Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2011     Vol 36     No 4
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      UDK 618.173

ISSN 0350-2899, 36(2011) br.4 p.183-187

Original paper

Vasomotor symptoms in postmenopause
(Vazomotorni simptomi u postmenopauzi)

Terezija Mošković
Specijalistička ginekološka ordinacija "Mošković", Beograd


  Download in a pdf format   Summary:
INTRODUCTION. Menopausal syndrome includes vasomotor and psychical symptoms induced by deficiency of sexual hormones, primary estrogen. Most often vasomotor symptoms are recognized as menopause attributes. The etiology and mechanism of genesis of vasomotor symptoms is not jet explicitly defined, as well as the reasons of appearance in some women. It is not possible to predict the intensity, number and outlasting of symptoms. OBJECTIVE. The aim of the study was to analyze the onset, frequency and intensity of vasomotor symptoms in women in natural menopause. METHODS. In the retrospective research conducted from June 2008 to June 2010, medical records of 135 patients in natural menopause (last menstrual period more than one year earlier) regarding vasomotor symptoms were analyzed. All of postmenopausal women who came in Gynecology and Obstetrics Outpatient Clinic "Mošković" in Belgrade for a gynecological problem or screening were in detail interviewed for vasomotor symptoms. The intensity of symptoms was characterized subjectively by patients and rated as 0-when a woman had no symptoms, 1-to the less pronounced symptoms, 2-for medium-severe symptoms, and 3-for symptoms of high intensity. The scores for individual symptoms were added and the score was calculated for each patient according to which vasomotor symptoms were ranked. RESULTS. The analysis of the results, regarding the vasomotor score showed that 84.5% of women in post menopause complained on vasomotor symptoms, while 41.2% had weak symptoms, 36.8% had symptoms of moderate intensity and 22.0% of patients felt vasomotor symptoms of high intensity. The analysis of occurrence of individual symptoms showed that night sweats occured most frequently in 81.6% of women, hot flushes in 71.0%, headache in 42.1%, pain in bones and muscles in 56.1%, palpitation in 32. 4%, and least frequently occurring was vertigo in 29.8% of postmenopausal patients. CONCLUSION. In the population of postmenopausal women who reported as patients in Gynecologic Outpatient Clinic vasomotor symptoms were found common in even 84.5% of women. Slightly more than half of the patients with the symptoms, respectively 58.8% had vasomotor symptoms of medium or high intensity that reduced the quality of life. Single symptom analysis showed that our women usually suffered from night sweats and hot flushes, 81.6% and 71.0% respectively, and the least common occurring was dizziness, 29.8%. Doctors, especially gynecologists, who meet in their practice with women in menopause should include in the anamnesis the questions about the symptoms of menopause as well. Thus we can get a clear picture on the existence of symptoms, the intensity of symptoms and how symptoms reduce the quality of life. If the patients want the doctor to treat the symptoms, he will have to inform them about the treatment options.
Key words: postmenopause, vasomotor symptoms, hot flushes

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian

      Corresponding Address:
Terezija Mošković
Specijalistička ginekološka ordinacija
Sinđelićeva 40, 11000 Beograd,
Tel. +381 63 348180
Fax. +381 11 308 99 44
Paper received: 28. 03. 2011
Paper accepted: 03. 10. 2011
Paper Internet issues: 20. 02. 2012
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Journal of Regional section of Serbian medical association in Zajecar
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