Program to improve menopause support, treatment

A new program by Monash University aims to improve support and treatment for women experiencing serious physical and/or mental symptoms during menopause.

The program is assessing hormone level changes, the impact of menopause and the possible benefits of testosterone treatment for issues like muscle deterioration and early heart failure.

Professor Susan Davis, who heads the Monash University Women’s Health Research Program in the School of Public Health and Preventive Medicine, is leading the four studies.

“The testosterone changes across midlife and the menopause have never been documented with accuracy or precision,” Davis said.

“Despite menopause affecting 51% of the population, these hormone changes at menopause remain uncertain.”

Information for care providers and policymakers

Davis, who developed the Practitioner’s Toolkit for Managing the Menopause, said the Menopause Matters: The Australian Women’s Midlife Years (AMY) Study will provide critical information for healthcare providers and policymakers.

The project has surveyed more than 8000 women aged 40–69 about menopause, their mood and wellbeing, sexual function, and paid and unpaid work. The results will provide information about how women experience menopause today, with the goal of improving women’s health and wellbeing, but needs more funding for the work to be completed.

“The findings will have a major socioeconomic impact beyond women’s health,” Davis said.

“It will enable workplace policies or amendments pertaining to female workers to be formulated based on sound information, such that outdated perceptions and/or negative social attitudes about menopausal women are not reinforced.

“Ultimately, this study will improve the health and wellbeing of women before, during the menopause transition and beyond, and ensure that they are able to continue to contribute to the community with equity and confidence.”

Changing demographics

Davis said Australia’s demographics had also changed over the past 10 years. “For example, we have more women of non-European ancestry and women are delaying childbirth, so more women in their 40s are having children and entering menopause with young/teenage children,” she said.

“Vast numbers of women now spend well over a decade with menopause potentially impacting their work performance and engagement. Australian women constitute almost half of the paid workforce, with a greater number of mature-aged workers (>55 years) compared with the 1960s, when women accounted for only 30% of the total workforce.

“Robust evidence as to how menopausal symptoms influence work performance and engagement is lacking, with the little available data limited to women in paid employment, and no data is available for women in caring and volunteer roles.”

Menopause studies

The Menopause Matters: Australian Women’s Midlife Years (AMY) Study has surveyed 8222 women aged 40–69 nationally about their experiences of menopause symptoms, and therapies, and collected blood samples for the precise measurement of hormones by age and menopausal stage. The study hopes to fill critical knowledge gaps about menopause (symptoms, proportion affected, therapy use and impact on women with eating disorders), depression, sexual function, reproductive health and work.

The other studies, which are now recruiting, include: Prevention of Muscle Loss After Menopause Using Testosterone: The PAMELA Study and Evaluating Testosterone Therapy to Prevent Early Heart Failure in Women: The ETHEL study.

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