Urinary Diversion Cutaneous Continent Urinary Diversion Orthotopic Urinary Diversion Surgery of the Seminal Vesicles Surgery of the Penis and Urethra
3,520 citations
1,747 citations