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김혜영 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.6
This study was conducted to explore the prevalence of sexual dysfunction and to determine the related factors influencing sexual function in peri-menopausal women. A total of 236married women aged 20-59 years participated in this study. Data were collected through self-report questionnaires which were constructed to include general characteristics items, depression, and female sexual function. The mean total sexual function score was 19.49 while the proportion of women with female sexual dysfunction was 61.4%. Significant predictors influencing sexual function in peri-menopausal women were hypertension, sexual partner's age, frequencies of pregnancy and delivery, and depression, and these predictors account for 37.9% of the variance in sexual function. We propose the development of sex-related counseling and education program that can improve quality of life and sexual function based on the related factors that may affect sexual function in peri-menopausal women. 이 연구의 목적은 폐경이행기 여성의 성기능 장애의 정도 및 성기능에 영향을 미치는 요인을 파악하기 위함이다. 본 연구대상자는 지역사회에 거주하고 있는 45세부터 55세까지의 최종월경일로부터 1년이 경과하지 않은 여성 236명이다. 자료는 일반적 특성, 우울 및 여성 성기능 설문지로부터 수집되었다. 자료분석은 SPSS 23.0 프로그램을 이용하여 기술적 통계, t-test, ANOVA, Pearson correlation coefficients and multiple regression으로 분석하였다. 연구결과 폐경이행기 여성의 성기능 점수는 19.49±9.64점이었으며 61.4%(절단치 25점 이하)의 여성이 성기능 장애를 가지고 있었다. 폐경이행기 여성의 성기능에 미치는 영향 요인으로 고혈압, 나이, 성 파트너 나이, 임신 및 분만횟수 그리고 우울이 확인되었으며, 전체 모형의 설명력은 37.9%로 나타났다. 본 연구결과를 근거로 폐경이행기 여성의 성기능에 영향을 미칠 수 있는 관련 요인을 바탕으로 성기능 증진과 더불어 삶의 질을 향상시킬 수 있는 성관련 상담 및 교육프로그램 개발을 제언한다.
김선미 ( Sun Mie Kim ),김석현 ( Seok Hyun Kim ),이정렬 ( Jung Ryeol Lee ),지병철 ( Byung Chul Jee ),서창석 ( Chang Suk Suh ),이중엽 ( Joong Yeup Lee ),김기철 ( Ki Chul Kim ),황도영 ( Yeong Hwang ),김정구 ( Jung Gu Kim ),문신용 ( S 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.2
Objective: To assess the efficiency of anti-Mullerian hormone (AMH), follicle-stimulating hormone (FSH), estradiol, antral follicle count (AFC), endometrial thickness (EMT), and clinical findings as predictive markers of menopause in late reproductive-aged Korean women. Methods: A cohort of 104 women, aged 45 to 55 years in their menopausal transition were selected. The participants were assessed twice (T1 and T2) at a mean interval of 13.1 months. At each time, their menstrual history was determined; pelvic ultrasonography was performed to evaluate AFC and EMT; blood sampling was done. A logistic regression analysis using the SPSS ver. 17.0 was performed, with the outcome measure of menopause at T2. Results: Of the 104 participants, 33 were postmenopausal based on their menstrual history at T2. Compared with women who stayed in the menopausal transition period, those who became postmenopausal at T2 differed significantly with regard to the following factors at T1: FSH, estradiol, EMT, AFC, days from the last menstrual cycle, and interval between the last 2 cycles. However, AMH levels were not different between the groups. Of all the parameters, a longer number of days from the last menstrual cycle and time interval between the last 2 cycles were significantly associated with the occurrence of menopause. Conclusion: This study indicates that AMH is not a predictive marker of menopause in late reproductive-aged women over a relatively short timeframe (range, 0.5 to 2.5 years). Time since the last menstruation at T1 was a better predictor of menopause.
폐경 증상을 호소하는 폐경 이행기 여성에서 갑상선 감별 진단의 필요성
김영선 ( Young Sun Kim ),정은영 ( Eun Young Jung ),이보연 ( Bo Yeon Lee ) 대한폐경학회 2012 대한폐경학회지 Vol.18 No.3
Objectives: Hormone therapy is generally chosen to treat women who are experiencing menopausal symptoms. Knowing the overlapping symptoms between menopause and thyroid diseases as well as their increasing trend, it is crucial to differentially diagnose among the two types of diseases. The study is focused on the thyroid function test (TFT) and its significance. It also reflects those who are in the menopausal transition state, suffering from premenopausal symptoms, and therefore, want to be treated with hormone therapy. Methods: Endocrinologic diagnosis for menopause was performed in 139 patients who complained of menopausal symptoms and irregular menstruation within the past year and hence, visited the Department of Obstetrics and Gynecology, Kyung Hee University Hospital in order to obtain consultation from January 2007 to March 2011. We made observations using the retrograde method. Among these women, 43 patients tested for TFT for their atypical menopausal symptoms. Results: Among the 43 patients who tested for TFT, 10 patients showed abnormal TFT and 3 patients who did not take TFT at our department were found to have the thyroid disease later by other clinics. Conclusion: In order to differentiate thyroid disease, practical guidelines should be prepared for the management of women with menopausal transition. (J Korean Soc Menopause 2012;18:174-179)