Publication: Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic
Issued Date
2007-01-01
Resource Type
ISSN
01252208
01252208
01252208
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2-s2.0-33846998297
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.90, No.1 (2007), 1-8
Suggested Citation
Surasak Angsuwathana, Pichai Leerasiri, Manee Rattanachaiyanont, Prasong Tanmahasamut, Chongdee Dangrat, Suchada Indhavivadhana, Kitirat Techatrisak Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic. Journal of the Medical Association of Thailand. Vol.90, No.1 (2007), 1-8. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/25052
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Title
Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic
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Abstract
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 reviewed. Results: 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 (27.9%), 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 6.6% 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 cancer. Conclusion: 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.