Menopause is a natural stage of aging: a qualitative study – BMC Women's Health – BioMed Central
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BMC Women's Health quantity 21, Article quantity: 47 (2021)
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Menopause is a biopsychosocial phenomenon encompassing the transition in a girl’s life from being fertile to infertile. Though menopause could lead to extraordinarily disagreeable bodily signs there may be proof of a low price of reported menopausal signs amongst girls in Asian cultures. Girls’s experiences, views, and responses to menopause which influences girls’s day by day life and well-being, could range between completely different societies and cultures. This research aimed to discover and describe menopausal experiences amongst girls in Sri Lanka.
A qualitative exploratory analysis was performed amongst postmenopausal girls of 46–55 years of age within the western province of Sri Lanka. Particular person interviews with a purposive pattern of 20 girls have been performed, and knowledge evaluation was finished utilizing manifest and latent content material evaluation.
The outcomes encompass an total theme, “Menopause is a pure stage of ageing” and three classes “Coming into a brand new stage”, “Managing menopause” and “Not the tip of life” which emerged from 34 codes. The general theme highlights that modifications in menopause have been skilled as a pure change in life, with well being issues which might be regular for this alteration and dealt with with completely different self-care practices. The class “Coming into a brand new stage” describes the ladies changing into conscious of menopause and its bodily modifications. The class “Managing menopause” describes girls’s experiences of having the ability to discover their very own cures to ease the menopausal signs and by participating in spiritual actions and specializing in interplay with individuals. The class, “Not the tip of life” describes girls’s views of themselves as nonetheless invaluable as a result of menopause was skilled as a pure a part of their lives.
Girls in Sri Lanka managed menopausal downside primarily on their very own as they seen the menopause as a pure stage of ageing risking pointless struggling and failure to detect preventable problems. Enabling assist teams for menopausal girls and enhancing on their health-seeking behaviour by encouraging them to participate in screening for cervical and breast most cancers would enhance their situation. Additional info on further hormone remedy with a, subsequent follow-up and analysis by neighborhood well being nurses and/or midwives, would facilitate Sri Lankan girls’s transition to menopause.
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Menopause, outlined as the tip of menstruation because of the lack of ovarian follicular exercise, which is understood to lower within the late 30 s with full loss in most girls within the early 50 s [1] is a phenomenon of accelerating concern attributable to a rise in life expectancy. The variety of postmenopausal girls worldwide is anticipated to succeed in 1.2 billion by 2030 [2]. The time period ‘menopausal transition’ can be utilized synonymously with the time period ‘peri-menopause’ [3]. The interval of change in ovarian operate from being fertile to changing into infertile, known as menopausal transition, is a pure and inevitable change that impacts all girls [4]. Though, menopause is taken into account to be a common phenomenon it’s affected by socio-cultural norms, and girls’s experiences of the menopausal transition is consequently dealt with by girls in numerous methods [5]. In line with Meleis [6] menopause is an expertise hidden inside the cultural background of patriarchy for which girls sacrifice their very own wants together with well being care wants in favor of the wants of their household, consequently making menopausal transition invisible. Girls have passive strategy to handle signs utilizing the menopausal transition attributable to deep roots of their cultural and conventional beliefs [7].
However, menopause could lead to extraordinarily disagreeable bodily signs comparable to atrophy of vaginal mucosa resulting in vaginitis, pruritus, dyspareunia, and stenosis; genitourinary atrophy resulting in urethritis, dysuria, urinary incontinence, and urinary frequency; recurrent urinary tract infections; and vasomotor signs comparable to scorching flushes and evening sweats. In addition to gynecological health-related issues attributable to lowered estrogen ranges, the menopausal lady has to cope with fatigue, weight acquire, and emotional modifications comparable to nervousness, sorrow, worry of sickness, hypersensitivity, and irritability [8]. Girls could use “pure” methods to deal with menopausal signs, primarily non-pharmacological strategies comparable to eating regimen, train, and natural merchandise that assist with scorching flushes [9]. There are causes to imagine that signs associated to menopause are equally frequent no matter geographic location, though Asian girls report few menopausal signs [10]. Thus, it could be that cultural circumstances in Asian nations make the menopausal signs simpler to deal with, or that girls undergo in silence.
