A Cross-Sectional Study of Premenopausal Women’s Attitude Toward Menopause going Through Hysterectomy from Khyber Teaching Hospital, Peshawar

Asma Ambareen; Arzoo Gul Bangash; Tayyaba Mazhar; Sania Nawsheen

doi:10.70749/ijbr.v2i02.370

Authors

Asma Ambareen Department of Obstetrics & Gynecology, Khyber Teaching Hospital (KTH), Peshawar, KP, Pakistan.
Arzoo Gul Bangash Department of Obstetrics & Gynecology, Khyber Teaching Hospital (KTH), Peshawar, KP, Pakistan.
Tayyaba Mazhar Department of Obstetrics & Gynecology, Khyber Teaching Hospital (KTH), Peshawar, KP, Pakistan.
Sania Nawsheen Health Department Khyber Pakhtunkhwa, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v2i02.370

Keywords:

Menopause, Premenopausal Hysterectomy, Knowledge, Attitude, Women's Health

Abstract

Background: Women undergoing early menopause following premenopausal hysterectomy often experience significant fear and health challenges. Understanding their attitudes toward this transition is essential for providing effective healthcare tailored to their needs. Objective: This study aimed to assess the attitudes of women toward early menopause following premenopausal hysterectomy performed for gynecological or obstetric reasons. Methodology: The study was conducted at Khyber Teaching Hospital, Peshawar, from January to June 2024. Women aged 30–45 years who had not yet attained menopause but underwent premenopausal hysterectomy were included. Exclusion criteria included those on hormone replacement therapy (HRT). Data were collected through a semi-structured questionnaire with two sections: Section A recorded demographic details, while Section B assessed knowledge and attitudes. Data were analyzed using SPSS version 26, with associations evaluated via the Chi-square test (p ≤ 0.05). Results: Among 80 participants, the mean age was 39.3 ± 3.23 years. Most were multiparous (86.3%), and 55% reported a household income below 25,000 PKR. Poor knowledge about early menopause was observed in 55% of participants, while 22.5% showed good knowledge. Positive attitudes toward long-term complications were prevalent (86.3%), with 85% adopting preventive measures. Poor knowledge was significantly associated with lower income (p=0.024) and illiteracy (p=0.001). Multiparity showed no significant correlation with knowledge (p=0.304). Conclusion: Despite positive attitudes and proactive measures, knowledge gaps about early menopause were significant, particularly among less educated and low-income groups. Targeted educational programs are essential to bridge these gaps and enhance preparedness for early menopause.

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References

Eslami, A., Noroozi, E., Dolatabadi, N., Hassanzadeh, A., & Davari, S. (2013). Knowledge and attitude toward menopause phenomenon among women aged 40-45 years. Journal of Education and Health Promotion, 2(1), 25. https://doi.org/10.4103/2277-9531.112701

Hammer, A., Rositch, A. F., Kahlert, J., Gravitt, P. E., Blaakaer, J., & Søgaard, M. (2015). Global epidemiology of hysterectomy: Possible impact on gynecological cancer rates. American Journal of Obstetrics and Gynecology, 213(1), 23-29. https://doi.org/10.1016/j.ajog.2015.02.019

Stoller, N., Wertli, M. M., Zaugg, T. M., Haynes, A. G., Chiolero, A., Rodondi, N., Panczak, R., & Aujesky, D. (2020). Regional variation of hysterectomy for benign uterine diseases in Switzerland. PLOS ONE, 15(5), e0233082. https://doi.org/10.1371/journal.pone.0233082

Whiteman, M. K., Hillis, S. D., Jamieson, D. J., Morrow, B., Podgornik, M. N., Brett, K. M., & Marchbanks, P. A. (2008). Inpatient hysterectomy surveillance in the United States, 2000-2004. American Journal of Obstetrics and Gynecology, 198(1), 34.e1-34.e7. https://doi.org/10.1016/j.ajog.2007.05.039

Pokras, R., & Hufnagel, V. (1987). Hysterectomies in the United States, 1965-84 (No. 92). US Department of Health and Human Services, Public Health Service, National Center for Health Statistics.

