Objectives: To determine more closely the relationship between vasomotor symptoms, well-being and climacteric status according to the last menstrual bleeding and according to the women themselves. Methods: A population-based cross-sectional study was executed using a postal questionnaire. Well-being of women with and without vasomotor symptoms was compared, for the different menopausal statuses. All 2729 women living in a commuter suburb of Rotterdam aged 45-60 years were approached of whom 1947 (71.3%) responded. Well-being was measured by the Inventory of Subjective Health (ISH) and three subscales of the Sickness Impact Profile (SIP). Results: The results showed that the relationship between vasomotor symptoms and well-being was dependent on climacteric status. Pre- and (middle and late) postmenopausal women with vasomotor symptoms more often experienced a relatively lower level of well- being compared to women without these symptoms. However, when the prevalence of vasomotor symptoms is as its peak, i.e. in late perimenopause, a difference in the level of well-being between women with and without vasomotor symptoms was absent. Conclusions: It is concluded that well-being and vasomotor symptoms were inversely related in all menopausal statuses except for the (late) perimenopausal phase. For this no somatic explanation seems plausible. A more social scientific explanation is suggested.

Climacteric status, Vasomotor symptoms, Well-being
dx.doi.org/10.1016/0378-5122(95)00989-2, hdl.handle.net/1765/66386
Department of Gynaecology & Obstetrics

Groeneveld, F.P.M.J, Bareman, F.P, Barentsen, R, Dokter, H.J, Drogendijk, A.C, & Hoes, A.W. (1996). Vasomotor symptoms and well-being in the climacteric years. Maturitas, 23(3), 293–299. doi:10.1016/0378-5122(95)00989-2