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==Overview==
==Overview==
 
The [[prevalence]] of [[menopause]] is estimated to be about 50 million cases annually. [[Menopause]] naturally occurs in [[women]] between 49 to 52 of [[age]] the [[average]]. The [[Fatality rate|fatality]] cases were 345 cases per 3191 [[women]] aged between 50-86 years in the [[United States]]. There is no [[racial]] predilection to [[Menopause]],  but  African American [[women]] had experienced the largest number of [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms] compared with other [[Ethnic group|ethnic groups]].
[[Menopause]] is typically beginning between the ages of 51 and 52, age at [[menopause]] is also higher in the West as compared to the range of 45-47 years in developing countries. About 25 million [[women]] pass through [[menopause]] each year, In the United States, approximately 1.3 million [[women]] become [[Menopause|menopausal]] each year. By 2030, the world population of [[Menopause|menopausal]] and [[postmenopausal]] [[women]] is projected to increase to 1.2 billion."Symptomatically of [[menopause]] differs in different areas of the world e.g In West - [[hot flush]], in Japan [[shoulder pain]] and India low vision are the hallmarks of [[menopause]]. HRT use rate is high in the West while it is low or negligible in countries like India".85 % of [[postmenopausal]] women have experienced a [[menopause]]-related [[symptom]] in their lifetime, 15% increased the risk of causes [[mortality]] among [[women]] at an early age at [[menopause]]. The ethnic differences in the [[symptoms]] experienced during the [[menopausal]] transition were noted. Asian [[women]] had experienced the smallest number of [[menopausal]] [[symptoms]] compared with all other ethnic groups, but African American women had experienced the largest number of [[menopausal]] [[symptoms]] compared with other ethnic groups.
 


==Epidemiology and Demographics==
==Epidemiology and Demographics==
===Prevalence and Incidence===


====Prevalence and Incidence====
*The [[prevalence]] of [[menopause]] is estimated to be about 50 million cases worldwide will go into [[menopause]] annually.<ref name="pmid11716989">{{cite journal| author=Massart F, Reginster JY, Brandi ML| title=Genetics of menopause-associated diseases. | journal=Maturitas | year= 2001 | volume= 40 | issue= 2 | pages= 103-16 | pmid=11716989 | doi=10.1016/s0378-5122(01)00283-3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11716989 }} </ref>
 
*"About 25 million women pass through [[menopause]] each year and were estimated that in 1990 there were 467 million [[postmenopausal]] women in the world, with an average age of about 60 years. By 2030, the world population of [[menopausal]] and [[postmenopausal]] women is projected to increase to 1.2 billion, with 47 million new entrants each year. In the United States, approximately 1.3 million [[women]] become [[menopausal]] each year".<ref name="pmid8735350">{{cite journal| author=Hill K| title=The demography of menopause. | journal=Maturitas | year= 1996 | volume= 23 | issue= 2 | pages= 113-27 | pmid=8735350 | doi=10.1016/0378-5122(95)00968-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8735350  }} </ref><ref>https://www.ncbi.nlm.nih.gov/books/NBK507826/#article-24984.s11</ref>
*"To assess the prevalence of [[menopausal]] [[symptoms]] among women prescribed hormone therapy (HT) using electronic medical record data from a regional healthcare organization, the mean age of [[patients]] was 54 years. The most common [[menopausal]] [[symptoms]] were: [[hot flushes]] (40 %), [[night sweats]] (17 %), [[insomnia]] (16 %), [[vaginal dryness]] (13 %), [[mood disorders]] (12 %), and [[weight gain]] (12 %). Among the 102 [[patients]], 163 individual visits listing [[menopausal]] [[symptoms]] were identified, of which [[hot flushes]] (71 visits) were the most common [[Symptoms|symptom]] identified. 85 % of [[postmenopausal]] women have experienced a [[menopause]]-related [[Symptoms|symptom]] in their lifetime, and the Prevalence of [[vasomotor]] symptoms( [[hot flushes]] and/or [[night sweats]]) alone is estimated at approximately 40 to 50 million women in the United States".<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542113/#:~:text=With%20the%20aging%20of%20the,the%20year%202030%20%5B1%5D.</ref>
*"Symptomatically of [[menopause]] differs in different areas of the world e.g In West - [[hot flush]], in Japan [[shoulder pain]] and India low vision are the hallmarks of [[menopause]]. HRT use rate is high in the West while it is low or negligible in countries like India".<ref name="pmid15981376">{{cite journal| author=Singh A, Kaur S, Walia I| title=A historical perspective on menopause and menopausal age. | journal=Bull Indian Inst Hist Med Hyderabad | year= 2002 | volume= 32 | issue= 2 | pages= 121-35 | pmid=15981376 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15981376 }} </ref>


