Healthy Menopause Research Articles

Fractal Features of Muscle to Quantify Fatty Infiltration in Aging and Pathology

Fractal Features of Muscle to Quantify Fatty Infiltration in Aging and Pathology

Abstract PO4-10-11: Needs of oncology nurse navigators serving young or metastatic breast cancer patients

Abstract Oncology nurse navigators (ONN) facilitate breast cancer patients' care via information, resources, and referral services. Two important groups of breast cancer patients served by ONN are young women with breast cancer (yBC), defined as women diagnosed at age 45 or younger, and metastatic breast cancer (mBC) patients. These two groups of patients have distinct needs for clinical care and services. To better understand the needs and experiences of ONN serving these patients, we surveyed 52 active ONN in the United States via an online needs assessment survey about their familiarity with topics relevant for breast cancer patients, referral patterns, and perception of educational needs. As expected, most ONNs saw more yBC than mBC patients. Familiarity of ONN with topics relevant for yBC and mBC differed based on their work experience. For some topics, earlier-career ONN (<5 years of work experience) reported distinct experiences from later-career ONN (more than 5 years of work experience). Earlier-career ONN were less familiar than later-career ONN with clinical trial participation (45% vs 79%; p=0.0315) and genetic counseling and testing (73% vs 96%; p=0.0431). Most ONN referred yBC and mBC patients for financial, mental health, or genetic testing services. For many other services, referral patterns of yBC and mBC patients differed. Earlier-career ONN referred patients less often than later-career ONN to clinical trials (35% vs 89%; p=.0014 for yBC, and 36% vs 89%, p=.0028 for mBC). Earlier-career ONN tended to refer mBC patients less often than yBC for genetic counseling and testing, healthy lifestyles, menopause management, and sexual health or intimacy services. In contrast, later-career ONN referred yBC and mBC patients at similar rates. ONN reported substantial barriers to many services (but not to fatigue, menopause management, and pain management). The services for which ONN most frequently reported barriers were fertility preservation (predominantly financial and lack of programs/providers) and clinical trial services (patient understanding of value and medical jargon/health literacy barriers). ONN referred patients infrequently to some services despite reporting few barriers in contrast to prior reports of breast cancer patients' needs. Most ONN were interested in continuing education for sexual health and intimacy but not clinical trials, treatment side effects, or pain management. Most ONN cited a need for patient materials about sexual health and intimacy and mental health issues. While most ONN were confident in their ability to address questions about breast cancer in the media, they indicated additional resources would be useful. Understanding barriers to information and referrals is necessary to develop approaches to reduce educational gaps and lower referral barriers. Adapting efforts according to ONN career stage may be an important component for continuing education. For clinical trial participation, patient-friendly materials may help reduce barriers to referral and participation. Citation Format: Kelly Owens, Marleah Dean, Elizabeth Bourquardez Clark, Piri Welcsh, Diane Rose, Erica Kuhn, Jessica Conaty, Robin Pugh-Yi, Susan Friedman. Needs of oncology nurse navigators serving young or metastatic breast cancer patients [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO4-10-11.

Designing, validation and evaluation of the expert system of “Healthy Menopause” and assessing its effect on the management of menopause symptoms: an exploratory mixed method study protocol

BackgroundMenopause is a period of women’s life that has the especial physical, psychological and social challenges. So provision of an effective, practical and affordable way for meeting women’s related needs is important. In addition, women should be able to incorporate such programs into their daily work. Considering the dearth of suitable services in this regard, this study will be conducted with the aim of designing, validating and evaluating the “Healthy Menopause” expert system on the management of menopausal symptoms.Methods/designA mixed methods exploratory design will be used to conduct this study in 3 phases. The first phase is a qualitative conventional content analysis study with purposes of exploring the women’s experience of menopausal symptoms and extracting their needs, and collecting data about their expectations from a healthy menopause expert system.. The purposive sampling (In his phase data will be gathered through interviewing menopaused women aged 40 to 60 years old and other persons that have rich information in this regard and will be continued until data saturation. The second phase includes designing a healthy menopause expert system in this stage, the needs will be extracted from the qualitative findings along with a comprehensive literature review. The extracted needs will be again confirmed by the participants. Then, through a participatory approach (Participatory Design) using nominal group or Delphi technique the experts’ opinion about the priority needs of menopaused women and related solutions will be explored based on the categories of identified needs. Such findings will be used to design a healthy menopause expert system at this stage. The third phase of study is a quantitative research in which the evaluation of the healthy menopause expert system will be done through a randomized controlled clinical trial with the aim of determining the effect of the healthy menopause expert system on the management of menopause symptoms by menopausal women themselves.DiscussionThis is the first study that uses a mixed method approach for designing, validating and evaluating of the expert system “Healthy Menopause”. This study will fill the research gap in the field of improving menopausal symptoms and designing a healthy menopause expert system based on the needs of the large group of menopause women. We hope that by applying this expert system, the menopausal women be empowered to management and improving their health with an easy and affordable manner.