Sri Lanka, a middle-income South Asian nation, is experiencing dramatic demographic and epidemiological modifications which have led to a rise of girls’s life expectancy from 74 to 78 years [11]. The imply age of menopause in Sri Lanka is round 51 years [12]. Consequently, practically one third of a girl’s life in Sri Lanka will probably be post-menopausal. This can create menopause as a difficulty of accelerating concern for well being care in Sri Lanka. Additional, it has been evidenced that, that joint and muscular discomfort, bodily and psychological exhaustion and scorching flushes as essentially the most prevalent menopausal signs amongst Sri Lankan girls [13]. And ladies with menopausal signs had considerably decrease quality-of-life in contrast with girls with out signs [13]. Additional, there is a rise incidence in heart problems and osteoporosis after menopause [14]. Though pharmacological strategies, comparable to hormone alternative remedy (HRT), are extensively advocated for the remedy of the acute signs of menopause, together with scorching flushes, vaginal dryness, evening sweats, and temper swings [15], HRT will not be widespread amongst girls in Sri Lanka. Additional, there may be a variety of disinformation about numerous points regarding menopausal remedy [16].
In Sri Lanka, the vast majority of girls’s well being looking for behaviors rely upon their tolerance of ageing or their busy life-style with late marriages, taking care of their very own youngsters or grandchildren, family work and work in paddy fields [16]. As girls in Sri Lanka are engaged in occupations or are energetic of their prolonged households by elevating their grandchildren even in previous age [15] it is very important strengthen the final well-being in the course of the menopausal transition by relieving troublesome menopausal signs and detecting and stopping power illnesses. Little analysis is finished on post-menopausal girls in Sri Lanka from a qualitative perspective, which motivates the intention of this research which is to discover and describe Sri Lankan girls’s experiences of menopause. The data offered on this analysis might be used to boost care for girls looking for assist in menopause-related issues and supply a foundation to arrange well being take care of menopausal girls based mostly on their wants.
An explorative and descriptive design based mostly on an inductive qualitative strategy was used to allow an understanding of postmenopausal girls’s menopausal experiences. The methodology was chosen from an ontological viewpoint the place the inquirer makes data claims based mostly totally on constructivist views emphasizing a number of meanings of particular person experiences that are constructed in numerous socio-cultural contexts [17]. From an epistemological viewpoint the qualitative strategy is taken by gathering tales of people by means of interviews to find out how they’ve personally skilled the phenomenon [18].
The research was performed in Boralasgamuwa Medical officer of Well being (MOH) space, Colombo District within the western province of Sri Lanka. Previous to the info assortment, permission was obtained from the Provincial Director of Well being Providers (PDHS) to conduct the research in Colombo District. Public well being midwives (PHMs) who’re the gate keepers of every PHM space, helped in figuring out girls who have been inside the inclusion standards of this research from the neighborhood the place they performed the sphere visits. To keep away from creating distance between the researcher and the ladies, they have been knowledgeable that the researcher was a nurse who needed to find out about their menopausal experiences.
Girls assembly the inclusion standards, which was the cessation of menstruation for not less than 12 consecutive months, had not skilled any cognitive impairment and weren’t affected by any acute sickness comparable to an infection or trauma by the point of interview, have been requested to take part. Twenty girls gave their consent to participate within the research (Desk 1) after receiving written and oral details about the research.
Particular person interviews have been performed throughout January 2016 to July 2016 by the researcher, who’s a feminine registered nurse and who had no prior relation to the ladies. A voice recorder was used to file the interviews with the consent of the members. All interviews have been performed within the Sinhalese language and lasted between 30 and 60 min. The interviews passed off in a room on the respective lady’s residence, with out some other particular person being current.
