title: Long-term effect of transdermal hormonal therapy on aspects of quality of life in postmenopausal women.
abstract: The long-term effect on aspects of quality of life (QoL) of treatment with transdermal oestrogen for 2 weeks followed by transdermal oestrogen/progestogen norethisterone acetate/oestradiol TTS 0.25/0.05 mg/day for the next 2 weeks was investigated in postmenopausal women within the framework of a 1-year seven-centre trial. Of the 136 women who were included (mean age 53 +/- 4.8 years), 110 completed the study. Aspects of QoL that are of relevance in the perimenopause and postmenopause were evaluated using the Psychological General Well-Being (PGWB) index, the Women's Health Questionnaire (WHQ) and the Sleep Dysfunction Scale before and after 3 and 9 months of therapy in the oestrogen phase. Climacteric complaints were also assessed by means of the Kupperman Index. Improved well-being, i.e. less anxiety and depression, increased vitality and better self-control (P less than 0.0001) were observed, as well as reduced sleep disturbance (P less than 0.0001). The WHQ showed decreased vasomotor and somatic symptoms, and improved sex life, emotions and cognitive function (P less than 0.0001). Improvement was the same at 3 and 9 months. According to the Kupperman Index, climacteric symptoms were alleviated (P less than 0.0001). Relief of vasomotor symptoms was correlated with improvement in the WHQ (r = 0.82), the PGWB index (r = 0.58, P less than 0.0001) and sleep (r = 0.51, P less than 0.0001). Because of the absence of a placebo control group, the results must be regarded with caution until confirmed in a placebo-controlled trial.
authors.affiliation: Department of Medicine, Ostra Hospital, Göteborg, Sweden.
authors.forename: I
authors.initials: I
authors.lastname: Wiklund
authors.forename: G
authors.initials: G
authors.lastname: Berg
authors.forename: M
authors.initials: M
authors.lastname: Hammar
authors.forename: J
authors.initials: J
authors.lastname: Karlberg
authors.forename: R
authors.initials: R
authors.lastname: Lindgren
authors.forename: K
authors.initials: K
authors.lastname: Sandin
mesh_terms: D000279:Administration, Cutaneous; D000339:Affect; D001294:Attitude to Health; D002979:Climacteric; D004958:Estradiol / Q000008:administration & dosage; D015914:Estrogen Replacement Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D009640:Norethindrone / Q000008:administration & dosage / Q000031:analogs & derivatives; D000077563:Norethindrone Acetate; D011788:Quality of Life
chemical_list: D004958:Estradiol; D000077563:Norethindrone Acetate; D009640:Norethindrone