PENYEGARAN KADER MEMPERSIAPKAN MASA MENOPAUSE YANG SEHAT DAN BAHAGIA

Menopause is a natural stage in a woman's life characterized by the end of her menstrual cycle. Preparation for menopause is crucial to manage the physical, mental and emotional changes that may occur during this transition. This service activity aims to provide information to cadres in identifying important aspects in preparation for menopause as well as strategies that can help women deal with these changes. This activity also discusses efforts made to create a healthy and happy menopause so that every woman can understand the changes that occur in their bodies and deal with them better. The activity was held at the Pancoran mas community center in Depok.

Menopause: Questions and Answers for Improving Homeopathic Clinical Practice.

Medical attention for menopausal women is frequently delivered by health care providers (general practitioners, gynecologists or homeopathic physicians) who are not specialized in post-reproductive care. Homeopathy has been used for treating menopausal complaints for more than two centuries. Therefore, it is important to improve clinical knowledge in this field among homeopathic physicians. Nowadays, there is a special interest in the study of menopause-related chronic conditions due to the impact on women's quality of life. The aim of this review is to address the important key points of the menopause, clinical assessment, and available tests for evaluating menopausal women, as well as some general topics regarding homeopathic clinical practice for menopause. A literature search regarding menopause and current guidelines and recommendations was performed. To be practical and concise, the information is presented in the form of questions and answers. Currently, there is an international classification of woman's reproductive aging that can be useful for clinical and research purposes in homeopathy. A comprehensive homeopathic approach is mandatory for evaluating women with a healthy menopause, but also for those experiencing co-morbidities. In an integrative health care system, several assessment resources can be incorporated into the homeopathic consultations. Clinical and laboratory examinations for detecting metabolic disorders (dyslipidemia, insulin resistance, diabetes and hypertension, among others), mood disorders, cognitive impairment and osteoporosis are available in many clinical settings. Screening for gynecological cancers is an international recommendation at this stage. All data obtained from homeopathic consultations would help to integrate well-documented case reports. This would give the possibility to generate hypotheses to design high-quality clinical research. Improving homeopathic clinical practice for menopause is useful for both clinical and research purposes. The international recommendations for evaluating menopausal women should be incorporated in homeopathic clinical practice, mainly in clinical settings where homeopathy is integrated in outpatient services.

A REVIEW ON AYURVEDIC MANAGEMENT OF POSTMENOPAUSAL SYNDROME (RAJONIVRITTI LAKSHANAS)

Rajonivruttijanya Lakshana is a group of symptoms produced by degenerative changes. It requires a major healthcare initiative to improve the quality of life of women after Menopause. Post-Menopausal Symptoms are Hot flushes, Fatigue, Disturbed Sleep, Dyspareunia, Vaginal dryness, Leucorrhoea, Decrease Sexual desire, De- pression, Skin wrinkling, Anxiety, Mood swing, dementia, inability to concentrate, Osteoporosis etc. Ayurvedic treatment of Menopause focuses on strengthening and rejuvenating the reproductive system and whole body. Management of Rajonivruttijanya Lakshana through Rasayan Chikitsa, Abhangya, Basti, Shirodhara supplement of Phytoestogens, Bruhaniya, Balya and Vayasthapan drugs along with maintenance of mental health with the help of Yoga, Asanas, meditation and with Ahara and Vihara helps menopausal females to change annoying men-opause to healthy and happy menopause. Avoid the provocative causes of Vata dosha as there is natural vitiation of vata dosha with advancing age. Keywords: Rajonivritti Lakshanas, Postmenopausal Syndrome, Panchakarma, Ayurvedic medicinal plants.

Factors influencing healthy menopause among immigrant women: a scoping review

BackgroundMany factors influence the menopausal transition and the complexity of this transition increases with the addition of immigration transition. This review aims to identify the factors that influence the menopausal transition for immigrant women based on ecosocial theory.MethodsA scoping review of English publications was conducted according to PRISMA guidelines using CINAHL, AgeLine, MEDLINE, PsycINFO, ERIC, Nursing and Allied Health Database, PsycARTICLES, Sociology Database, and Education Research Complete. Thirty-seven papers were included for this review.ResultsThe factors which influence the menopausal transition for immigrant women were grouped into three categories: (a) personal factors, (b) familial factors, and (c) community and societal factors. Personal factors include income and employment, physical and psychological health, perceptions of menopause, and acculturation. Familial factors include partner support, relationships with children, and balancing family, work, and personal duties. Community and societal factors encompassed social network, social support, healthcare services, traditional cultural expectations, and discrimination in host countries.ConclusionsInterventions addressing the menopausal transition for immigrant women should be designed considering different psychosocial factors and actively work to address systemic barriers that negatively impact their transition.