An interview information which was developed by together with particular classes of questions based mostly on evaluations of literature on girls’s menopausal experiences have been used. The interview information developed for this research is offered as Further file 1.This information addressed the subjects of expertise on menopause, their understanding about menopause, and points associated to menopause. It included few socio-demographic questions comparable to date of delivery, occupation, schooling, ethnicity and faith, the beginning time of menopause, as a way to develop a rapport earlier than commencing the questions associated to the analysis subject. Prompts/probes have been used for clarification functions and to get extra info from the participant. The members have been requested, “Might you please inform me in your individual phrases about your menopausal experiences?” This query was adopted by probing questions comparable to “Might you give me an instance?” “Are you able to elaborate on that concept?” “Might you clarify that additional?”.
Two pilot interviews have been performed previous to the principle knowledge assortment and transcribed advert verbatim as a way to refine the interview information, Minor modifications within the interview information, such because the order of the questions and using probing questions, have been made after the pilot interviews.
The verbatim transcript was translated from Sinhalese to English by the researcher, who’s fluent in each languages. The interviews have been transcribed advert verbatim and the tone of voice, silence, or pauses have been famous within the transcript as a way to extract the genuine which means. Transcribed interviews have been analyzed by the researcher utilizing manifest and latent content material evaluation in line with Graneheim and Lundman [19]. That is thought-about an acceptable strategy for analyzing interview knowledge and deciphering its which means in a scientific approach. Content material evaluation focuses on the variations in respondent’ experiences and contains descriptions of the concrete (manifest) content material and interpretations of the summary (latent) content material [20].
Step one concerned a number of evaluations of the transcribed narrative textual content to acquire a complete sense of the info. The second step concerned extracting which means items from the textual content, that’s, phrases, sentences, or paragraphs regarding the expertise of menopause. The third step concerned reviewing the which means items to make sure they contained enough info associated to the intention of the research. Within the fourth step, the which means items have been condensed by reformulating them into shorter sentences describing the expertise. Condensed which means items have been then abstracted and labeled with a code (Desk 2). Throughout the condensing and coding course of, the textual content was thought-about as an entire. Thirty 4 (34) codes have been recognized and within the fifth step the codes have been in contrast based mostly on variations and similarities and sorted into six (06) sub-categories. Equally, sub-categories have been in contrast based mostly on variations and similarities and sorted into three (03) classes. Lastly, an total theme “Menopause is a pure stage of ageing” emerged, that illuminated the latent content material of the info. All steps have been undertaken with discussions between all three authors.
All authors are registered nurses and have a nursing perspective on the analysis query in focus. The primary and the second authors have context-specific data about Sri Lankan tradition and well being care, whereas the third creator is a European researcher who had restricted data in regards to the context-specific scenario of menopausal girls in Sri Lanka. The second and the third authors have intensive data of qualitative analysis and content material evaluation.
Trustworthiness of information and interpretation of the findings includes credibility, dependability, confirmability and transferability [21]. The primary creator interviewed the entire girls of their pure settings to ascertain rapport which is to extend the credibility of the info. Dependability of the collected knowledge was maintained through the use of the identical pilot examined interview information all through your entire research. Furthermore, to achieve dependability and confirmability, the evaluation was mentioned and reviewed by all three authors and the evaluation was confirmed by direct quotes from the info. Nevertheless, permitting the members to substantiate the results of the info evaluation would have additional strengthened confirmability and thereby improved the credibility of the findings. To make sure the transferability of the findings, the authors offered detailed descriptions of the ladies’s experiences, together with the context of their pure setting.
On the subject of Codex tips for analysis (http://www.codex.uu.se/en/index.shtml), private knowledge together with the title was not collected as a way to preserve the confidentiality of the data. Earlier than graduation of the interview, the aim of the interview and its voluntary nature, confidentiality of the data and using a tape recorder, have been defined to the ladies. Knowledgeable written consent was obtained prior to begin the interview with the lady. Moral clearance was obtained from the Ethics Overview Committee of the College of Medical Sciences, College of Sri Jayewardenepura and Kristianstad College, Sweden.
The entire image of how girls in Sri Lanka expertise menopause is illustrated by an total theme Menopause is a pure stage of ageing and related to three qualitatively completely different classes and 6 subcategories (Desk 3).
