Impact of Genitourinary Syndrome of Menopause on Wellbeing, Functioning and Quality Of Life in Postmenopausal Women: A Cross Sectional Survey
DOI:
https://doi.org/10.51253/pafmj.v74i1.5402Keywords:
Genitourinary Syndrome of Menopause, Menopause, Postmenopausal women, World Health Organization Quality of Life Brief Version (WHOQOL-BREF) Questionnaire, WellbeingAbstract
Objective: To assess the impact of genitourinary syndrome of menopause on well-being, functioning and quality of life (QoL) in postmenopausal women.
Study Design: Cross-sectional survey.
Place and Duration of Study: Department of Obstetrics and Gynaecology, Pak Emirates Military Hospital, Rawalpindi
Pakistan, from Sep 2019 to Mar 2020.
Methodology: The study participants aged 30-60 years old, had last menstrual period about one year ago. The day-to-day
impact of vaginal ageing’’ (DIVA) questionnaire was filled by the study participants who had one vaginal symptom regardless of its intensity and who was postmenopausal to assess its impact on well-being and quality of life. The comparisons of the mean score of every domain of the day-to-day impact of the vaginal ageing questionnaire were performed for the women with genitourinary syndrome of menopause and without genitourinary syndrome of menopause.
Results: A total of 410 postmenopausal women were included in the study. A total of 302(75.3%) women reported with
vaginal symptoms and genitourinary syndrome of menopause, while 99(24.68%) with no diagnosis of genitourinary syndrome of menopause. The score was significantly high (p˂0.001) in the women with genitourinary syndrome of menopause as compared to the women without genitourinary syndrome of menopause. The highest value was reported for the long in the genitourinary syndrome of the menopause Group and the lowest for the daily life activities of both groups.
Conclusion: The quality of life of postmenopausal women, their well-being and functioning are impacted by the vaginal
symptoms, specifically the....
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Kim HK, Kang SY, Chung YJ, Kim JH, Kim MR. The Recent
Review of the Genitourinary Syndrome of Menopause. J
Menopausal Med 2015; 21(2): 65-71.
https://doi.org/10.6118/jmm.2015.21.2.65
Portman DJ, Gass ML; Vulvovaginal Atrophy Terminology
Consensus Conference Panel. Genitourinary syndrome of
menopause: new terminology for vulvovaginal atrophy from the
International Society for the Study of Women's Sexual Health
and the North American Menopause Society. Menopause 2014;
(10): 1063-1068.
https://doi.org/10.1097/GME.0000000000000329.
Moral E, Delgado J, Carmona F, Caballero B, Guillán C, González
P, et al; writing group of GENISSE study. The impact of
genitourinary syndrome of menopause on well-being,
functioning, and quality of life in postmenopausal women.
Menopause 2018; 25(12): 1418-1423.
https://doi.org/10.1097/GME.0000000000001148.
Moral E, Delgado JL, Carmona F, Caballero B, Guillán C,
González PM, et al; as the writing group of the GENISSE study.
Genitourinary syndrome of menopause. Prevalence and quality
of life in Spanish postmenopausal women. The GENISSE study.
Climacteric 2018; 21(2): 167-173.
https://doi.org/10.1080/13697137.2017.1421921.
Franklin JEDIH. Menopause and sexuality: characterization of
sexual dysfunctions during climacteric, in women of Quindío
(Colombia). Obstet Gynecol Int J 2019; 10(6): 419-424.
https://doi.org/10.15406/ogij.2019.10.00477.
Inayat K, Danish N, Hassan L. Symptoms Of Menopause In Peri
And Postmenopausal Women And Their Attitude Towards
Them. J Ayub Med Coll Abbottabad 2017; 29(3): 477-480.
Calleja-Agius J, Brincat MP. The urogenital system and the
menopause. Climacteric 2015; 18 Suppl 1: 18-22.
https://doi.org/10.3109/13697137.2015.1078206.
Naumova I, Castelo-Branco C. Current treatment options for
postmenopausal vaginal atrophy. Int J Womens Health 2018; 10:
-395. https://doi.org/10.2147/IJWH.S158913.
Palacios S, Mejía A, Neyro JL. Treatment of the genitourinary
syndrome of menopause. Climacteric 2015; 18 Suppl 1: 23-29.
https://doi.org/10.3109/13697137.2015.1079100.
Karakoç H, Uçtu AK, Özerdoğan N. Genitourinary syndrome of
menopause: effects on related factors, quality of life, and self-care
power. Prz Menopauzalny 2019; 18(1): 15-22.
https://doi.org/10.5114/pm.2019.84152.
Huang AJ, Gregorich SE, Kuppermann M, Nakagawa S, Van
Den Eeden SK, Brown JS, et al. Day-to-Day Impact of Vaginal
Aging questionnaire: a multidimensional measure of the impact
of vaginal symptoms on functioning and well-being in
postmenopausal women. Menopause 2015; 22(2): 144-154.
https://doi.org/10.1097/GME.0000000000000281.
Nappi RE, Kokot-Kierepa M. Vaginal Health: Insights, Views &
Attitudes (VIVA) - results from an international survey.
Climacteric 2012; 15(1): 36-44.
https://doi.org/10.3109/13697137.2011.647840.
Erekson EA, Li FY, Martin DK, Fried TR. Vulvovaginal
symptoms prevalence in postmenopausal women and relationship to other menopausal symptoms and pelvic floor disorders.
Menopause 2016; 23(4): 368-375.
https://doi.org/10.1097/GME.0000000000000549.
WHO | Global mortality trends and patterns in older
women [Internet]. Who.int. 2020 Available from:
https://www.who.int/bulletin/volumes/91/9/12-109710/en/
[Accessed on January 2, 2020]
Sobecki JN, Curlin FA, Rasinski KA, Lindau ST. What we don't
talk about when we don't talk about sex: results of a national
survey of U.S. obstetrician/gynecologists. J Sex Med 2012; 9(5):
-1294.
https://doi.org/10.1111/j.1743-6109.2012.02702.x.
Nappi RE, Kingsberg S, Maamari R, Simon J. The CLOSER
(CLarifying Vaginal Atrophy's Impact on SEx and Relationships)
survey: implications of vaginal discomfort in postmenopausal
women and in male partners. J Sex Med 2013; 10(9): 2232-2241.
https://doi.org/10.1111/jsm.12235.
Kingsberg SA, Wysocki S, Magnus L, Krychman ML. Vulvar and
vaginal atrophy in postmenopausal women: findings from the
REVIVE (REal Women's VIews of Treatment Options for
Menopausal Vaginal ChangEs) survey. J Sex Med 2013; 10(7):
-1799. https://doi.org/10.1111/jsm.12190.
Pinkerton JV, Bushmakin AG, Komm BS, Abraham L.
Relationship between changes in vulvar-vaginal atrophy and
changes in sexual functioning. Maturitas 2017; 100: 57-63.
https://doi.org/10.1016/j.maturitas.2017.03.315.
Gandhi J, Chen A, Dagur G, Suh Y, Smith N, Cali B, et al.
Genitourinary syndrome of menopause: an overview of clinical
manifestations, pathophysiology, etiology, evaluation, and
management. Am J Obstet Gynecol 2016; 215(6): 704-711.
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