Our data do not support the existence of a single menopausal syndrome. There appears to be dialectic between culture and biology. It can be argued that symptoms experienced during the menopausal transition arise through a complexity of factors, not simply declining levels of estrogen or ethnicity; geographic location, local culture and temporality are factors that also need to be taken into account.
Abstract:Objectives: The aims of this pilot study were to evaluate treatment effects, ascertain safety and formulate best practice Chinese medicine protocols relevant for London women suffering from menopausal symptoms.
Study Design:This clinical pilot study employed a case series design within a wider action-based research project. 117 perimenopausal women between 45-55 years of age recruited from the general population were treated for menopausal symptoms by six experienced practitioners of Chinese medicine at the Polyclinic of the University of Westminster. Practitioners were instructed to treat as near to their usual practice style as possible. This involved using Chinese herbal medicine and/or acupuncture along with dietary and lifestyle advice. A maximum of twelve treatments over six months was allowed per patient.
Outcome Measures:The Menopause Specific Quality of Life Questionnaire (MenQoL), the Greene Climacteric Scale, and flushing diaries were used to evaluate treatment outcomes. Liver and kidney function tests were carried out at intake and after one, six and twelve treatments to evaluate the safety particularly in relation to the use of herbal medicines.
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