*In 1990 there were 467 million [[postmenopausal]] women in the world, by 2030, [[menopausal]] [[women]] are projected to increase to 1.2 billion worldwide.<ref name="pmid8735350">{{cite journal| author=Hill K| title=The demography of menopause. | journal=Maturitas | year= 1996 | volume= 23 | issue= 2 | pages= 113-27 | pmid=8735350 | doi=10.1016/0378-5122(95)00968-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8735350  }} </ref>
*The [[prevalence]] of [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms] differ in [[women]] according to areas and countries that they live them, the [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms]  ranges from 74% of [[women]] in Europe, 36-50% in North America, 45-69% in [[Latin America]] and 22-63% in Asia.<ref name="pmid20690868">{{cite journal| author=Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P| title=Age of menopause and impact of climacteric symptoms by geographical region. | journal=Climacteric | year= 2010 | volume= 13 | issue= 5 | pages= 419-28 | pmid=20690868 | doi=10.3109/13697137.2010.507886 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20690868  }} </ref>
*The [[prevalence]] of [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms] among [[women]] prescribed [[hormone therapy]] ([[Hormonal therapy|HT]]), the mean age of patients was 54 years. The most common [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms] were: [[hot flushes]] (40 %), [[night sweats]] (17 %), [[insomnia]] (16 %), [[vaginal dryness]] (13 %), [[mood disorders]] (12 %), and [[weight gain]] (12 %).
*85 % of [[postmenopausal]] [[women]] have experienced a [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptom] in their lifetime, and the prevalence of [https://www.contemporaryobgyn.net/view/managing-menopause-part-1-vasomotor-symptoms vasomotor symptoms]( [[hot flushes]] and/or [[night sweats]]) alone is estimated at approximately 40 to 50 million [[women]] in the [[United States]].<ref name="pmid26271251">{{cite journal| author=Sussman M, Trocio J, Best C, Mirkin S, Bushmakin AG, Yood R | display-authors=etal| title=Prevalence of menopausal symptoms among mid-life women: findings from electronic medical records. | journal=BMC Womens Health | year= 2015 | volume= 15 | issue=  | pages= 58 | pmid=26271251 | doi=10.1186/s12905-015-0217-y | pmc=4542113 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26271251  }} </ref>


<br />
===Age===


*The onset [[age]] of [[menopause]] between the [[Age|ages]] of 50-53 in Europe.
*In North America, the onset [[age]] of [[menopause]] from 50-51years.
*In [[Latin America]], the onset [[age]] of [[menopause]] from 44- 53 years.
*In Asia, the onset [[age]] of [[menopause]] from 42-49 years.<ref name="pmid20690868">{{cite journal| author=Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P| title=Age of menopause and impact of climacteric symptoms by geographical region. | journal=Climacteric | year= 2010 | volume= 13 | issue= 5 | pages= 419-28 | pmid=20690868 | doi=10.3109/13697137.2010.507886 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20690868  }} </ref>


====Age====
===Mortality rate===


*"[[Menopause]] is typically beginning between the ages of 51 and 52. However, about 5% of women experience early [[menopause]] between the ages of 40 and 45. Additionally, 1% of women experience [[premature menopause]] before the age of 40, due to [[premature ovarian failure]] that may be associated with [[sex chromosome]] abnormalities".<ref>https://www.ncbi.nlm.nih.gov/books/NBK507826/#article-24984.s11</ref>
*In 1997, the [[Fatality rate|fatality]] cases were 345 cases per 3191 [[women]] aged between 50-86 years in the [[United States]] over a mean follow-up time of 4.0 years.
*"Age at [[menopause]] is also higher in the West as compared to the range of 45-47 years in developing countries like India. Historically also a lower age at [[menopause]] was range documented in earlier times. This rose to the range of 50-51 years in the present era".<ref name="pmid15981376">{{cite journal| author=Singh A, Kaur S, Walia I| title=A historical perspective on menopause and menopausal age. | journal=Bull Indian Inst Hist Med Hyderabad | year= 2002 | volume= 32 | issue= 2 | pages= 121-35 | pmid=15981376 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15981376 }} </ref>
*The [[Mortality ratio|mortality rate ratio]] ([[Mortality ratio|MRR]]) was 1.50% for [[women]] with [[menopause]] at [[age]] < 40, and the [[Mortality ratio|MRR]] of [[women]] with [[menopause]] at age 40-44 was 1.04%. While the [[Mortality ratio|MRR]] for [[women]] with [[menopause]] at age 45-49 was 0.96%.<ref name="pmid9590601">{{cite journal| author=Cooper GS, Sandler DP| title=Age at natural menopause and mortality. | journal=Ann Epidemiol | year= 1998 | volume= 8 | issue= 4 | pages= 229-35 | pmid=9590601 | doi=10.1016/s1047-2797(97)00207-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9590601 }} </ref>