The theme was based mostly on that the ladies skilled a change of their physique conceived as a pure stage of their ageing course of which made them view themselves as invaluable as earlier than changing into infertile. The classes are described, together with quotes as an instance the vary of experiences and concepts articulated by completely different members, as indicated inside brackets by the participant’s profession.
The class “Coming into a brand new stage of life” meant that the ladies have been conscious that menstruation had come to an entire and everlasting cessation with related well being dangers. The ladies reported that initially they turned scared, considering that they have been pregnant when their menstruation ceased for a very long time.
After some time, they realized that their menstruation had come to an finish and that it was regular for his or her age, in addition to for girls usually, no matter generational affiliation. The ladies felt relieved, as they didn’t have to fret anymore about pregnancies and will subsequently proceed life in a extra relaxed method.
I really feel completely happy about stopping menstruation as a result of I don’t should be afraid of being pregnant and use any household planning methodology. I be happy now. (Housewife)
Typically it provides me leisure that I’m not having issues with ache and month-to-month bleeding. I can reside relaxed. No extra bleedings and troubles with that. (Trainer).
The ladies expressed that they skilled bleeding, which typically was troublesome, after the whole and everlasting cessation of menstruation. Some girls had solely skilled slight bleeding and didn’t have any issues in any respect, as their menstruation simply immediately stopped, whereas others skilled heavy bleeding with a resultant low degree of hemoglobin, which finally led to blood transfusion and removing of the womb.
I had heavy bleeding with some clots. I had this bleeding few months and I went to a physician with my husband. Anyway I used to be handled for the bleeding and later my menstruation stopped utterly. The physician informed me that there was a lump within the womb and eliminated it by means of a surgical procedure. They eliminated the womb too. (Housewife).
In line with the members, coming into menopause additionally concerned changing into conscious of menopause- associated well being dangers comparable to coronary heart issues, osteoporosis, most cancers, diabetes, strain, arthritis, and elevated levels of cholesterol, which that they had realized from well being care personnel and from the media. The ladies described easy methods to stop a few of these well being issues by present process screening for most cancers and taking calcium to stop bone issues throughout menopause in addition to utilizing some sort of milk merchandise to stop osteoporosis.
I believe it is rather necessary to take nutritional vitamins at this age. They mentioned that our bones are usually not robust sufficient now. Anyway I don’t know why these issues occur after stopping menstruation. (Housewife).
We get many well being issues throughout this time. Some talked about that we get bone issues. In addition they mentioned that osteoporosis is widespread after menopause they usually informed we’re prone to coronary heart assaults and most cancers. (Trainer).
The ladies additionally described menopause as a stage in life throughout which the physique needed to endure a number of modifications. They skilled modifications comparable to lack of power and physique energy, weight acquire or loss, extreme sweating, sleepiness, burning sensations, irritability, forgetfulness, lowered sexual urge for food and ache throughout intercourse, thinning hair, and pores and skin modifications comparable to darkish spots and wrinkles. They have been, nonetheless, not involved about these modifications as they understood that these modifications have been pure, and that generations earlier than them had handled the identical signs.
Additionally I noticed that I’ve wrinkles in my face. There have been some darkish spots too. I’ve seen these in different girls in the identical age and I assumed it’s the identical for all. (Housewife)
I believe it’s the finish of our energetic life as a girl. Whereas we had menstruation, we have been wholesome, good wanting, and had extra power. However now, it has modified. (Self-employee).
The class “Managing menopause” comprised the ladies’s experiences of various cures to ease the menopausal signs along with spiritual actions and the worth of feeling necessary to others.
In line with the ladies, they managed menopause totally on their very own by adopting numerous methods.
I believe after stopping menstruation, we don’t wish to fear about it. It’s one thing pure and customary to all. After having youngsters, we don’t wish to fear about it know. We now have rather a lot to do at this age. We now have to consider it and do it. If we remorse and keep with out doing something, there isn’t any level of it. (Housewife).
A few of them had tried hormonal remedy for a short while, however didn’t discover it efficient. In addition they practiced completely different cultural cures to regain misplaced power throughout menopause.
