Regresar

Epidemiology of menopause in Colombia: Cooperative study

Abstract:

OBJECTIVE: A prospective longitudinal inquiry is made in order to know the characteristics of menopause in health Institutions in Colombia. INSTRUMENTS AND METHODS: A 75 variable inquiry is made on a precodified formulary looking for the menopause age, sociodemographic level, familiar and personal risk factors, gyneco-obstetric antecedents, clinic laboratory including Hemoglobine, pre and post glycemia, cholesterol, triglycerids, endometrial biopsia and instaured therapy. Results: 832 inquiries were tabulated distributed: 716 in Bogota (85.9%) and 117 (14.1%) in departments head cities. The average age of menopause was 52.26 + 6.4 years old in regions and 53.8 + 7.9 in Bogota. The proportion of regions and Bogota according to their origin was: Urban 84.2%/92.1%; Mestizorace 56.3%, prevailing over White 42.0%/38.5%, and Black 1.8%/1.2%. The socioeconomical layer had the following proportions: Middle 55.9%/69.6%, Lower 38.7%/21.9% and High 5.4%. As for the civil state, married women showed 67.0%/67.6%; higher than single women, 17.4%/13.3%. Symptomatology was presented like this: moderate warmth surges 56.1%/45.5%, sweating 52.2%/52.7%, cefalea 50.4%/41.9%, insomnia 40.3%/36.0%, libidous decrease 25.68%/29.6%. Among the family risk factors Hypertension 40% and Dislipidemy 13% were found as main agents. As personal risk agents, sedentary 60%, Hypertension 40%, and ooforectomy 12%. Paraclinically glycemia; cholesterol was among the normal features with a higher increase in triglycerids 160.6mg/Dd/159.7%. Menopause age is higher in patients with a high children number, and 50% receives hormonal therapy and 30% no-hormonal therapy. Conclusions: Menopause age in this hospitalary group is 52 years old, a higher average than the one reported by other authors; its main symptom is warmth surges and sweating, with risk factors for coronary disease, unknown date for this age group.