===Race===


====Mortality rate====
*The [[prevalence]] of [[menopause]] does not vary by race.
15% increased the risk of causes [[mortality]] among women at an early age at [[menopause]]. The relationship between [[menopause]] and [[mortality]] is unclear, Increased causes of [[mortality]] risk in women that never using [https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372 postmenopausal hormones] with natural [[menopause]] at ages <40. This study indicates that [https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372 HRT] use among women who experienced [[menopause]] at <45 years of age may increase the risk of [[mortality]], women that are using [[estrogen]] and [[estrogen]] plus [[progestin]] therapy become have more increased risk for [[stroke]]. Another review reported a low risk of [[stroke]] for oral [[estrogen]] use among women who began [https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372 HRT] before age 65.<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6651856/#:~:text=Increased%20all%2Dcause%20mortality%20risk%20was%20reported%20in%20the%20BWHS,associations%20were%20found%20for%20ever%2D</ref>
*The [[Ethnic group|ethnic]] differences in the [[symptoms]] experienced during the [[menopausal]] transition were noted. Asian [[women]] had experienced the smallest number of [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms] compared with all other [[Ethnic group|ethnic groups]], but  African American [[women]] had experienced the largest number of [https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 menopausal symptoms] compared with other [[Ethnic group|ethnic groups]].<ref name="pmid19245351">{{cite journal| author=Green R, Santoro N| title=Menopausal symptoms and ethnicity: the Study of Women's Health Across the Nation. | journal=Womens Health (Lond) | year= 2009 | volume= 5 | issue= 2 | pages= 127-33 | pmid=19245351 | doi=10.2217/17455057.5.2.127 | pmc=3270699 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19245351  }} </ref>


====Race====


*Data regarding racial differences in age at [[menopause]] have been mixed with several small studies reporting that [[menopause]] occurs approximately six months earlier in Black [[women]] when compared to age-matched White [[women]], while other larger studies have reported no racial difference. The ethnic differences in the [[symptoms]] experienced during the [[menopausal]] transition were noted. Asian [[women]] had experienced the smallest number of [[menopausal]] [[symptoms]] compared with all other ethnic groups, but African American [[women]] had experienced the largest number of [[menopausal]] symptoms compared with other ethnic groups. Brazilian [[women]] had experienced highly prevalent and similar [[vasomotor]] symptoms like Western women.<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670463</ref>





Latest revision as of 07:45, 11 February 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Rahmah Al-Edresi, M.D.[2]


Overview

The prevalence of menopause is estimated to be about 50 million cases annually. Menopause naturally occurs in women between 49 to 52 of age the average. The fatality cases were 345 cases per 3191 women aged between 50-86 years in the United States. There is no racial predilection to Menopause, but African American women had experienced the largest number of menopausal symptoms compared with other ethnic groups.

Epidemiology and Demographics

Prevalence and Incidence


Age

Mortality rate

Race





References

  1. Massart F, Reginster JY, Brandi ML (2001). "Genetics of menopause-associated diseases". Maturitas. 40 (2): 103–16. doi:10.1016/s0378-5122(01)00283-3. PMID 11716989.
  2. Hill K (1996). "The demography of menopause". Maturitas. 23 (2): 113–27. doi:10.1016/0378-5122(95)00968-x. PMID 8735350.
  3. 3.0 3.1 Palacios S, Henderson VW, Siseles N, Tan D, Villaseca P (2010). "Age of menopause and impact of climacteric symptoms by geographical region". Climacteric. 13 (5): 419–28. doi:10.3109/13697137.2010.507886. PMID 20690868.
  4. Sussman M, Trocio J, Best C, Mirkin S, Bushmakin AG, Yood R; et al. (2015). "Prevalence of menopausal symptoms among mid-life women: findings from electronic medical records". BMC Womens Health. 15: 58. doi:10.1186/s12905-015-0217-y. PMC 4542113. PMID 26271251.
  5. Cooper GS, Sandler DP (1998). "Age at natural menopause and mortality". Ann Epidemiol. 8 (4): 229–35. doi:10.1016/s1047-2797(97)00207-x. PMID 9590601.
  6. Green R, Santoro N (2009). "Menopausal symptoms and ethnicity: the Study of Women's Health Across the Nation". Womens Health (Lond). 5 (2): 127–33. doi:10.2217/17455057.5.2.127. PMC 3270699. PMID 19245351.


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