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首页> 外文期刊>Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology >Quality of life impairment during the female menopausal transition is related to personal and partner factors.
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Quality of life impairment during the female menopausal transition is related to personal and partner factors.

机译：女性绝经过渡期的生活质量受损与个人和伴侣因素有关。

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OBJECTIVE: To assess the female quality of life (QoL) during the menopausal transition and determine factors (personal and partner) related to its impairment. The frequency of menopausal symptoms was also assessed. METHODS: In this cross-sectional study, healthy women aged 40-59 years were asked to fill out the Menopause Rating Scale (MRS) and a questionnaire assessing personal and partner demographic data. RESULTS: During the study period, a total of 409 women were surveyed. Mean age was 47 +/- 5.3 years (median 46). Mean educational level was 13.2 +/- 4.1 years (median 14), with 28.1% having 12 or less years of schooling; premenopausal (42.1%), perimenopausal (24.4%) and postmenopausal (33.5%). At the time of the survey, 9.8% were receiving hormonal therapy (HT) for the menopause, 1.5% were on psychotropic drugs and 1.2% on alternative treatments for the menopausal. Regarding partner profile, 10.3% had erectile dysfunction, 11.2% had precocious ejaculation and 7.3% had abused alcohol. Mean total MRS score was 9.1 +/- 6.4 (median 9); for the somatic subscale, 4 +/- 2.7; the psychological subscale, 3 +/- 2.8 and the urogenital subscale, 2.1 +/- 2.5. Of the surveyed women, 50.6% presented a total MRS scoring of 9 or more (moderate to severe intensity). The four most frequently found symptoms of those composing the MRS were hot flushes (68.9%), sleeping problems (68.4%), depressive mood (55.2%) and irritability (51.6%). After adjusting for confounding factors, logistic regression analysis determined that female age, menopause and partner precocious ejaculation increased the risk for presenting higher total MRS scores (impaired female QoL) whereas HT use, church assistance and partner faithfulness decreased this risk. CONCLUSIONS: A high rate of middle-aged women in this series presented impaired QoL associated to female age and hormonal status and additionally to partner's health and sexual behavior.
机译：目的：评估更年期过渡期女性的生活质量（QoL），并确定与其受损相关的因素（个人和伴侣）。还评估了更年期症状的频率。方法：在这项横断面研究中，要求40-59岁的健康女性填写更年期评定量表（MRS）和评估个人和伴侣人口统计数据的问卷。结果：在研究期间，总共对409名妇女进行了调查。平均年龄为47 +/- 5.3岁（中位数46）。平均教育水平为13.2 +/- 4.1年（中位数14），其中28.1％的受教育年限为12年或以下。绝经前（42.1％），绝经前（24.4％）和绝经后（33.5％）。在调查时，有9.8％的人接受更年期激素治疗，1.5％的患者服用精神药物，1.2％的患者接受更年期替代疗法。在伴侣的性格方面，有10.3％的勃起功能障碍，11.2％的性早泄和7.3％的酗酒者。平均总MRS评分为9.1 +/- 6.4（中位数9）;对于躯体分量表，为4 +/- 2.7;心理分量表为3 +/- 2.8，泌尿生殖系统分量表为2.1 +/- 2.5。在接受调查的女性中，有50.6％的女性MRS总得分达到9分或更高（中度至重度）。组成MRS的四个最常见症状是潮热（68.9％），睡眠障碍（68.4％），抑郁情绪（55.2％）和易怒（51.6％）。调整混杂因素后，逻辑回归分析确定女性年龄，更年期和伴侣性早泄增加了呈现更高的总MRS评分（女性QoL受损）的风险，而使用HT，教会协助和伴侣忠诚降低了这种风险。结论：该系列中高比例的中年女性表现出与女性年龄和激素状况以及伴侣的健康和性行为有关的生活质量受损。

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