Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic.

Angsuwathana, Surasak; Leerasiri, Pichai; Rattanachaiyanont, Manee; Tanmahasamut, Prasong; Dangrat, Chongdee; Indhavivadhana, Suchada; Techatrisak, Kitirat

Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic.

Date

2007-01-12

Authors

Angsuwathana, Surasak

Leerasiri, Pichai

Rattanachaiyanont, Manee

Tanmahasamut, Prasong

Dangrat, Chongdee

Indhavivadhana, Suchada

Techatrisak, Kitirat

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 (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 (> or =200 ml/dL), high blood level of low density lipoprotein cholesterol (LDL-C > or = 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.

Description

Chotmaihet Thangphaet.

Citation

Angsuwathana S, Leerasiri P, Rattanachaiyanont M, Tanmahasamut P, Dangrat C, Indhavivadhana S, Techatrisak K. Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic. Journal of the Medical Association of Thailand. 2007 Jan; 90(1): 1-8