Hathawariya (wild asparagus), gotukola (Centella asiatica). I additionally add curry leaves and garlic to those kanji additionally. These residence cures are good for well being. (Housewife)
Girls described how they engaged in spiritual actions to keep away from health-related issues throughout menopause and to put aside menopausal signs. The ladies acknowledged that meditation and non secular Pooja (actions carried out fervently by Buddhists looking for blessings) made them really feel extra energetic.
I chant pirith (Buddhist chanting) each evening earlier than sleep. Then I can sleep nicely. I do meditation additionally earlier than sleep. It helps to keep away from sleep issues. (Housewife)
I believe that, I can keep away from many issues associated to menopause by doing spiritual actions. I imagine in non secular results on our lives. (Self-employee).
When well being issues and bodily modifications occurred attributable to menopausal transition, the ladies merely ignored them by specializing in their duties to their households. By interacting with others and consequently shifting focus to different individuals, like serving to relations with sensible issues or speaking with associates, they overcame their very own well being issues.
I can overlook about all these by attending to my work actions and my son’s research. (Housewife)
The ladies emphasised that being useful to others would assist them in avoiding getting menopause-related well being issues, as unselfish actions was perceived as facilitating safety towards evil.
Due to the household duties, I’ve to overlook all these issues. Life continues to be the identical as earlier than. (Housewife)
Speaking to associates about menopausal issues helped the ladies to handle well being issues throughout and after menopause. It was expressed as particularly necessary if the lady was single or had misplaced her partner. The ladies pressured that dropping a partner or having grown-up youngsters depart the house have been widespread causes for in poor health well being and aggravated the well being issues associated to menopause. Nonetheless, the members expressed an ambiguous angle to discussing menopausal modifications with others. Cessation of menstruation was particularly thought-about as a confidential matter at an early stage of menopause, because it might be an indication of being pregnant. The ladies acknowledged that their shyness of speaking about menstrual issues light with age. In line with the members, sharing menopausal experiences with different girls was good observe, because it prevented girls from hiding well being considerations that would result in critical well being issues.
If I’ve an issue, I speak with my shut associates. Most of us are older than 45 years, and we’ve related issues. (Trainer)
There are a variety of girls of my age close by my home. All of us do spiritual actions collectively. I at all times share my issues with them. They carry me natural drinks when I’ve abdomen ache. They’re at all times there to assist me. (Housewife).
The ladies’s expertise of menopause was that it was not the tip of life, however fairly the tip of a selected stage of ageing, which necessitated overcoming and coping with well being points and bodily modifications. Most of the girls talked about how the menopause had led to constructive modifications of their life sample as they now had completely different must be completed earlier than the tip of their life.
The ladies seen themselves as invaluable as they continued to be engaged in numerous family actions and seen these as duties that they naturally assumed for his or her youngsters, spouses, or different members of their households.
Though I’m getting previous, I can’t cease working. I’ve to earn to take care of my household. Typically I’m not nicely to go for work. However I can’t get depart at all times. (Labourer)
Though their physique had modified and they didn’t have the identical energy as earlier than the menopause they meant that the menopause didn’t stop them from finishing up their duties.
I really feel that I’m dropping my younger life. My physique will not be like earlier than. However I don’t fear about it. It’s nature. All of us die. I’m additionally getting near it. However we nonetheless have time to take care of our youngsters and assist them with their households. (Housewife).
The findings of the current research on girls’s experiences of menopause in Sri Lanka present that menopause was perceived as a stage of the traditional ageing course of. This discovering is in step with findings from different analysis research on girls primarily derived from collectivist cultures comparable to these of Vietnam [3], Iran [7] and Thailand [22] for whom ageing has a constructive significance. Researchers argue that physiological experiences with menopause turn out to be significant within the shifting relations between the experiencing self and the social world [23]. The findings of the current research might subsequently be defined from a sociocultural perspective, the place constructive attitudes about menopause is widespread amongst girls in some cultures the place ageing comes with elevated social standing. This conclusion corroborates with Lazar et al. [23] research on postmenopausal girls performed utilizing girls’s views in a US-based boards on menopause and that girls described menopause as a reward because it meant an finish to cramps and again ache; worries about stained underwear; undesirable pregnancies and wish for contraception; and worrying about what others assume. Girls within the present research skilled disagreeable menopausal bodily signs as seen within the class coming into a brand new stage in life, much like different girls world wide [24]. Additional, additionally they meant that menopause had led to constructive modifications of their life sample as seen within the class not the tip of life and that they have been capable of perform their duties as earlier than the menopause as seen within the sub-category remaining invaluable.
