Preferences regarding treatments for period problems: relationship to menstrual and demographic factors.

Abstract

Beliefs about periods and hysterectomy and preferences regarding treatment for period problems were assessed in 362 women--patients referred for menorrhagia, premenstrual syndrome, or dysmenorrhea (n = 99, 102 and 56 respectively), and a control sample (n = 105). Overall, women were predominantly in favor of a treatment which normalized periods (89%) and which coincidentally provided reversible contraceptive effect (74%), while they marginally preferred a one-off operation to tablets. Preferences with regard to contraceptive effect of treatment, effect on periods and hypothetical treatment option were most strongly related to reproductive status (p < 0.00002), in that nulliparous or unsterilized women were least likely to rate as acceptable a treatment that affected their periods or fertility. The women's feelings about their periods and their evaluation of the utilitarian consequences of hysterectomy were most strongly related to their report of menstrual problem(s), with the potential benefits of an end to periods being most often affirmed by women reporting 'severe' menorrhagia, dysmenorrhea or multiple period problems. In contrast, women's evaluation of the reproductive consequences of hysterectomy were most strongly related to reproductive status, with nulliparous women and unsterilized parous women finding them least acceptable. Feelings about periods did not predict intentions with respect to periods, or treatment preferences, and in this regard the usefulness of menstrual attitudes is questioned.