Official Journal of the European Society of Gynecology
eISSN 2710-2580
Cross-sectional study of women with menopause-associated vasomotor symptoms in Mexico – WARM Study
Logo EGO
European Gynecology & Obstetrics
European Society of Gynecology
PDF

Keywords

menopausal transition, menopause., Mexico, Vasomotor symptoms, women

Categories

How to Cite

Guerrero-Carreño, F. J., Monsalve, B. A., & Celis-González, C. (2024). Cross-sectional study of women with menopause-associated vasomotor symptoms in Mexico – WARM Study. European Gynecology & Obstetrics, 6(3). https://doi.org/10.53260/EGO.246032

Abstract

Introduction: A large majority of women may spend a significant part of their lives in the postmenopausal stage. Transition to menopause usually represents a milestone affecting their quality of life. Vasomotor symptoms are characterized by hot flashes and/or night sweats.
Objective: This study used a survey intended to determine the prevalence of moderate to severe vasomotor symptoms and to collect data to evaluate the associated economic burden through the collection of healthcare resource utilization, as well as the number of women seeking medical advice (primary care and different types of specialty healthcare professionals), number of women receiving drug therapy and calculating out-of-pocket expenses.
Methods: Cross-sectional study in peri- and postmenopausal women aged 40 to 65 years with moderate to severe menopause-associated vasomotor symptoms in Mexico, as a sub-study of the NCT05083884 clinical trial. An active panel was used to identify participants, who filled an online survey regarding the symptoms they experienced in the previous week, how it impacts their quality of life, sleep pattern, and their interactions with healthcare professionals.
Results: A total of 7,728 women were contacted, of whom 1,697 were selected; 412 filled out the survey, of which 17% presented vasomotor symptoms. Most of them experienced more than 3 symptoms, affecting their work and non-work-related activities by 5.9% and 35.7%, respectively. Furthermore, 78.4% of respondents sought medical care. Over 50% of women reported being on some type of treatment.
Conclusions: In accordance with other studies, an elevated proportion of women was found to experience moderate to severe vasomotor symptoms, and these symptoms had an impact on their quality of life.

https://doi.org/10.53260/EGO.246032
PDF

References

Arias E. United States life tables, 2002. Natl Vital Stat Rep. 2004;53(6):1-38.

Asociación Mexicana para el Estudio del Climaterio en el año 2010. Estudio y tratamiento de mujeres en el climaterio y la posmenopausia. Punto de vista de la Asociación Mexicana para el Estudio del Climaterio en el año 2010. [Study and treatment of women in the climacteric and postmenopause. Point of view of the Mexican Association for the Study of Climacteric 2010]. Ginecol Obstet Mex. 2010;78(8):423-440.

Legorreta D, Montaño JA, Hernández I, Salinas C, Hernández-Bueno JA; AMEC Research Committee. Age at menopause, motives for consultation and symptoms reported by 40-59-year-old Mexican women. Climacteric. 2013;16(4):417-25.

Santoro N, Roeca C, Peters BA, Neal-Perry G. The Menopause Transition: Signs, Symptoms, and Management Options. J Clin Endocrinol Metab. 2021;106(1):1-15.

Carranza-Lira S, Sandoval-Hernández CI. [Comparación de la frecuencia y magnitud de los síntomas vasomotores en mujeres pre y posmenopáusicas de la Ciudad de México]. Ginecol Obstet Mex. 2013;81(3):127-32.

Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P. Age of menopause and impact of climacteric symptoms by geographical region. Climacteric. 2010;13(5):419-28.

Sievert LL, Obermeyer CM, Price K. Determinants of hot flashes and night sweats. Ann Hum Biol. 2006;33(1):4-16.

Gonzales GF, Villena A. Low pulse oxygen saturation in post-menopausal women at high altitude is related to a high serum testosterone/estradiol ratio. Int J Gynaecol Obstet. 2000;71(2):147-154.

Ortega-Ceballos PA, Morán C, Blanco-Muñoz J, Yunes-Díaz E, Castañeda-Iñiguez MS, Salmerón J. Reproductive and lifestyle factors associated with early menopause in Mexican women. Salud Publica Mex. 2006;48(4):300-307.

Gold EB, Colvin A, Avis N, et al. Longitudinal analysis of the association between vasomotor symptoms and race/ethnicity across the menopausal transition: study of women’s health across the nation. Am J Public Health. 2006;96(7):1226-1235.

Freeman EW, Sammel MD, Sanders RJ. Risk of long-term hot flashes after natural menopause: evidence from the Penn Ovarian Aging Study cohort. Menopause. 2014;21(9):924-32.