Dealing with menopausal signs could differ for girls in numerous components of the world, as tradition could have an effect on perceptions in direction of menopause; which was proven by Bahri et al. [7] who discovered that girls having a constructive view in direction of menopause thought-about ageing as a pure course of and vice versa.
Girls on this research dealt with their signs primarily by means of self-care that consisted of non-pharmacological strategies comparable to using native herbs, and non secular actions which has similarities to Stanzel et al. [3] who discovered that Vietnamese girls in Australia used self-care methods comparable to train, dietary modifications, and conventional herbs to handle menopausal signs because of the underlying perception that menopause is a part of a pure transition in life. The ladies within the present research have been primarily Buddhists who adopted Buddhist teachings in regards to the life cycle consisting of delivery, ageing, sickness, and demise, which can have contributed to their perceiving menopause as a pure consequence of the traditional ageing course of. This conclusion accords with Noonil et al. [22], who studied the lived expertise of Thai Buddhist girls and their altering our bodies in midlife. The notion of menopause as a pure part of the life cycle could nonetheless contribute in ignoring menopausal well being dangers or delaying crucial remedy till too late a stage. This notion might also clarify why Waidyasekera et al. [13] discovered that girls in Sri Lanka had a considerably decreased health-related high quality of life attributable to menopausal signs.
Well being-seeking conduct associated to menopause could additional be jeopardized, as caring for household wants performed an necessary function for the ladies on this research as proven within the subcategory specializing in others. This discovering corroborates with Bahri et al. [7] who discovered that girls in Iran have been too busy to think about their menopausal signs attributable to household duties. The ladies within the current research have been conscious of the bodily transition from being fertile to changing into infertile, as proven within the class coming into a brand new stage in life. Nevertheless, fairly than looking for assist to beat menopausal discomfort in the course of the transition of menopause, the ladies took accountability for his or her households as seen within the subcategory remaining invaluable. Culturally, Sri Lanka is a collectivistic tradition [25] with deep and powerful household inter-relationships, the place girls historically have the principle accountability for taking care of the house and the kids. The danger of ignoring menopausal signs is subsequently additional emphasised by residing in a family-oriented tradition wherein a girl upholds her worth by giving precedence to the day by day care of her relations. This conclusion confirms that Sri Lankan girls’s health-seeking conduct associated to menopausal modifications relies on a busy life, primarily attributable to household involvement [16]. It subsequently appears very important to encourage Sri Lankan girls to participate in screening, as they’re prone to ignore critical signs as a result of they prioritize household obligations as a substitute of looking for well being take care of themselves.
Speaking to associates about menopausal issues was a coping technique that appeared to be helpful for girls within the present research as proven within the sub-category specializing in others. This offered the safety wanted not solely to debate intimate and private issues like menopausal well being points but in addition to obtain assist to assist them face losses of shut relations. The discovering corroborates with the findings of Noonil et al. [22], who highlighted the significance of girls sharing their experiences to beat any modifications in the course of the menopausal transition and of assist teams for middle-aged girls who shared their menopausal experiences with elevated self-care measures and well being care interventions. Enabling assist teams for menopausal girls might subsequently facilitate the menopausal transition for girls in Sri Lanka.
The data gained from this research provides rise to questions on easy methods to enhance girls’s health-seeking behaviour in relation to menopausal well being points in Sri Lanka. Particularly so since instructional interventions with regard to menopausal points and options to ease the signs must be tailor-made in line with the prevailing sociocultural context which encompasses tolerance of ageing but in addition a busy life-style associated to household accountability. Additional, technological enchancment with girls’s growing entry to cellphones, cellular apps reminding girls of the significance of Papanicolaou (PAP) check and mammography might presumably enhance girls’s health-seeking conduct throughout menopause.
