J Korean Geriatr Soc.  2001 Mar;5(1):78-84.

Improvement Sexual Function Affecting Compliance to Hormonal Replacement Therapy in Postmenopause Woman

• Hwang MC

Abstract

OBJECTIVE
The purpose of this study is to evaluate effect of patient age amenorrhea duration, motivation, purpose, regimen, side effect on compliance to hormonal replacement therapy(HRT).
METHODS
Compliance to HRT was assessed in 86 postmenopausal women who began HRT in the Shin ob & gyn clinic. Fifty six women who had intact uterus received continuous combined therapy with 2 mg of Estradiol hemihydrate and 1mg of Norethinsterone acetate. Thirty women who were hysterectomized received only 0.625mg of conjugated equaine estrogen(premarin) RESULT: A total of 34(39.9%) women reported that they continued HRT at least for one year. Continuation of HRT was significantly more common among women who started HRT because of reconmendation by gyneocologist after hystectomy for improvement sexual function(p<0.05), A greater percentage of women who received only premarin without uterus continuous combined therapy(p<0.05) Duration of amenorrhea, reason for taking HRT and side effect such as irregular bleeding or breast tenderness were not related to the continuation of HRT.
CONCLUSION
Education of menopausal women about the improvement of sexual function/ risk and side effect of HRT may be critical in improving compliance.

Keyword

Hormone Replacement therapy; Compliance; Meno pause

MeSH Terms

Amenorrhea
Breast
Compliance*
Education
Estradiol
Estrogens, Conjugated (USP)
Female
Hemorrhage
Hormone Replacement Therapy
Humans
Motivation
Postmenopause*
Uterus
Estradiol
Estrogens, Conjugated (USP)