title: The relationship between urogenital symptoms and climacteric complaints.
abstract: OBJECTIVE
  To evaluate the relationship between urogenital symptoms and climacteric complaints, including anxiety, depression, somatic, vasomotor and sexual subscores according to the Greene Climacteric Scale (GCS).
  
  
  METHODS
  We retrospectively reviewed the records of 1278 patients and the 908 patients who fulfilled the inclusion criteria were included in the study. The relationships were evaluated between GCS and vaginal symptoms, including vaginal pain, dyspareunia, itching, discharge, burning, dryness, and postcoital bleeding, and urinary symptoms, including dysuria, frequency, nocturia and incontinence, by using univariate and multivariate analyses.
  
  
  RESULTS
  Among vaginal symptoms, somatic and sexual scores and, among urinary symptoms, anxiety and somatic scores were found to be the most associated factors. Of the vaginal symptoms, the highest odds ratios for somatic score and sexual score were found to be 2.21 (95% confidence interval (CI) 1.69-2.88, p < 0.001) and 2.08 (95% CI 1.70-2.56, p = 0.029), respectively. Multivariate logistic regression analyses for urinary symptoms revealed that the highest odds ratios for anxiety, somatic, depression and sexual scores were 1.53 (95% CI 1.20-1.95, p = 0.001), 1.92 (95% CI 1.38-2.66, p = 0.01), 1.47 (95% CI 1.11-1.94, p = 0.007), and 1.28 (95% CI 1.06-1.55, p < 0.001), respectively.
  
  
  CONCLUSIONS
  There is a strong relationship between urogenital symptoms and GCS subscores. Therefore, clinicians should be aware of urogenital problems in the presence of severe climacteric symptoms and this may provide earlier treatment for urogenital complaints.
authors.affiliation: Departments of Gynecology and Obstetrics.
authors.forename: T
authors.initials: T
authors.lastname: Oge
authors.forename: H
authors.initials: H
authors.lastname: Hassa
authors.forename: Y
authors.initials: Y
authors.lastname: Aydin
authors.forename: O T
authors.initials: OT
authors.lastname: Yalcin
authors.forename: E
authors.initials: E
authors.lastname: Colak
mesh_terms: D001007:Anxiety / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D004414:Dyspareunia / Q000453:epidemiology; D005260:Female; D019584:Hot Flashes / Q000453:epidemiology; D006801:Humans; D008593:Menopause / Q000502:physiology* / Q000523:psychology*; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D019529:Sexuality; D014555:Urination Disorders / Q000453:epidemiology; D014623:Vaginal Diseases / Q000453:epidemiology