The transferability of the research could also be restricted for a number of causes. The research was carried out solely in a single MOH space within the Western province of Sri Lanka, the vast majority of the taking part girls have been housewives and solely three of them have been employed and at last, a lot of the girls have been Buddhists in a multicultural nation.
Menopause has a pure place within the ageing course of of girls in Sri Lanka, making the signs simpler to deal with. On the identical time, normalizing and ignoring menopausal signs, threat main girls to undergo in silence. Furthermore, the detection of menopause-related well being dangers comparable to cervical and breast most cancers could also be ignored regardless of girls’s consciousness of the significance of attending to menopausal signs and related-health dangers. To make constant and dependable info obtainable in regards to the developmental modifications and challenges related to menopause will probably be helpful to girls in Sri Lanka. This might be finished by implementing community-based well being facilities led by nurses and/or midwives who might present details about hormonal remedy, seek advice from a gynaecologist, and thereafter facilitate follow-up and analysis. Future analysis must carry collectively qualitative findings in regards to the menopausal experiences of this inhabitants with quantitative knowledge.
The datasets used and/or analysed in the course of the present research can be found from the corresponding creator on cheap request.
Hormone Alternative Remedy
Medical Officer of Well being
Provincial Director of Well being Providers
Public Well being Midwives
World Well being Group
Goodman NF, Cobin RH, Ginzburg SB, Katz IA, Woode DE. American affiliation of medical endocrinologists medical tips for medical observe for the prognosis and remedy of menopause. Endo Follow. 2011;17:1–25.
Article Google Scholar
Afshari F, Bahri B, Sajjadi N, Mansoorian MR, Tohidinik HR. Menopause uncertainty: the affect of two instructional interventions amongst girls throughout menopausal transition and past. Menopause Rev. 2020;19(1):18–24. https://doi.org/10.5114/pm.2020.95305.
Article Google Scholar
Stanzel KA, Hammarberg Okay, Nguyen T, Fisher J. They need to come ahead with the data’: menopause associated well being literacy and well being care experiences amongst Vietnamese-born girls in Melbourne, Australia. Ethnicity Well being. 2020. https://doi.org/10.1080/13557858.2020.1740176.
Article PubMed Google Scholar
Shakila P, Sridharan P, Thiyagarajan, S. An Evaluation of Girls’s Consciousness and Signs in Menopause (A Examine with Reference to Educational Girls’s at Sri Lanka), J Bus Econ Coverage 2014; 1(2).
Bahri N, Roudsari RL. “Shifting from uncertainty towards acceptance”: a grounded idea research on exploring Iranian girls’s experiences of encountering menopause. J Psychosom Obstet Gynecol. 2020;14(2):154–64. https://doi.org/10.1080/0167482X.2019.1678018.
Article Google Scholar
Meleis AI. Transition idea: Center vary and scenario particular theories in nursing analysis and observe. 2010; 1st ed. New York: Springer.
Bahri N, Roudsari RL, Hashemi MA. “Adopting Self-sacrifice”: How Iranian girls deal with the sexual issues in the course of the menopausal transition? An exploratory qualitative research. J Psychosom Obstet Gynaecol. 2017;38(3):180–8.
Article Google Scholar
Dutta R, Dcruze L, Anuradha R, Rao S, Rashmi MR. Inhabitants based mostly research on the menopausal signs in a rural space of Tamil Nadu, India. J Clin Diagn Res. 2012;4:597–601.
Google Scholar
Cifcili SY, Akman M, Demirkol A, Unalan PC, Vermeire E. I ought to reside and end it: a qualitative inquiry into Turkish girls’s menopause expertise. BMC Household Follow 2009; 10(2). doi:https://doi.org/10.1186/1471-2296-10-2
Elliott J, Berman H, Kim S. A vital ethnography of Korean Canadian girls’s menopause expertise. Well being Care Girls Int. 2002;23(4):377–88.
Article Google Scholar
World Well being Statistics, 2013.World Well being Group. WHO Library Cataloguing-in-Publication Information, ISBN 978 92 4 156458 8.20 Avenue Appia, 1211 Geneva 27, Switzerland
Ministry of Well being. Annual Well being Bulletin. 2012. Ministry of Well being, Sri Lanka. Colombo.
