S L Goughnour1, R C Thurston2,3, A D Althouse1, K E Freese2, R P Edwards1, G G Hamad4, C McCloskey4, R Ramanathan4, D H Bovbjerg3,5, F Linkov1,2. 1. a Magee-Women's Research Institute, Department of Obstetrics, Gynecology, and Reproductive Sciences , University of Pittsburgh School of Medicine , Pittsburgh, PA , USA ; 2. b Department of Epidemiology , University of Pittsburgh Graduate School of Public Health , PA , USA ; 3. c Department of Psychiatry , University of Pittsburgh School of Medicine , Pittsburgh, PA , USA ; 4. d Minimally Invasive Bariatric & General Surgery , University of Pittsburgh , Pittsburgh, PA , USA ; 5. e Biobehavioral Medicine in Oncology Program , University of Pittsburgh Cancer Institute , Pittsburgh, PA , USA.
Abstract
OBJECTIVE: Menopausal symptoms are associated with a negative impact on the quality of life, leading women to seek medical treatment. Obesity has been linked to higher levels of menopausal symptoms such as hot flushes. This assessment will explore whether the prevalence and bother of hot flushes and vaginal dryness change from pre- to post-bariatric surgery among obese midlife women. METHODS: This study is a longitudinal analysis of data from 69 women (ages 35-72 years) undergoing bariatric surgery with reported reproductive histories and menopausal symptoms at preoperative and 6-month postoperative visits. Prevalence of and degree of bother of hot flushes and vaginal dryness at pre- and post-surgery were compared using McNemar's test and Wilcoxon signed-rank test. RESULTS: The reported degree of bother of symptoms associated with hot flushes decreased from pre- to post-surgery (p < 0.01). There was no significant change in the prevalence of hot flushes or vaginal dryness in the overall study sample. CONCLUSIONS: The degree of bother of symptoms associated with hot flushes among midlife women may decrease after bariatric surgery. These results highlight important secondary gains, including less bothersome menopausal symptoms, for women who choose bariatric surgery for weight loss.
OBJECTIVE: Menopausal symptoms are associated with a negative impact on the quality of life, leading women to seek medical treatment. Obesity has been linked to higher levels of menopausal symptoms such as hot flushes. This assessment will explore whether the prevalence and bother of hot flushes and vaginal dryness change from pre- to post-bariatric surgery among obese midlifewomen. METHODS: This study is a longitudinal analysis of data from 69 women (ages 35-72 years) undergoing bariatric surgery with reported reproductive histories and menopausal symptoms at preoperative and 6-month postoperative visits. Prevalence of and degree of bother of hot flushes and vaginal dryness at pre- and post-surgery were compared using McNemar's test and Wilcoxon signed-rank test. RESULTS: The reported degree of bother of symptoms associated with hot flushes decreased from pre- to post-surgery (p < 0.01). There was no significant change in the prevalence of hot flushes or vaginal dryness in the overall study sample. CONCLUSIONS: The degree of bother of symptoms associated with hot flushes among midlife women may decrease after bariatric surgery. These results highlight important secondary gains, including less bothersome menopausal symptoms, for women who choose bariatric surgery for weight loss.
Entities:
Keywords:
Menopausal symptoms; bariatric surgery; hot flushes; vaginal dryness; weight loss
Authors: Nancy Lu; Shalkar Adambekov; Robert P Edwards; Ramesh C Ramanathan; Dana H Bovbjerg; Faina Linkov Journal: Bariatr Surg Pract Patient Care Date: 2019-09-24 Impact factor: 0.607
Authors: Natalia Partain; Ali Mokdad; Nancy Puzziferri; Jessica Porembka; Stephen Seiler; Alana Christie; Deborah Farr; Aeisha Rivers; A Marilyn Leitch; Rachel Wooldridge; James Huth; Roshni Rao Journal: BMC Med Imaging Date: 2018-05-09 Impact factor: 1.930