THE INFLUENCE OF HORMONE REPLACEMENT THERAPY TO THE LIFE QUALITY OF MENOPAUSAL WOMEN

Gaidha Khusnul Pangestu, Herlin Fitriana, Rosmita Nuzuliana

Abstract


According to World Health Organization , there are 25 million women in the world is estimated to reach menopause phase every year. The vasomotor symptoms influence 60% to 80% women who enter menopause phase. Premenopause sydnrome is experience by women in the world, around 70-80% European women, 60% in America, 57% in Malaysia, 18% in China and 10% in Japan and Indonesia. Hormone replacement therapy is a therapy of estrogene hormone to decrease the menopause symptom. The purpose of this Systematic Literature Review preparation is to find evidence based about Hormone Therapy of Menopausal Women in the developed country.There were eight steps of systematic literature review which were used in this review. Those eight steps covered: identifying midwifery problem, problem priority and research question, framework of primary and secondary data, relevant study identification, prism flow diagram, critical assessment, data analysis and data extraction. This systematic literature review was done by finding articles using database such as Pubmed and Pro Quest. the effectiveness of hormone therapy to menopausal women can be seen as follow: women who is given estrogen and medroxyprogesterone have experienced better changes from the menopause sweating symptom (p=0,001), sleep problem (p=<0,001), sore throat (p=0,096), and hot flushes (<0,001)Vasomotor symptom, urogenital sysmptom, and sexual dysfunction are menopausal symptom that is mostly experienced by women in before menopause, in menopause phase and after menopause. Hormone theray is an effective therapy to tackle menopause symptoms. Stopping the hormone therapy may cause significant increase to the heavy menopause symptom, which means therapy hormone has a big role in the life quality of menopausal women.

Keywords: Hormone replacement therapy, Menopause symptom and Menopause.


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