The relationship between urogenital symptoms and climacteric complaints

Abstract Objective To evaluate the relationship between urogenital symptoms and climacteric complaints, including anxiety, depression, somatic, vasomotor and sexual subscores according to the Greene Climacteric Scale (GCS). Methods We retrospectively reviewed the records of 1278 patients and the 908...

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Published in:Climacteric : the journal of the International Menopause Society 2013-12, Vol.16 (6), p.646-652
Main Authors: Oge, T., Hassa, H., Aydin, Y., Yalcin, O. T., Colak, E.
Format: Article
Language:English
Subjects:
ANXIETY
Anxiety - epidemiology
CLIMACTERIC SYMPTOMS
DEPRESSION
Depression - epidemiology
Dyspareunia - epidemiology
Female
Hot Flashes - epidemiology
Humans
Medical treatment
MENOPAUSE
Menopause - physiology
Menopause - psychology
Mental depression
Middle Aged
Multivariate analysis
Regression analysis
Retrospective Studies
Severity of Illness Index
Sexuality
Urination Disorders - epidemiology
UROGENITAL SYMPTOMS
Urogenital system
Vaginal Diseases - epidemiology
VAGINAL SYMPTOMS
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Summary:Abstract Objective To evaluate the relationship between urogenital symptoms and climacteric complaints, including anxiety, depression, somatic, vasomotor and sexual subscores according to the Greene Climacteric Scale (GCS). Methods We retrospectively reviewed the records of 1278 patients and the 908 patients who fulfilled the inclusion criteria were included in the study. The relationships were evaluated between GCS and vaginal symptoms, including vaginal pain, dyspareunia, itching, discharge, burning, dryness, and postcoital bleeding, and urinary symptoms, including dysuria, frequency, nocturia and incontinence, by using univariate and multivariate analyses. Results Among vaginal symptoms, somatic and sexual scores and, among urinary symptoms, anxiety and somatic scores were found to be the most associated factors. Of the vaginal symptoms, the highest odds ratios for somatic score and sexual score were found to be 2.21 (95% confidence interval (CI) 1.69-2.88, p < 0.001) and 2.08 (95% CI 1.70-2.56, p = 0.029), respectively. Multivariate logistic regression analyses for urinary symptoms revealed that the highest odds ratios for anxiety, somatic, depression and sexual scores were 1.53 (95% CI 1.20-1.95, p = 0.001), 1.92 (95% CI 1.38-2.66, p = 0.01), 1.47 (95% CI 1.11-1.94, p = 0.007), and 1.28 (95% CI 1.06-1.55, p < 0.001), respectively. Conclusions There is a strong relationship between urogenital symptoms and GCS subscores. Therefore, clinicians should be aware of urogenital problems in the presence of severe climacteric symptoms and this may provide earlier treatment for urogenital complaints.
ISSN:1369-7137
1473-0804
DOI:10.3109/13697137.2012.756467