Knowledge, attitude and practice of Filipino gynecologists on menopausal hormonal therapy: Where are we now?
- Author:
Mary Grace M. Villafuerte
1
Author Information
- Publication Type:Journal Article
- Keywords: hormone replacement therapy; menopause;
- MeSH: Postmenopause
- From: Journal of the Philippine Medical Association 2019;98(1):21-44
- CountryPhilippines
- Language:English
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Abstract:
OBJECTIVE:This study will evaluate the knowledge, attitude and practice of gynecologists towards hormonal
therapy for menopausal symptoms.
METHODS:A descriptive study design was carried out across the different regions of the Philippines from April to October 2018. A self-administered questionnaire was used to identify current knowledge, attitude and practice of gynecologists regarding the use of hormonal replacement therapy.
RESULTS:A total of 369 respondents were able to complete the questionnaire. Our findings indicate that the most common indication for giving MHT are vasomotor symptoms such as hot flushes, night sweats, diaphoresis, vaginal dryness and its associated discomfort and pain during intercourse. Almost all Filipino gynecologists participating in this study are aware that MHT will improve vasomotor, urogenital symptoms, sexual dysfunction and mood. Majority of Filipino gynecologists who participated in this study agreed correctly that MHT will decrease the risk of osteoporosis and coronary artery disease. However, still majority of Filipino gynecologists do not routinely recommend/offer the use of MHT to every postmenopausal woman. On the other hand, at least half of the respondents falsely believe that MHT can decrease the risk for cognitive dysfunction, cerebrovascular disease, Parkinson's disease and vascular thrombosis.
CONCLUSION:The overall knowledge of Filipino gynecologist who participated in this study is lacking. Only 68% of them agreed that they have adequate knowledge about the treatment options for postmenopausal symptoms and as much as 32% of them are still not confident. Basic knowledge on menopausal symptoms and indications for hormonal therapy are known to the respondents but these knowledge does not translate to practice.
