Essay On Menopausal Women

3.1 Introduction

A woman is born with approximately two millions of primary follicles. By the onset of puberty approximately 400,000 of follicles remain in the ovaries; some are likely to ovulate during entire reproductive period. The next 30 years, those follicles mature into eggs. This process happens between puberty and menopause. But after 40 years of age, the follicle will decrease and follicle-stimulating hormone level will increase. The estradiol is greatly decreased and eventually uterine bleeding stops and woman is clinically termed menopausal women (De Masters, 2000). The menopause is otherwise called as change of woman’s life. It happens when the ovaries stop producing estrogen and progesterone hormones. Postmenopausal woman referred as a women did not have period for 12 months or one year (Lowdermilk and Perri, 2004; Xu et al, 2005).

3.2 The staging criteria of menopause

In 2001 the first standardized guidelines for female reproductive aging is prepared at stage of reproductive aging workshop (STRAW). The STRAW classification system includes some stages. The stages are primarily based on the characteristics of the menstrual cycle secondary on follicular phase FSH levels.

The menopausal rating scale and the specific quality of life questionnaire were used to collect the data. The study results showed that more than 60% of women reported three or more symptoms. The symptoms were sleep disturbances, vaginal dryness, fatigue and anxiety. It accounted for 16.7% of the variance in the quality of life. Hence it was concluded that the symptoms such as sleep disturbances, fatigue and anxiety were significantly affected the quality of life. Appropriate management may be beneficial to women undergoing the menopause transition to post-menopause stage (Greenblum et al,