Waidyasekera H, Wijewardena Okay, Lindmark G, Naessen T. Menopausal signs and high quality of life in the course of the menopausal transition in Sri Lankan girls. Menopause. 2009;16(1):164–70.
Article Google Scholar
Perera H, Ekanayake C. Menopausal hormone remedy with estrogen and progesterone. Sri Lanka J Menopause 2019; 1(1).
Palihawadana TS, Morris EP. Caring for girls of their submit reproductive life: present suggestions on hormone alternative remedy. Ceylon Med J. 2015;60(2):37–40. https://doi.org/10.4038/cmj.v60i2.8149.
Article CAS PubMed Google Scholar
Menopause Society of Sri Lanka. (2010). Overview of menopause. Information Letter. http://menosocsl.lk/menopause-facts/
Patton MQ. Qualitative analysis and analysis strategies. 2002, third ed. Sage Publications, London
Creswell JW. Analysis design: qualitative, quantitative, and combined strategies approaches, 2014. 4th ed. USA: SAGE publications
Graneheim UH, Lundman B. Qualitative content material evaluation in nursing analysis: ideas, procedures and measures to attain trustworthiness. Nurse Educ Right now. 2004;24(2):105–12.
Article CAS Google Scholar
Krippendorff Okay. Content material evaluation. An introduction to its methodology. 2013. Thousand Oaks, CA: Sage Publications Inc.
Lincoln Y, Guba E. Naturalistic inquiry. 1985. Newbury Park, CA: Sage.
Noonil N, Hendricks J, Aekwarangkoon S. Lived expertise of Thai girls and their altering our bodies in midlife. Nursing and Well being Sciences. 2012;14(3):312–7.
Article Google Scholar
Lazar A, Su NM, Bardzell J, Bardzell S. Parting the Pink Sea: sociotechnical programs and lived experiences of menopause. Proceedings of the 2019 CHI convention on human elements in computing programs. 2019; pp.1–16. Doi: https://doi.org/https://doi.org/10.1145/3290605.3300710
Hakimi S, Simbar M, Tehrani RF, Zaiery F, Khatami S. Girls’s views towards menopause: a phenomenological research in Iran. J Girls Growing old. 2016;28(1):80–9.
Article Google Scholar
Dissanayake DMSB, Niroshan WWAE, Nisansala MH, Rangani MLD, Samarathunga SKRA, Subasinghe SEI, Wickramasinghe WWM. Cultural comparability in Asian nations: an utility of Greet Hofstede’s cultural dimensions. In: Proceedings of the 2nd undergraduate symposium on modern administration and idea 2015; pp.211–224.
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The authors thank all of the members for his or her assist and the workers of the Medical Officer of Well being for his or her cooperation.
This research is self-funded.
Division of Nursing and Midwifery, College of Allied Well being Sciences, College of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka
I. M. P. S. Ilankoon
College of Well being Science, Kristianstad College, Kristianstad, Sweden
Okay. Samarasinghe & C. Elgán
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IMPS and CE have been liable for the thought and the design of the research. IMPS carried out the info assortment and all authors participated in evaluation and interpretation of information. IMPS drafted the manuscript and KS and CE have considerably revised the manuscript. All authors had vital discussions of the manuscript. All authors have permitted the ultimate model of the manuscript.
Correspondence to I. M. P. S. Ilankoon.
Moral approval for the research was obtained from the Ethics Overview Committee of the College of Sri Jayewardenepura (Ref. 13/15) and Kristianstad College, Sweden. The procedures adopted have been in accordance with the moral requirements of the Declaration of Helsinki of the World Medical Affiliation. All members gave written knowledgeable consent earlier than graduation of the info assortment.
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Ilankoon, I.M.P.S., Samarasinghe, Okay. & Elgán, C. Menopause is a pure stage of ageing: a qualitative research. BMC Girls’s Well being 21, 47 (2021). https://doi.org/10.1186/s12905-020-01164-6
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DOI: https://doi.org/10.1186/s12905-020-01164-6
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