Shahid, R., Abbas, H., Mumtaz, S., Perveen, F., Bari, M. F., Raja, T., Memon, S., Ahmed, N., & Dawani, K. (2020). Hysterectomy and oophorectomy in reproductive age: A cross-sectional study from a tertiary care hospital. Cureus. https://doi.org/10.7759/cureus.8344

Ilankoon, I. M., Samarasinghe, K., & Elgán, C. (2021). Menopause is a natural stage of aging: A qualitative study. BMC Women's Health, 21(1). https://doi.org/10.1186/s12905-020-01164-6

Peycheva, D., Sullivan, A., Hardy, R., Bryson, A., Conti, G., & Ploubidis, G. (2022). Risk factors for natural menopause before the age of 45: Evidence from two British population-based birth cohort studies. BMC Women's Health, 22(1). https://doi.org/10.1186/s12905-022-02021-4

Shahzad, D., Thakur, A. A., Kidwai, S., Shaikh, H. O., AlSuwaidi, A. O., AlOtaibi, A. F., Carrick, F. R., & Abdulrahman, M. (2021). Women's knowledge and awareness on menopause symptoms and its treatment options remains inadequate: A report from the United Arab Emirates. Menopause, 28(8), 918-927. https://doi.org/10.1097/gme.0000000000001783

Yu, Q., Chae, H., Hsiao, S., Xie, J., Blogg, M., Sumarsono, B., & Kim, S. (2022). Prevalence, severity, and associated factors in women in East Asia with moderate-to-severe vasomotor symptoms associated with menopause. Menopause, 29(5), 553-563. https://doi.org/10.1097/gme.0000000000001949

Aninye, I. O., Laitner, M. H., & Chinnappan, S. (2021). Menopause preparedness: Perspectives for patient, provider, and policymaker consideration. Menopause, 28(10), 1186-1191. https://doi.org/10.1097/gme.0000000000001819

Refaei, M., Mardanpour, S., Masoumi, S. Z., & Parsa, P. (2022). Women's experiences in the transition to menopause: A qualitative research. BMC Women's Health, 22(1). https://doi.org/10.1186/s12905-022-01633-0

Brewis, J., Beck, V., Davies, A., & Matheson, J. (2017). The effects of menopause transition on women’s economic participation in the UK. https://oro.open.ac.uk/59639/

Muchanga, S. M., Lumumba, A. L., Kamba, B. J., Mbelambela, E. P., Villanueva, A. F., Siburian, M. D., & Tozin, R. R. (2021). Knowledge, attitudes and practices towards menopause among Congolese middle-aged and postmenopausal women. Pan African Medical Journal, 38. https://doi.org/10.11604/pamj.2021.38.315.20342

Tariq, B., Phillips, S., Biswakarma, R., Talaulikar, V., & Harper, J. C. (2023). Women’s knowledge and attitudes to the menopause: A comparison of women over 40 who were in the perimenopause, post menopause and those not in the Peri or post menopause. BMC Women's Health, 23(1). https://doi.org/10.1186/s12905-023-02424-x

Aloufi, B., & Hassanien, N. S. (2022). The association of menopausal symptoms and social support among Saudi women at primary health care centers in Taif, Saudi Arabia. Cureus. https://doi.org/10.7759/cureus.26122

Durairaj, A., & Venkateshvaran, S. (2022). Determinants of menopausal symptoms and attitude towards menopause among midlife women: A cross-sectional study in South India. Cureus. https://doi.org/10.7759/cureus.28718

Kutenaee, M. A., Dashti, S., Rafati, S., Moannaei, M., Masoudi, M., Nejatizadeh, A., Shahmoradi, M., & Roozbeh, N. (2023). Factors predicting age at menopause among Iranian women in the Bandare-Kong cohort study (a cross-sectional survey of Persian cohort study). Women's Midlife Health, 9(1). https://doi.org/10.1186/s40695-023-00088-z

Durairaj, A., & Venkateshvaran, S. (2022). Determinants of menopausal symptoms and attitude towards menopause among midlife women: A cross-sectional study in South India. Cureus. https://doi.org/10.7759/cureus.28718

Saraç, F., Öztekin, K., & Çelebi, G. (2010). Early menopause association with employment, smoking, divorced marital status and low leptin levels. Gynecological Endocrinology, 27(4), 273-278. https://doi.org/10.3109/09513590.2010.491165

Patel, V. I., Ross, S., & Sydora, B. C. (2023). Assessing young adults’ menopause knowledge to increase understanding of symptoms and help improve quality of life for women going through menopause; a student survey. BMC Women’s Health, 23(1). https://doi.org/10.1186/s12905-023-02641-4

Gebretatyos, H., Ghirmai, L., Amanuel, S., Gebreyohannes, G., Tsighe, Z., & Tesfamariam, E. H. (2020). Effect of health education on knowledge and attitude of menopause among middle-age teachers. BMC Women’s Health, 20(1). https://doi.org/10.1186/s12905-020-01095-2

Munn, C., Vaughan, L., Talaulikar, V., Davies, M. C., & Harper, J. C. (2022). Menopause knowledge and education in women under 40: Results from an online survey. Women's Health, 18. https://doi.org/10.1177/17455057221139660

Nagaraj, D., Ramesh, N., Devraj, D., Umman, M., John, A. K., & Johnson, A. R. (2021). Experience and perceptions regarding menopause among rural women. Journal of Mid-life Health, 12(3), 199-205. https://doi.org/10.4103/jmh.jmh_196_20