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The experience of genitourinary syndrome of menopause (GSM) among Thai postmenopausal women: the non-reporting issue

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Abstract

Genitourinary syndrome of menopause (GSM) is common among postmenopausal women, but, in general, not all of the patients seek medical advice as this sensitive issue can cause them embarrassment.

Objectives

To explore the prevalence of GSM among Thai postmenopausal women and their disclosure of and attitude towards GSM.

Methods

A questionnaire was used to obtain information on GSM from 499 Thai postmenopausal women who attended the Menopause Clinic at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand, from November 2015 to August 2016.

Results

The mean age of the 499 participants was 57.8 ± 7.2 years. It was notable that 87.2% of them had had GSM, and the prevalence increased with age. The most common symptoms were nocturia (77.7%) and vaginal dryness (51.7%). Among the symptomatic patients, 63.0% conveyed their problem to other people, i.e., friends and family, while 52.9% of them never reported to health care providers. The most common reason for not talking about their GSM was the acceptance of it being part of the natural aging process.

Conclusions

GSM is common among Thai postmenopausal women. The prevalence of non-reporting is high and underreported.

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References

  1. Chua Y, Limpaphayom KK, Cheng B, Ho CM, Sumapradja K, Altomare C, et al. Genitourinary syndrome of menopause in five Asian countries: results from the pan-Asian REVIVE survey. Climacteric. 2017;20(4):367–73.

    Article  CAS  Google Scholar 

  2. Moral E, Delgado JL, Carmona F, Caballero B, Guillan C, Gonzalez PM, et al. Genitourinary syndrome of menopause. Prevalence and quality of life in Spanish postmenopausal women. The GENISSE study. Climacteric. 2018;21(2):167–73.

    Article  CAS  Google Scholar 

  3. Portman DJ, Gass ML. Vulvovaginal atrophy terminology consensus conference P. genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women's sexual health and the North American Menopause Society. Maturitas. 2014;79(3):349–54.

    Article  CAS  Google Scholar 

  4. Gandhi J, Chen A, Dagur G, Suh Y, Smith N, Cali B, et al. Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and management. Am J Obstet Gynecol. 2016;215(6):704–11.

    Article  Google Scholar 

  5. DiBonaventura M, Luo X, Moffatt M, Bushmakin AG, Kumar M, Bobula J. The association between vulvovaginal atrophy symptoms and quality of life among postmenopausal women in the United States and Western Europe. J Women's Health (Larchmt). 2015;24(9):713–22.

    Article  Google Scholar 

  6. Indhavivadhana S, Leerasiri P, Rattanachaiyanont M, Laiwejpithaya S, Tanmahasamut P, Techatraisak K, et al. Vaginal atrophy and sexual dysfunction in current users of systemic postmenopausal hormone therapy. J Med Assoc Thail. 2010;93(6):667–75.

    Google Scholar 

  7. Pinkerton JV, Bushmakin AG, Komm BS, Abraham L. Relationship between changes in vulvar-vaginal atrophy and changes in sexual functioning. Maturitas. 2017;100:57–63.

    Article  Google Scholar 

  8. Nappi RE, Kokot-Kierepa M. Vaginal health: insights, views & attitudes (VIVA)—results from an international survey. Climacteric. 2012;15(1):36–44.

    Article  CAS  Google Scholar 

  9. Nappi RE, Kokot-Kierepa M. Women's voices in the menopause: results from an international survey on vaginal atrophy. Maturitas. 2010;67(3):233–8.

    Article  Google Scholar 

  10. Mac Bride MB, Rhodes DJ, Shuster LT. Vulvovaginal atrophy. Mayo Clin Proc. 2010;85(1):87–94.

    Article  Google Scholar 

  11. Kowalcek I, Rotte D, Banz C, Diedrich K. Women's attitude and perceptions towards menopause in different cultures. Cross-cultural and intra-cultural comparison of pre-menopausal and post-menopausal women in Germany and in Papua New Guinea. Maturitas. 2005;51(3):227–35.

    Article  Google Scholar 

  12. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the international continence society. Am J Obstet Gynecol. 2002;187(1):116–26.

    Article  Google Scholar 

  13. Palacios S, Castelo-Branco C, Currie H, Mijatovic V, Nappi RE, Simon J, et al. Update on management of genitourinary syndrome of menopause: a practical guide. Maturitas. 2015;82(3):308–13.

    Article  Google Scholar 

  14. Blakeman PJ, Hilton P, Bulmer JN. Oestrogen and progesterone receptor expression in the female lower urinary tract, with reference to oestrogen status. BJU Int. 2000;86(1):32–8.

