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Pilot study of women's perspectives when abnormal uterine bleeding occurs during perimenopause.
Climacteric. 2022 Jun 02 [Online ahead of print]C

Abstract

OBJECTIVE

We gained insights into women's experiences and knowledge about the occurrence of vaginal bleeding during perimenopause requiring evaluation.

METHODS

Qualitative inquiry was chosen to explore topics in greater depth to understand individuals' experiences. Interviews with individuals were chosen due to the sensitive nature of gynecologic symptoms and management. Interviews were completed following gynecologic care to explore individuals' experiences with the evaluation and management of vaginal bleeding during perimenopause.

RESULTS

Twelve individuals were interviewed between December 2019 and March 2020. Patient uncertainty about the medical significance of developing vaginal bleeding during perimenopause was associated with self-appraisal and gathering information from multiple sources. This experience of seeking evaluation and treatment resulted in varying degrees of trust concerning information received within or outside the clinic. Regarding new technologies that could replace the current invasive tests performed for diagnosis (i.e. ultrasound, hysteroscopy and biopsy), most women preferred the smartphone app and tampon home collection option.

CONCLUSIONS

The experience of irregular or heavy vaginal bleeding during perimenopause is fraught with ambiguity, feelings of uncertainty about how to make sense of symptoms and inevitably begins with a period of self-appraisal.

Authors+Show Affiliations

Department of Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, FL, USA. Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.Department of Clinical Genomics, Biomedical Ethics Research Program, Mayo Clinic, Jacksonville, FL, USA.Department of Integrative Medicine, Mayo Clinic, Jacksonville, FL, USA.Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.Center for Health Equity and Community Engaged Research, Mayo Clinic, Jacksonville, FL, USA.Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, USA.Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35652469

Citation

DeStephano, C C., et al. "Pilot Study of Women's Perspectives when Abnormal Uterine Bleeding Occurs During Perimenopause." Climacteric : the Journal of the International Menopause Society, 2022, pp. 1-6.
DeStephano CC, Allyse MA, Abu Dabrh AMM, et al. Pilot study of women's perspectives when abnormal uterine bleeding occurs during perimenopause. Climacteric. 2022.
DeStephano, C. C., Allyse, M. A., Abu Dabrh, A. M. M., Ridgeway, J. L., Salinas, M., Sherman, M. E., & Spaulding, A. C. (2022). Pilot study of women's perspectives when abnormal uterine bleeding occurs during perimenopause. Climacteric : the Journal of the International Menopause Society, 1-6. https://doi.org/10.1080/13697137.2022.2073810
DeStephano CC, et al. Pilot Study of Women's Perspectives when Abnormal Uterine Bleeding Occurs During Perimenopause. Climacteric. 2022 Jun 2;1-6. PubMed PMID: 35652469.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pilot study of women's perspectives when abnormal uterine bleeding occurs during perimenopause. AU - DeStephano,C C, AU - Allyse,M A, AU - Abu Dabrh,A M M, AU - Ridgeway,J L, AU - Salinas,M, AU - Sherman,M E, AU - Spaulding,A C, Y1 - 2022/06/02/ PY - 2022/6/3/pubmed PY - 2022/6/3/medline PY - 2022/6/2/entrez KW - Menopause KW - abnormal uterine bleeding KW - apps KW - endometrial cancer KW - perimenopause SP - 1 EP - 6 JF - Climacteric : the journal of the International Menopause Society JO - Climacteric N2 - OBJECTIVE: We gained insights into women's experiences and knowledge about the occurrence of vaginal bleeding during perimenopause requiring evaluation. METHODS: Qualitative inquiry was chosen to explore topics in greater depth to understand individuals' experiences. Interviews with individuals were chosen due to the sensitive nature of gynecologic symptoms and management. Interviews were completed following gynecologic care to explore individuals' experiences with the evaluation and management of vaginal bleeding during perimenopause. RESULTS: Twelve individuals were interviewed between December 2019 and March 2020. Patient uncertainty about the medical significance of developing vaginal bleeding during perimenopause was associated with self-appraisal and gathering information from multiple sources. This experience of seeking evaluation and treatment resulted in varying degrees of trust concerning information received within or outside the clinic. Regarding new technologies that could replace the current invasive tests performed for diagnosis (i.e. ultrasound, hysteroscopy and biopsy), most women preferred the smartphone app and tampon home collection option. CONCLUSIONS: The experience of irregular or heavy vaginal bleeding during perimenopause is fraught with ambiguity, feelings of uncertainty about how to make sense of symptoms and inevitably begins with a period of self-appraisal. SN - 1473-0804 UR - https://www.unboundmedicine.com/medline/citation/35652469/Pilot_study_of_women's_perspectives_when_abnormal_uterine_bleeding_occurs_during_perimenopause. L2 - https://www.tandfonline.com/doi/full/10.1080/13697137.2022.2073810 DB - PRIME DP - Unbound Medicine ER -
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