Perimenopausal symptoms in Sri Lankan women

Ceylon Med J. 1999 Jun;44(2):63-9.


Objective: To determine the types of perimenopausal symptoms (PMS) associated with the natural menopause and to make a preliminary assessment of the influence of PMS on household work, employment duties and social life, since no published data are available regarding these aspects in Sri Lankan women.

Design: A cross-sectional descriptive study of 403 women after natural menopause chosen randomly from four selected groups.

Method: A pre-tested coded questionnaire administered by trained women medical students to consenting menopausal women.

Results: An overwhelming majority of menopausal women (87.1%) had one or more PMS. The principal PMS reported were insomnia (57.8%), joint pains (55.8%), night sweats (55.6%), hot flushes (40.2%), irritability (35.3%) and headaches (33.3%). Of the 171 women employed outside the home, 38% noted some interference with employment duties. PMS causes much morbidity in Sri Lankan perimenopausal women.

MeSH terms

  • Adult
  • Age Distribution
  • Arthralgia / epidemiology*
  • Contraceptives, Oral, Hormonal / administration & dosage
  • Cross-Sectional Studies
  • Female
  • Headache / epidemiology*
  • Hot Flashes / epidemiology*
  • Humans
  • Irritable Mood*
  • Marital Status
  • Menopause / physiology*
  • Middle Aged
  • Population Surveillance
  • Sampling Studies
  • Severity of Illness Index
  • Sleep Initiation and Maintenance Disorders / epidemiology*
  • Sri Lanka / epidemiology
  • Surveys and Questionnaires
  • Sweating*


  • Contraceptives, Oral, Hormonal