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At least 19 recordsLinked to original sources
PubMed2001

Climacteric symptoms in a representative Dutch population sample as measured with the Greene Climacteric Scale.

OBJECTIVE: To measure climacteric symptoms in a population-based survey as assessed by the Greene Climacteric Scale and to obtain normative data for the total score and subscales (psychological, somatic, vasomotor, and sexual) of the Greene Climacteric Scale. METHODS: A sample representative of the Dutch female population is interviewed. The sample was drawn from the NIPO-Telepanel (with 269 women aged 45-65 years) and from the NIPO-CAPI@HOME database (a sample of 235 women aged 45-65 years). They all filled in the 21 items of the Greene Climacteric Scale. The women were divided in four groups according their menopausal status: premenopausal, perimenopausal, postmenopausal and posthysterectomy. RESULTS: The total score of the Greene Climacteric Scale (mean; SD) was in premenopausal women 10.53 +/- 7.36). The score in perimenopausal women (15.78 +/- 9.09) and postmenopausal women (15.33 +/- 9.01) were significant higher than in the premenopause. The same significant difference between pre and peri/postmenopausal women was observed in the psychological, somatic and vasomotor subscales. The depression subscale did not change significantly during the menopausal transition. Hysterectomized women had the same score as postmenopausal women, reflecting the rather high mean age of the hysterectomized women (55.8 years). CONCLUSIONS: Prevalence and intensity of climacteric symptoms as expressed in the Greene Climacteric Scale do increase during the menopausal transition and stay high during the postmenopause. Data presented can be considered normative for the Greene Climacteric Scale in a mainly Caucasian population.

Aged↗
PubMed1992

Middle-aged Danish men's ideas of a male climacteric--and of the female climacteric.

The concept of a male climacteric as a parallel to the female climacteric appeared in both popular and scientific literature before 1940. The present population study describes the ideas regarding a male climacteric reported by a sample of men at the ages of 40, 45 and 51. The proportion who believed in the occurrence of a male climacteric decreased as the men became older, although 30% still believed in the phenomenon at the age of 51. Around a fifth (18%) of the 51-year-old men had felt or still felt that they were climacteric. This feeling was significantly related to the men's concern about a climacteric partner and to the presence of 'hot flushes or sweating' in the men. No relation was found with either the men's hormone levels (serum luteinizing hormone and serum free testosterone), or the myths that often surrounded the midlife crisis. The male climacteric therefore seems to serve as an explanation for various common non-specific complaints.

Adult↗
PubMedDate not supplied

[Blood levels of testosterone and its urinary excretion in women of reproductive age both neurosis-free during the climacteric period and with climacteric neuroses].

Blood testosterone content was studied by the radioimmunological method in 12 healthy women (5 of reproductive age, and 7 with climacteric age changes) and in 4 patients at the postmenopause suffering from climateric neurosis. Urinary excretion of testosterone glucuronide was studied by means of fluorometry in 11 healthy women (4 of reproductive age, and 7 at the climacteric) and in 6 patients at the postmenopause with climacteric neurosis. Healthy women of reproductive age displayed marked individual variations in the blood testosterone content both during the folliculin and the lutein cycle phases. The indices of urinary testosterone excretion varied in this group lees. As to healthy women with age climacteric changes and a regular cycle and those during the postmenopause--they showed marked variations both in blood testosterone content and in urinary testosterone excretion. There were no significant differences in the indices studied in healthy women of reproductive age and in healthy women with age climacteric changes. But in 8 of 11 women with climacteric neurosis blood testosterone content and urinary testosterone excretion were much greater than the upper borders of its variations in healthy women.

Adult↗
PubMed1993

Hysterectomized women with ovarian conservation report more severe climacteric complaints than do normal climacteric women of similar age.

OBJECTIVE: Our purpose was to compare the severity of typical climacteric complaints (vasomotor complaints and vaginal dryness) and 21 other complaints, considered atypical for the climacteric, in women with and without a uterus. STUDY DESIGN: A cross-sectional population questionnaire survey was sent to all women aged 39 through 60 years in Ede, the Netherlands. Subjects were 986 hysterectomized women (one or both ovaries present) and 5636 normal women (uterus and both ovaries present). Statistical analysis was performed by cross tabulations, chi 2 analysis, analysis of variance, meta-analysis of variance, and ratios. RESULTS: Hysterectomized women, especially those aged 39 to 41 years, report significantly more vasomotor complaints, vaginal dryness, and atypical complaints than do normal climacteric women of the same age. The higher prevalence of typical climacteric complaints in hysterectomized women largely explains their higher level of atypical complaints. CONCLUSION: Physicians should be alert to typical climacteric complaints after hysterectomy with ovarian conservation, especially in young women, because the literature indicates that hysterectomized women with ovarian conservation are overrepresented with regard to osteoporosis, cardiovascular disease, osteoarthritis, depression, and sexual problems.

Adult↗
PubMed1989

[The climacteric: aging of ovary and objective evaluation of the climacteric symptoms].

