Perfil epidemiológico das pacientes pós-menopausa acompanhadas em um ambulatório de climatério em Belém-PA

Abstract

Menopause is the permanent cessation of the menstrual cycle, reflecting the depletion of oocytes and the loss of gonadal steroids, so that this transition period in women's lives, most frequently experienced between 40 and 55 years of age, can be associated with great variability of symptoms. This study aimed to describe the epidemiological profile of postmenopausal patients followed at a climacteric outpatient clinic in the state of Pará and define the prevalence of hormonal treatment. A cross-sectional and descriptive study was carried out that included 73 postmenopausal women treated at the gynecology outpatient clinics of the Centro de Especialidades Médicas do CESUPA (CEMEC) from June 2018 to June 2023. The analysis took into account sociodemographic and historical data health, lifestyle habits and specific information about the use and experiences with Hormone Therapy. The majority of participating women identified themselves as mixed race (89%), living in urban areas (89%) and with an average age between 51 and 67 years (75.3%), highlighting a significant number of single women (53.4%). There was a tendency to be overweight (45.2%), with a low smoking profile (14%) and moderate alcohol consumption. Adherence to Hormone Therapy was influenced by a combination of factors, including age at onset of menopause and associated symptoms, with the majority starting treatment between 6 and 10 years after the appearance of the first symptoms. The study also revealed the importance of education and access to adequate information about menopause and the therapeutic options available, reflecting the need for more inclusive health policies adapted to the cultural and socioeconomic reality of women in Belém. It is concluded that there is a significant demand for more specialized health services sensitive to menopausal conditions, highlighting the need for public health strategies that address regional specificities and promote a better quality of life for postmenopausal women in the region.