Health check-up program for pre/postmenopausal women at Siriraj Menopause Clinic.
OBJECTIVE
To determine the general health status of pre/postmenopausal women attending the menopause clinic.


METHODS
Retrospective descriptive study.


METHODS
Siriraj Menopause Clinic, Gynecologic Endocrinology Unit, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University.


METHODS
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.


METHODS
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.


CONCLUSIONS
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.
Angsuwathana
Surasak
S
Gynecologic Endocrinology Unit, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand.
Leerasiri
Pichai
P
Rattanachaiyanont
Manee
M
Tanmahasamut
Prasong
P
Dangrat
Chongdee
C
Indhavivadhana
Suchada
S
Techatrisak
Kitirat
K
D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis; D003153:Community Health Services; D050171:Dyslipidemias / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006801:Humans; D008403:Mass Screening; D008659:Metabolic Diseases / Q000175:diagnosis; D008875:Middle Aged; D010024:Osteoporosis / Q000453:epidemiology; D012189:Retrospective Studies; D013785:Thailand / Q000453:epidemiology