Since the geriatric population has been increasing in the recent years, the health care of the elderly, especially the climacteric group, has received special attention in the gynecological field. The primary endocrine feature during the climacteric is the decline in estradiol (E2) production due to the loss of ovarian function. Pathophysiological characteristics of aging ovaries remain obscure. To understand the mechanism of the aging process in the ovaries, the lipid peroxidative status which has been suggested as a deteriorator involved in aging, and antioxidative defense system were investigated during aging. The amount of lipid peroxide (LPO) as a free radical decreased steadily in human ovaries with aging. In contrast, antioxidative enzymes, superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) showed a rapidly decreasing rate in these enzyme activities after 45 and 50 years of age, respectively. The in vitro production of E2 following the incubation with FSH was also measured in human ovaries with aging. The results indicate an excellent positive correlation between E2 production and the level of GSH-Px and reduced glutathione, but a negative correlation between E2 production and the amount of LPO. Our data suggest that the relatively high level of LPO to SOD and/or GSH-Px following 45 years of age may play an important role in the aging process of human ovaries. From the clinical aspect of the climacteric, scientific evaluation of the climacteric symptoms and responses to various therapies has not been sufficiently addressed because of the lack of a practical technique for objectively measuring the symptoms.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1976

[Climacteric disturbances. 2. Therapy of climacteric disturbances].

After defining the terms climacterium and menopause the causes of climacteric disturbances are explained. During the premenopausal stage disturbances of the cycle are prevailing, caused by an insufficiency of the corpus luteum. Of climacteric disturbances should be spoken only after menopause. They are divided into: vegetative disturbances, troubles of metabolism, cardiovascular dysregulation, psychic deviations, sexual troubles and changes of the skin. The therapy of disturbances during the premenopausal stage mainly consists of the substitution of progesterone or in a cycle-like estrogen-progesterone-therapy. In the premenopausal stage estrogens are the therapy of choice. Among orally efficient estrogens the conjugated estrogen and the estradiol-valerianat are preferred. Side-effects and contraindications are discussed in detail. Among gynecologists there exists no disagreement about the necessity of therapy of serious climacteric disturbances, the opinions about prophylactic estrogen-therapy in women differ.

Climacteric↗
PubMed1989

[Psychosomatic aspects of females in the climacteric. The climacteric--psychosomatics--personality structure].

In this experimental study, the feelings of climacterium in two groups of menopausal women were compared (a test group with climacteric complaints vs a control group without complaints). 70 patients were given a questionnaire: EWL by Janke and Debus, FPI and Giessen-test. The evaluation of the socio-economic data exhibited the fact, that patients in the group with complaints took more drugs than the other group and were more inclined to weight gain. Gynecological data showed significant differences in the beginning and the experience of menstruation. Psychological tests of the group with complaints showed a lack of self-assurance and increased anxiety. These women had also a tendency toward psychosomatic disorders and were less assertive in their social contacts. The discriminant analysis of menopausal and personality variables classified the women equally into the group with complaints compared to the control group.

Adaptation, Psychological↗
PubMed1992

Has the climacteric been medicalized? A study on the use of medication for climacteric complaints in four countries.

In order to compare the use of hormone replacement therapy (HRT), non-hormonal treatment for the menopause, and tranquillizers, samples of about 300 women aged over 40 were interviewed in France, the United Kingdom, the former West Germany and Italy. The proportion of women in the samples using HRT varied from 3% in Italy to 25% in Germany. The figures for non-hormonal treatment ranged from 2-13%, and for tranquillizers from 5-28%. The use of both HRT and non-hormonal treatment was found to be related to the perimenopause and the corresponding age groups and that of HRT to higher educational level. Tranquillizer use was related to the postmenopause and lower educational level. After controlling for potential confounding effects of menopausal status, educational level, gainful employment and civil status, it emerged that HRT use rates varied significantly between the countries surveyed. It is concluded that cultural differences exist between these countries as to the prescription and acceptance of HRT.

Adult↗
PubMed1985

[Circulatory system reaction to loading tests in patients with the climacteric syndrome in relation to the phase of the climacteric and the presence of cardialgia].

Female patients with the menopausal syndrome (MS) manifestations showed a steeper increment of diastolic arterial blood pressure (ABP) and heart rate, as compared to normal subjects, in both phases of the menopause, irrespective of whether cardialgia was present or not; moreover, half of the patients showed negative electrocardiographic dynamics. Hemodynamic shifts in response to bicycle ergometry were similar in both menopausal phases and showed steeper increments in ABP and heart rate, as compared to those of normal subjects. Excessive ABP rise in response to exercise is mostly associated with cardialgias. Exercise-related ECG can usually improve or return to normal in premenopausal patients, while ischemic ST depression is associated with postmenopausal conditions. Physical working capacity of premenopausal women is only impaired in the presence of cardialgias, whereas that of postmenopausal women is reduced in the absence of cardialgia as well.

Adult↗