title: Behaviours and attitudes influencing treatment decisions for menopausal symptoms in five European countries.
abstract: OBJECTIVE
  To assess women's behaviours and attitudes regarding the treatment of menopausal symptoms in five European countries.
  
  
  METHODS
  Women aged ≥45 years in France, Germany, Italy, Spain, and the United Kingdom participated in an internet survey. Completers were those who reported menopausal symptoms and had treated their symptoms. Women were equally stratified by age (45-54 years, 55-64 years, ≥65 years).
  
  
  METHODS
  Behaviours, attitudes, and experiences regarding treatment of menopausal symptoms.
  
  
  RESULTS
  Of 3890 peri- to postmenopausal women screened, 67% experienced symptoms and 54% sought either medical input or some treatment concerning their symptoms. Hot flushes, the most common symptom, decreased with age but remained prevalent after age 64. Roughly 75% of women who sought relief consulted a physician, mostly a gynaecologist or a general practitioner (GP) as in the United Kingdom. The decision to seek treatment was influenced by age, number, and severity of symptoms. Approximately 79% visiting a physician received prescription therapy. Of the women who received non-hormone therapy (HT) treatment instead of HT: patients refused HT (20-44%), physicians did not discuss HT (32-46%), or advised against HT (24-43%). Women in the United Kingdom were most familiar with and favorable to HT. Interest in a new HT (34-50%) was higher than use (19-28%).
  
  
  CONCLUSIONS
  Menopausal symptoms are common, persistent, and bothersome, but many fail to seek treatment. Sources and types of treatment vary among age groups and countries. Education regarding women's attitudes toward treatment should be provided to those physicians who treat menopausal symptoms in each country.
authors.affiliation: EndoRheum Consultants LLC, Malvern, PA, USA endorheum@gmail.com.
authors.forename: Ginger D
authors.initials: GD
authors.lastname: Constantine
authors.affiliation: TherapeuticsMD, Boca Raton, FL, USA.
authors.forename: Shelli
authors.initials: S
authors.lastname: Graham
authors.affiliation: AX's Consulting SPRL, Chaumont-Gistoux, Belgium.
authors.forename: Cathy
authors.initials: C
authors.lastname: Clerinx
authors.affiliation: TherapeuticsMD, Boca Raton, FL, USA.
authors.forename: Brian A
authors.initials: BA
authors.lastname: Bernick
authors.affiliation: TherapeuticsMD, Boca Raton, FL, USA.
authors.forename: Mitchell
authors.initials: M
authors.lastname: Krassan
authors.affiliation: TherapeuticsMD, Boca Raton, FL, USA.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Mirkin
authors.affiliation: Department of Obstetrics and Gynecology, Dumfries & Galloway Royal Infirmary, Dumfries, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: Currie
mesh_terms: D000368:Aged; D001294:Attitude to Health; D003657:Decision Making; D015914:Estrogen Replacement Therapy; D005060:Europe; D005260:Female; D005602:France; D005858:Germany; D006801:Humans; D007558:Italy; D008593:Menopause; D008875:Middle Aged; D013030:Spain; D006113:United Kingdom
keywords: Attitude; hormone therapy; menopause; survey; vasomotor symptoms