Comparison of Postural Alignment of Osteopenic and Osteoporotic Women With Healthy Menopausal

Purpose: Menopause in women causes problems, including osteoporosis due to hormonal changes. Besides, osteoporosis in postmenopausal women may be associated with musculoskeletal disorders followed by changes in the alignment of the body, especially the spine. Therefore, this study aimed to compare the posture of osteopenic, osteoporotic, and healthy menopausal women. Methods: This was a cross-sectional study conducted on postmenopausal women (age range, 45-65 years) referred to the Endocrinology and Rheumatology Clinic of Guilan University of Medical Sciences. Using the purposive sampling method, 90 people were selected as the study sample from this population and divided into three groups of 30 people: osteopenic, osteoporotic, and healthy. Then, the three groups were evaluated for body alignment (forward head, unequal shoulder, rounded shoulder, kyphosis, lordosis, and lower limb alignment). The obtained data were analyzed using ANOVA and the Scheffe Post Hoc test at the significance level of 0.05, in SPSS v. 22. Results: The osteopenic and osteoporotic menopausal women significantly differed from the healthy menopause women in the following measures: forward head angle, curved neck angle, unequal shoulder (P=0.003), kyphosis, lordosis, varus knee, flat foot (P=0.006), and pelvic tilt (P=0.001). Conclusion: According to the results, the decrease in bone density at the osteopenic and osteoporotic levels can affect the postural alignment of the head, shoulders, and neck and the curvature of the spine in postmenopausal women in the three study groups. Therefore, more attention should be paid to the postural evaluation and screening of people prone to osteoporosis, to provide preventive training programs and exercises to improve their physical condition

Effects of aging and menopause on pancreatic fat fraction in healthy women population: A strobe-compliant article.

Pancreatic fat fraction has been shown to increase in many pathological situations. However, pancreatic fat fraction and its physiological changes in healthy women are still unclear. The aim of this study is to investigate the effect of aging and menopause on pancreatic fat fraction in healthy female population.This was a cross-sectional study. A phantom of fat–water mixtures was established. One hundred sixty-seven healthy women (20–70 years) were recruited. Fat fraction was quantified with double-echo chemical shift magnetic resonance imaging with T1 and T2∗ correction. The association between measured and actual fat fractions was determined with Pearson correlation. Linear regression analysis was used to establish the calibration curve. Fat fractions were analyzed via analysis of variance.A significant positive linear correlation was revealed between the measured and actual fat fractions on the phantom (r2 = 0.991, P < .001). There was no significant difference in fat fractions among caput, corpus, and cauda of the pancreas. Pancreatic fat fraction remained constant during the age of 20 to 40 years (4.41 ± 0.79%) but significantly increased during the ages of 41 to 50 and 51 to 70 years (7.49 ± 1.10% and 9.43 ± 1.51%, respectively, P < .001). Moreover, pancreatic fat fractions of the healthy women aged 41 to 70 years were still significantly higher than these in the groups aged 20 to 40 years when postmenopausal healthy women were removed (P < .001). For volunteers aged 46 to 49 years, pancreatic fat fraction of the postmenopausal women was significantly increased compared with that of their premenopausal counterparts (P < .001).We found that an even distribution of pancreatic fat in healthy women, aging and menopause as 2 independent risk factors for pancreatic steatosis, a fatty infiltration in the pancreas beginning in the fifth decade in women.

Linking the menopause rating scale to the International classification of functioning, disability and health – A first step towards the implementation of the EMAS menopause health care model

ObjectivesTo link the Menopause Rating Scale (MRS-II) to the International Classification of Functioning, Disability and Health (ICF) and present a clinical application of an ICF-based tool. Study designThe MRS-II was linked to the corresponding ICF category. The linked items were used to generate an ICF Categorical Profile. To broadly examine its feasibility in clinical practice, qualitative interviews with three patients were performed.Main outcome measures: Corresponding items of the MRS-II in the ICF. Perception of the ICF Categorical Profile from patients’ perspective. ResultsA total of 44 concepts from the MRS-II were identified that could be linked to 24 different ICF categories, which all belonged to the component Body Functions. From patients’ perspective, filling in the ICF Categorical Profile helped to structure their goals but did not improve the overview of symptoms. ConclusionsThe ICF Categorical Profile could be a valuable tool in menopause healthcare; however, it is necessary to adapt the ICF for this specific use. An ICF Core Set needs to be developed in order to accomplish the goal of the European Menopause and Andropause Society and implement its Healthy Menopause Health Care Model in daily practice.

