Conhecimento, percepções e assistência à saúde da mulher no climatério

Abstract

The experience of the climacteric period is the object of the present descriptive-qualitative study with women from the cities of Canoas and Porto Alegre, RS. The collection of data was carried out through semi-structured interviews with 15 women aged from 41 to 59 years old. The interpretation and analysis were based on the analysis of content. The women interviewed were confused regarding what climacteric is, relating it to the symptoms associated to aging. They acknowledged that this phase of their lives presents positive aspects and experience it without worries. The perceptions of the women interviewed are fragmented and medical care professionals believe it is an illness subject to treatment. Therefore, these professionals, who are constantly interacting with women in the climacteric period, could help demystify and resignify this process in their lives.

Sintomatologia E Modificações No Cotidiano Das Mulheres No Período Do Climatério

“…Portanto, a enfermeira, por contactar em mais oportunidades com a mulher, como no caso do Programa de Tratamento do Câncer Ginecológico (20-59 anos), tem mais condições de auxiliá-la em todas as etapas da vida. Nesse sentido, são fundamentais as iniciativas que contemplem a atenção à saúde, incluindo a possibilidade de troca de experiências, acesso à informações em uma assistência holística, para que a mulher no climatério alcance a autovalorização e a auto-estima, fundamentais ao bem-estar e à longevidade com saúde e dignidade (11) . O climatério é um período considerado de etiopatogenia complexa; embora envolva todo o eixo hipotálamo-hipófise-ovário, sendo o ovário a estrutura mais relevante nesse processo.…”

Factors related to depressive complaints on climacteric: a cross-sectional study

“…The average age of respondents corresponds to the menopausal transition, marked by variation of the menstrual flow (amenorrhea, polymenorrhea), and was lower than in other population-based studies examining the relationship between menopause and depressive symptoms, [5,[13][14] thus allowing inferences about the early age at which such changes arise in the population studied. The education level of the participants was considered to be low.…”

“…[5,14] In this study, the prevalence of depressive symptoms was high (68.1%), surpassing the findings of other studies. [4,13,15,16] This may reflect the economic reality of the studied population. Similarly, the presence of comorbidities and chronic diseases contribute to the outcome of the results.…”

“…[24,25] However, it is difficult to assess the effect of climacteric hormonal variations on blood pressure, since these phenomena are influenced and determined by several factors, such as BMI, socioeconomic status, smoking and lifestyle, among others. [13] Studies show that individuals with one or more chronic diseases, particularly cardiovascular, had a higher prevalence of depression compared to the general population. [26][27] It is observed that these patients report worse self-assessment of their health, with the greatest number of complaints and greater vulnerability to adverse conditions.…”

Climacteric: intensity of symptoms and sexual performance

“…1 It is known that care of climacteric women, including their sexuality, is one of the priorities of Public Health Policies 5 aimed at women, even though some professionals still focus on diagnoses and treatment of clinical complaints, resulting in medication rather than in the assessment of subjective complaints such as sexual dissatisfaction, concern with the lack of sexual desire, sense of guilt for changes in the family environment, in their bodies and in the relationship with their partner. 1,6 Sexuality appears as an important aspect of quality of life in climacteric, as hormonal changes have an influence on women's libido. In addition, sexuality has historically gathered a lot of myths, taboos and beliefs over time and within different societies, which makes it evident that it requires special attention from health professionals, so as to deliver good quality services to women, with the aim to provide a comprehensive care service.…”