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Socioeconomic class and smoking linked to premature menopause
Date:7/6/2011

ries and/or hysterectomy, or as a consequence of chemotherapy. "While hysterectomy has become less common over the last decade, our findings reinforce the recommendation that it should be a last resort for menstrual disorders, and that oophorectomy should be avoided in younger women," said Dr. Islam.

The researchers say that they have shown, for the first time, in a large cohort, the huge unrecognised physical and psychological burden of women among the general population with POF. "This suggests an immediate need for primary care practitioners to screen for POF in women who present with amenorrhea before the age of 40," said Dr. Islam.

The average age at which women reach menopause is similar across different ethnic groups, and comparable findings are likely from other Western nations, the researchers say. "Socioeconomic influences on health are pervasive, but often hard to disentangle," said Dr. Islam. "Based on these data we can only speculate as to what they are, but the effect might be due to an unaccounted for environmental effect. Despite the availability of universal health care throughout these women's lives, there might also be differences in access to health care or differences in health behaviours.

"However, our data provide a clear rationale for the management of POF symptoms by healthcare providers. We believe that women with POF can benefit from multidisciplinary specialist care, including support for their significant psychological and physical symptoms. Their long-term health needs should also be considered. Our study has shown POF has a major impact on the quality of life of a significant section of the population, and it needs addressing urgently," she concluded.


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Contact: Hanna Hanssen
hanna@eshre.eu
32-047-335-3381
European Society of Human Reproduction and Embryology
Source:Eurekalert

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