Title : Factors associated with quality of life and sexual satisfaction among perimenopausal and menopausal women residing

in Kang Valley Name: Noorhayati Binti Osman No matric : 1155172 Supervisor: Dr. Renu Gopinath Co-supervisor: Puan Faridah Binti Mohd Said & Prof. Madya Nathan Vytialingam Background: Perimenopuase women are subjected to biological changes, which influences production of hormon. Deficiency of these hormones elicit various somatic, psychological, vasomotor and sexual symptoms. This important issue deserves special attention, thus assessment to well being from various perspective including sexual satisfaction during menopause as it associated with women quality of life. Objective: To study the severity of menopausal symptoms associated with sexual relationship and to determine quality of life among perimenopause and menopause woman in Klang Valley. Methods: This crosssectional study was conducted in Obstetrics and Gynaecology Clinic, Kuala Lumpur Hospital. Total 310 respondents among woman were random sampling selected. Along with collection of socio-demographic data, Menopause rating Scale (MRS), Sexual behaviour modified questions and WHO Quality of life (WHOQOL Brief) were asked with questionnaire . Data was analyzed by SPSS18, and ANOVAs and Persons product moment correlation were used to test the associations. Result: Result showed more physical symptoms (5.99 3.08) than urogenital (5.79 3.58), psychosomatic symptoms (5.54 3.08), and vasomotor ( 3.65 2.43). Two-thirds satisfied with arousal during sexual, and only one third considered hormone therapy reduces the menopause symptoms. Occupational status and household incomes were significantly different with quality of life scores (p < 0.001). Respondents having more menopausal symptoms impaired quality of life (p < 0.001). The higher sexual behaviour score associated with higher quality of life (p < 0.05). Alternative therapy associated with better quality of life score (p < 0.001). Conclusion: It is an important local findings about perimenopause and menopause woman in term sexual behaviour and treatment modalities with quality of life . Increased awareness of hormone replacement therapy can reduce the menopausal symptoms and thus increase quality of life.

Tajuk : Faktor yang berkaitan dengan kualiti hidup dan kepuasan seksual di kalangan perimenopause dan wanita menopause yang berada di Lembah Klang Name: Noorhayati Binti Osman No matric : 1155172 Supervisor: Dr. Renu Gopinath Co-supervisor: Puan Faridah Binti Mohd Said & Prof. Madya Nathan Vytialingam Latar Belakang: Perimenopuase adalah berubah biologi, yang dipengaruhi daripada keluran hormon. Kekurangan hormon ini menimbulkan pelbagai tanda seperti somatic, psikologi, vasomotor dan gejala seksual. Isu ini perlu mendapatkan perhatian khusus, dengan ini penilaian kualiti hidup dari berbagai perspektif, termasuk kepuasan seksual semasa menopause kerana berkaitan dengan kualiti hidup wanita.Tujuan: Untuk mengkaji gejala menopause berkaitan dengan hubungan seksual dan untuk menentukan kualiti hidup seseorang wanita perimenopause dan menopause di Lembah Klang. Kaedah: Penyelidikan cross-sectional yang dilakukan di Klinik Obstetrik dan Ginekologi, Hospital Kuala Lumpur. 310 orang di kalangan wanita yang dipilih dengan secara rawak. Pengumpulan data melalui borang soal selidik mengandungi sosial-demografi, Menopause Skala (MRS), soalan

perilaku sexual dan soalan WHO Kualiti hidup (WHO qol Brief). Data di analisa dengan SPSS V18, dan menggunakan produk ANOVAs dan Persons korelasi digunakan untuk menguji hubungan dengan kualiti hidup. Keputusan : Keputusan ini menunjukkan lebih banyak gejala fizikal (5,99 3,08) dibandingkan urogenital (5,79 3,58), gejala psikosomatik (5,54 3,08), dan vasomotor (3,65 2,43). Dua pertiga puas hati dengan ghairah selama seksual, dan hanya satu terapi hormon ketiga dianggap mengurangkan gejala menopause. Pekerjaan status dan pendapatan rumah tangga secara signifikan berbeza dengan skor kualiti hidup (p < 0.001). Responden mengalami gejala menopause lebih gangguan kualiti hidup (p < 0.001). Undian perilaku seksual yang lebih tinggi berkaitan dengan kualiti hidup yang lebih tinggi (p < 0.05). Terapi Alternatif yang lebih baik berkaitan dengan high skor kehidupan (p < 0.001). Kesimpulan: Ini merupakan penemuan penting tentang wanita perimenopause dan menopause dalam perilaku seksual dan rawatan. Peningkatan kesedaran terapi penggantian hormon dapat mengurangkan gejala menopause dan dengan demikian meningkatkan kualiti hidup.