Avis NE, Crawford SL, Greendale G, et al. Study of Women’s Health Across the Nation. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015;175(4):531-539.

Freeman EW, Sammel MD, Lin H, Liu Z, Gracia CR. Duration of menopausal hot flushes and associated risk factors. Obstet Gynecol. 2011;117(5):1095-1104.

Whiteley J, Wagner JS, Bushmakin A, Kopenhafer L, Dibonaventura M, Racketa J. Impact of the severity of vasomotor symptoms on health status, resource use, and productivity. Menopause 2013;20(5): 518-524..

Thurston RC, Joffe H. Vasomotor symptoms and menopause: findings from the Study of Women’s Health across the Nation. Obstet Gynecol Clin North Am. 2011;38(3):489-501.

Utian WH. Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: a comprehensive review. Health Qual Life Outcomes. 2005;3:47.

Burleson MH, Todd M, Trevathan WR. Daily vasomotor symptoms, sleep problems, and mood: using daily data to evaluate the domino hypothesis in middle-aged women. Menopause 2010;17(1):87-95.

Williams RE, Kalilani L, DiBenedetti DB, Zhou X, Fehnel SE, Clark RV. Healthcare seeking and treatment for menopausal symptoms in the United States. Maturitas. 2007;58(4):348-58

Todorova L, Bonassi R, Guerrero Carreño FJ, et al. Prevalence and impact of vasomotor symptoms due to menopause among women in Brazil, Canada, Mexico, and Nordic Europe: a cross-sectional survey. Menopause. 2023;30(12):1179-1189.

Food and Drug Administration. Estrogen and Estrogen/Progestin Drug Products to Treat Vasomotor Symptoms and Vulvar and Vaginal Atrophy Symptoms — Recommendations for Clinical Evaluation. 2003. Available at: https://www.fda.gov/media/71359/download

Hilditch JR, Lewis J, Peter A, et al. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas. 1996;24(3):161-175.

Goodman NF, Cobin RH, Ginzburg SB, Katz IA, Woode DE; American Association of Clinical Endocrinologists. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the diagnosis and treatment of menopause. Endocr Pract. 2011;17 Suppl 6:1-25.

Varela N, Guillén-Grima F, Pérez-Cajaraville JJ, Pérez-Hernández C, Monedero P. Valoración de la repercusión del dolor sobre la productividad laboral: validación del cuestionario WPAI: Pain [Assessment of the impact of pain on work productivity: validation of the Spanish WPAI: Pain questionnaire]. An Sist Sanit Navar. 2016;39(1):77-85.

Nappi RE, Kroll R, Siddiqui E, et. al. Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause. 2021;28(8):875-882.

Williams RE, Kalilani L, DiBenedetti DB, et al. Frequency and severity of vasomotor symptoms among peri- and postmenopausal women in the United States. Climacteric. 2008;11(1):32-43.

Parish SJ, Nappi RE, Kingsberg S. Perspectives on counseling patients about menopausal hormone therapy: strategies in a complex data environment. Menopause. 2018;25(8):937-949.

Kravitz HM, Zhao X, Bromberger JT, et al. Sleep disturbance during the menopausal transition in a multi-ethnic community sample of women. Sleep. 2008;31(7):979-990.

Sarrel P, Portman D, Lefebvre P, et al. Incremental direct and indirect costs of untreated vasomotor symptoms. Menopause. 2015;22(3):260-266.

Pinkerton JV. Money talks: untreated hot flashes cost women, the workplace, and society. Menopause. 2015;22(3):254-255.

Ameye L, Antoine C, Paesmans M, de Azambuja E, Rozenberg S. Menopausal hormone therapy use in 17 European countries during the last decade. Maturitas. 2014;79(3):287-291.

Crawford SL, Crandall CJ, Derby CA, et al. Menopausal hormone therapy trends before versus after 2002: impact of the Women’s Health Initiative Study Results. Menopause. 21;26(6):588-597.

Sprague BL, Trentham-Dietz A, Cronin KA. A sustained decline in postmenopausal hormone use: results from the National Health and Nutrition Examination Survey, 1999-2010. Obstet Gynecol. 2012;120(3):595-603.

Stuenkel CA, Davis SR, Gompel A, et al. Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2015;100(11):3975-4011.

ACOG Practice Bulletin No. 141: management of menopausal symptoms. Obstet Gynecol. 2014.;123(1):202-216.

de Villiers TJ, Hall JE, Pinkerton JV, et al. Revised global consensus statement on menopausal hormone therapy. Maturitas. 2016;91:153-155.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Francisco J. Guerrero-Carreño, Belkis A. Monsalve, Cuauhtémoc Celis-González