Women's symptoms at the menopause and their expectations of hormone replacement therapy

How do women feel about the menopause, and what factors do they consider when deciding whether to take hormone replacement therapy (HRT)? A random sample of 1,200 women aged between 38 and 58 was generated from Family Health Services Authority (FHSA) records. A postal questionnaire, based partly on Ajzen's Theory of Planned Behaviour (Ajzen, 1988) about symptoms, attitudes to and knowledge of the menopause and HRT, and their sources of information, was sent to the women. Respondents were asked about perceived physical and psychological problems in the previous six months and about whether they had consulted a doctor. Results indicate little difference in psychogenic symptoms between those who are taking HRT and those of a similar age who are not. The case for physical symptoms is more complicated, with HRT alleviating hot flushes and night sweats in particular. The most useful source of information was reported as being the media, although satisfaction with information varied between groups. Implications for practice nurses are discussed.