Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic
Angsuwathana, S.; Leerasiri, P.; Rattanachaiyanont, M.; Tanmahasamut, P.; Dangrat, C.; Indhavivadhana, S.; Techatrisak, K.
Journal of the Medical Association of Thailand 90(1): 1-8
2007
ISSN/ISBN: 0125-2208 PMID: 17621725 Document Number: 2713
Objective: To determine the general health status of pre/postmenopausal women attending the menopause clinic.Study design: Retrospective descriptive study.Setting: Siriraj Menopause Clinic, Gynecologic Endocrinology Unit, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University.Study population: Pre/postmenopausal women (i) presumed to have no medical disease (no disease group) or (ii) with unknown status of medical disease (no record group) and undergoing health check-up program at the time of registration without prior hormone therapy.Material and Method. Medical records of new patients registering at the menopause clinic from January 1999 to December 2005 were reviewedResults: Among 1, 020 patients undergoing health check-up program, there were 366 patients in the no disease group. They had abnormal health parameters listing by frequency of prevalence including hypercholesterolemia (62.3%), suboptimal blood pressure (49.3%), overweight to obese (30.2%), suboptimal fasting blood sugar (2 7.9%), hypertriglyceridemia (21.3%), abnormal liver function tests (5.4-6 9%), and abnormal kidney function tests (0.5%). The prevalence of dyslipidemia was statistically higher in the no record group compared to the no disease group; such abnormal parameters included hypercholesterolemia (>= 200 ml/dL), high blood level of low density lipoprotein cholesterol (LDL-C >= 130 mg/dL), and high ratio between LDL-C and high density lipoprotein cholesterol (LDL-C/HDL-C ratio > 3). Osteoporosis was found in 66% of the patients. Abnormal mammographic findings that needed close follow-up or breast biopsy were found in 13.5%. Twelve patients had breast biopsy and none had breast cancerConclusion: Abnormal health parameters are common in pre/postmenopausal women presumed to have no medical disease. The similar or even worse findings are also found in those whose status of medical diseases was unknown. Therefore, a routine health screening program, especially for metabolic diseases, should be offered to pre/postmenopausal women regardless of their medical history.
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