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KMID : 0352519830200030055
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Korea Univercity Medical Journal
1983 Volume.20 No. 3 p.55 ~ p.70
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A Study on Menopause in Korean Women
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閔富基/Min, Bu-Kie
丘秉參/李壽鍾/Koo, Byung-Sahm/Lee, Soo-Chong
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Abstract
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The climacteric that is sometimes associated with symptomatology, is the phase in the aging process of women marking the transition from the reproductive stage of life to the non-reproductive stage.
During this climacteric phase, physiologic and sexual function is decreased or lost.
The menopause is defined the cessation of menstruation for consecutive 12 months.
The age of onset of menopause may make a difference by the individual women, and moreover it does appear to depend on various factors; socioeconomic status, cultural background, genetic, and health status.
In the same country, the age of menopause does not appear significant difference for generation as being shown in that of menarchal age initiating menstruation.
But it is influenced by racial, geographic, climate, and natural factors. In the advanced country, it has been studied about information of closely static results for people´s health status.
The present data were derived from large independent studies carried out by the interviewing many randomized women of the 3378 cases during 6 Yrs. from 1976 to 1981.
These cases were consisted of women living in city, country, villages and various area in Korea.
The study is attempted for understanding of physiology of women, in sexual & maturated phase and menopausal status.
Furthermore, it is indicated for the clinlcal diagnosis, family planning, and health status of the people.
The author noted the following results about the age of onset of menopause, indicating
the reproductive physiology of women, 3378 cases living on various area in Korea.
1. With observation of menopausal age of 6 areas in Korea, the mean age is 48.8 yrs. in Seoul (range 38-59 yrs. frequent occurring age 46-49 yrs.), 48.2 yrs. in Kyungki area, (range 41-55 yrs., frequency 47-49 yrs.), 49.1 Yrs. at Kangwon (range 38-57 yrs., frequency 47-51 yrs.), 8.2 yrs. in Choongchung (range 38-56 yrs., frequency 48-51 yrs.), 47.4
yrs. at Kyongsang (38-55 yrs. 45-50 yrs.), and 48.2 yrs. in Junla area (38-59 yrs., frequency 47-50 yrs.).
2. With persentile distribution of menopausal age according to distinction of age, onset of monopause is occurred in 5016 at age 45, 800/16 at age 50 and 98.40o at age 55. The mean age of menopause is noted 47.6 yrs.
3. By the observation of menopausal age according to distinction of parity, the mean age of menopauses 47.8 yrs. (range 38-57 yrs., frequent occurring age 45-57 yrs.) at multiparity, 47.9 yrs. at primiparity (range 38-54 yrs., frequency 45-49 yrs.), 48.2 yrs. at para 2 (range 38-60 yrs., frequency 48-56 yrs.), 47.7 yrs. and 47.9 yrs. at para 3 and para 4 or more group (range 38-60 yrs., frequency 46-50 yrs. at both group). And therefore, there is tend to lowering of menopausal age at para 4 or more groups than other groups.
4. In relation with the menopausal age and cohabitation with a family, the mean age is noted 46.8 yrs. at single group, 47.5 yrs. at group of living with a husband, and 48.5 yrs. at group of living with children. And therefore, menopause is occurred earlier in the single group than the other groups. And there is a significant difference in menopausal age between the single group and the other groups.
5. In relation with the education and the menopausal age, the mean age was noted 47.4 Yrs. at no-educational group, 47. 6 yrs. at primary educational group, 46. 8 yrs. at middle school. There is tend to rising of mean menopausal age at primary educational group than middle school.
6. There is no significant difference for onset of menopausal age among the 6th decades, 7th decades and 8th decades at the postmenopausal women.
The mean ages of the 6th decades 7th decades and 8th decades of the postmenopausal women were noted at 48.2 yrs., 48. 1 yrs., and 48. Oyrs., respectively.
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KEYWORD
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