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Perimenopausal vasomotor symptoms

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Perimenopausal vasomotor symptoms

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  1. PERIMENOPAUSAL FEATURES AND QUALITY OF LIFE IN SLOVENIAN WOMEN IN THE YEARS 1990, 2000 AND 2010- A PROSPECTIVE STUDYHelena Meden-Vrtovec, Renata Košir Pogačnik, Nina Slabe, Ivan VerdenikVIII hrvatski kongres o ginekološkoj endokrinologiji, humanoj reprodukciji i menopauzi8. – 11. 9. 2011Brijuni

  2. The main question Has the changing face of modern lifethat includes-new technologies - global crisis - increasingly stressful life - changes in ethical andmoral valuesany impact on QoL in perimenopausal women over the last 2 decades?

  3. Study designProspective, cross-sectional, observationalHealth related quality of life (HRQoL) questionsEQ-SD questionnaire (modified)Survey in 1990, 2000 and 2010

  4. ParticipantsPerimenopausal women aged 45-54 years1990 – 585 women2000 – 655 women2010 – 334 womenLess than 2 million inhabitants in Slovenia

  5. Content of questionnairespersonalsocial historyreproductivelife habitsvasomotorneurovegetative symptomspsychicsexual

  6. General characteristics of womenMean, SD or percentCharacteristic199020002010(n=585)(n=655)(n=334)Age (yrs)49.9±3.049.6±2.850.3±2.7Age at menarche (yrs)14.2±1.013.4±1.613.4±1.7Deliveries (number)1.9±1.01.83±0.81.7±0.7

  7. Sexual activity (percentages)199020002010(n=585)(n=655)(n=334) no sexual intercourse 17.3 8.28.7< once a month (%) 12.8 15.915.9≥ once a month (%) 67.0 70.669.1no answer (%) 2.9 5.46.3

  8. Eating habitsPercent (no. of women)Consumption 1990 2000 2010of dairy products (n=585)(n=655)(n=334)Milk80.9 (473)95.2 (540)93.7 (310)Yoghurt63.6 (372)95.8 (549)97.0 (319)Curd55.7 (326)93.8 (527)93.3 (307)Cheese66.2 (387)97.4 (557)99.1 (329)

  9. Cigarette smokingNon smoking (%) Up to 15 More than 15 per day (%) per day (%)1990 85.09.4 5.62000 79.2 12.3 8.72010 75.716.9 7.4

  10. Physical activityOn daily basis (%) Occasionally (%) Never (%)1990 7.2 10.9 81.9 2000 46.6 22.9 30.6 2010 53.121.6 18.5

  11. Urinary incontinence, joint & muscle diseases, gynecologic diseasesWithout UI (%) Joint&muscle(%) Gynec. disease (%)1990 69.4 25.8 20.9 2000 65.2 30.4 21.9 2010 73.9 18.4 25.5

  12. Low incidence of the following diseases among Slovene perimenopausal womenDiabetesKidneyHeartVessels

  13. Perimenopausal vasomotor symptoms

  14. Perimenopausal neurovegetative symptoms

  15. Perimenopausal sexual symptoms

  16. Conclusions – general changes observed from 1990 to 2010Age at the menopause increased from 47.7 in 1990 to 51.0 years in 2010Mean values of systolic and diastolic pressuresdecreasedDaily physical activity undertaken by more women: 7% in 1990 vs. 56% in 2010Consumption of healthy food increasedSmoking (especially moderate) increasedSexual desire decreased in about 50% of women

  17. Conclusions – climacteric symptomsMost frequent – nervousnessMost intensive and bothersome – sweatingChest pain – significantly decreased

  18. ConclusionThe QoL in Slovenian perimenopausal women has improved over the last two decades, presumably due to healthier life style.

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