    Article  CAS  Google Scholar 

  15. Robinson D, Cardozo L. Estrogens and the lower urinary tract. Neurourol Urodyn. 2011;30(5):754–7.

    Article  CAS  Google Scholar 

  16. Banakhar MA, Al-Shaiji TF, Hassouna MM. Pathophysiology of overactive bladder. Int Urogynecol J. 2012;23(8):975–82.

    Article  Google Scholar 

  17. Cervigni M, Gambacciani M. Female urinary stress incontinence. Climacteric. 2015;18(Suppl 1):30–6.

    Article  Google Scholar 

  18. Erekson EA, Li FY, Martin DK, Fried TR. Vulvovaginal symptoms prevalence in postmenopausal women and relationship to other menopausal symptoms and pelvic floor disorders. Menopause. 2016;23(4):368–75.

    PubMed  PubMed Central  Google Scholar 

  19. Santoro N, Komi J. Prevalence and impact of vaginal symptoms among postmenopausal women. J Sex Med. 2009;6(8):2133–42.

    Article  Google Scholar 

  20. Huang KE, Xu L, I NN, Jaisamrarn U. The Asian menopause survey: knowledge, perceptions, hormone treatment and sexual function. Maturitas. 2010;65(3):276–83.

    Article  Google Scholar 

  21. Nappi RE, Lachowsky M. Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas. 2009;63(2):138–41.

    Article  Google Scholar 

  22. Dennerstein L, Lehert P. Women's sexual functioning, lifestyle, mid-age, and menopause in 12 European countries. Menopause. 2004;11(6 Pt 2):778–85.

    Article  Google Scholar 

  23. Chedraui P, Perez-Lopez FR, San Miguel G, Avila C. Assessment of sexuality among middle-aged women using the female sexual function index. Climacteric. 2009;12(3):213–21.

    Article  CAS  Google Scholar 

  24. Peeyananjarassri K, Liabsuetrakul T, Soonthornpun K, Choobun T, Manopsilp P. Sexual functioning in postmenopausal women not taking hormone therapy in the gynecological and menopause clinic, Songklanagarind Hospital measured by female sexual function index questionnaire. J Med Assoc Thail. 2008;91(5):625–32.

    Google Scholar 

  25. Sturdee DW, Panay N. International menopause society writing G. recommendations for the management of postmenopausal vaginal atrophy. Climacteric. 2010;13(6):509–22.

    Article  CAS  Google Scholar 

  26. Cody JD, Jacobs ML, Richardson K, Moehrer B, Hextall A. Oestrogen therapy for urinary incontinence in post-menopausal women. Cochrane Database Syst Rev. 2012;10:CD001405.

    PubMed  Google Scholar 

  27. Hendrix SL, Cochrane BB, Nygaard IE, Handa VL, Barnabei VM, Iglesia C, et al. Effects of estrogen with and without progestin on urinary incontinence. JAMA. 2005;293(8):935–48.

    Article  CAS  Google Scholar 

  28. Long CY, Liu CM, Hsu SC, Chen YH, Wu CH, Tsai EM. A randomized comparative study of the effects of oral and topical estrogen therapy on the lower urinary tract of hysterectomized postmenopausal women. Fertil Steril. 2006;85(1):155–60.

    Article  CAS  Google Scholar 

  29. Perrotta C, Aznar M, Mejia R, Albert X, Ng CW. Oestrogens for preventing recurrent urinary tract infection in postmenopausal women. Cochrane Database Syst Rev. 2008;2:CD005131.

    Google Scholar 

  30. Iglesia CB. What's new in the world of postmenopausal sex? Curr Opin Obstet Gynecol. 2016;28(5):449–54.

    Article  Google Scholar 

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Acknowledgements

The authors thank the staff, nurses and resident trainees of the Menopausal Clinic and the participating patients.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand

    Sasivimol Srisukho, Tawiwan Pantasri, Wirawit Piyamongkol, Chailert Phongnarisorn & Nuntana Morakote

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  1. Sasivimol Srisukho
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  2. Tawiwan Pantasri
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  3. Wirawit Piyamongkol
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  4. Chailert Phongnarisorn
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  5. Nuntana Morakote
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Correspondence to Tawiwan Pantasri.

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Srisukho, S., Pantasri, T., Piyamongkol, W. et al. The experience of genitourinary syndrome of menopause (GSM) among Thai postmenopausal women: the non-reporting issue. Int Urogynecol J 30, 1843–1847 (2019). https://doi.org/10.1007/s00192-019-03991-0

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  • DOI: https://doi.org/10.1007/s00192-019-03991-0

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