Towards ICF implementation in menopause healthcare: a systematic review of ICF application in Switzerland.

To present a systematic literature review on the application and degree of implementation of the International Classification of Functioning, Disability and Health (ICF) across different health conditions and regions in Switzerland in order to develop an ICF classification of the climacteric syndrome in the medium term. A systematic literature search was conducted through Embase and Medline covering the period between 2011 and August 2016. Inclusion criteria were the term ICF in title or abstract and Switzerland as the workplace of the first author. Identified publications were analysed as descriptive statistics. A total of 83 articles were included in the analysis. Forty-seven different first authors from 24 different institutions were identified. The majority of publications were from Swiss Paraplegic Research (68.7%) and focused on neurology (31.3%). Forty-six cohort studies were identified. In most of them, the ICF was used to set up a general language for comparing patients' information (82.9%). Only one paper from the medical specialty gynaecology was identified; this was on breast cancer. No paper on the menopause was found. In Switzerland, the ICF is actively used in various areas of healthcare, especially in the field of neurology and rehabilitation. There is a need for ICF core sets in other medical fields, such as menopause healthcare, in order to accomplish the goal of the European Menopause and Andropause Society, which is a healthcare model for healthy menopause and aging.

Perimenopausal bone histomorphometry before and after menopause.

Investigators and clinicians have had few normal bone histomorphometry data available to compare with those found in diseased patients, or in the results of treatments. The Goals and Objectives of this work are two-fold: 1. to present static and dynamic bone histomorphometry data from transilial bone biopsies performed on 76 healthy, premenopausal women. 2. To present paired static and dynamic bone histomorphometry data from bone biopsies on a subset (N=51 pairs) of these same healthy women whose biopsies were repeated 12months after their last menses. Statistical comparisons between the pre- and postmenopausal data are presented. These data will shrink this important gap, both for clinicians and investigators. We enrolled 76 healthy, premenopausal women over age 46, performed transilial bone biopsies after tetracycline labeling, and during a period of 9.5years, we re-biopsied 51 of them who passed through menopause and remained healthy the entire time. We also obtained serum biochemical measurements, and serial DXA exams during the period of observation. The dynamic bone histomorphometry demonstrated a doubling of bone remodeling, and increases in serum bone markers at the time of the second biopsy. Lumbar spine bone density also declined, and there were significant correlations between serum markers and histomorphometry variables. The data demonstrate that healthy menopause results in an important increase in bone remodeling, and a loss of bone density. We do not fully understand the mechanisms of these transmenopausal changes, but the data provide some clues that are helpful.

“IT’S A NATURAL PROCESS AND WE SHOULD ACCEPT IT AS OUR DESTINY”: INDONESIAN WOMEN PERCEPTION TO MENOPAUSE

Background: The changes in menstrual cycle are commonly followed by symptoms such as hot flushes, palpitations, sleep disorders, depression, irritability, headaches and low sexual drive in women. Women’s knowledge and perception to their menopause cyclic changes are important in their adaptation to menopause symptoms.&#x0D; Objective: This study aims to assess women’s perception toward menopause.&#x0D; Methods: This study employed a qualitative research design with phenomenology approach. Nine married women aged 45-55, residing in Ngestiharjo, Bantul district, Daerah Istimewa Yogyakarta, Indonesia participated in this research.&#x0D; Results: Respondents perceived menopause as a natural event for every woman above 45 years old and therefore it should be accepted as it is. Participants of the study defining menopause as a period when ovaries naturally end producing sexual hormone resulting with no menstrual periods for 12 consecutive months without other identified biological or physiological causes. The participants understand the basic knowledge of menopause and remarked their menopause period with muscular pain and irregular flows. In practice, as well as other menopausal women, respondents also experienced vaginal pains during coitus.&#x0D; Conclusion: Women of the study acknowledged that menopause as the end of their reproductive period. It is believed as a natural event and will be experienced by every woman. Nevertheless, women’s misconception and belief to menopause myths alarms the need for an adequate information related healthy menopause. Women preparedness is expected to reduce the symptoms and disorders following menopause.

A model of care for healthy menopause and ageing: EMAS position statement

Worldwide, the number of menopausal women is increasing. They present with complex medical issues that lie beyond the traditional scope of gynaecologists and general practitioners (GPs). The European Menopause and Andropause Society (EMAS) therefore provides a holistic model of care for healthy menopause (HM). The HM healthcare model’s core consists of a lead clinician, specialist nurse(s) and the woman herself, supported by an interdisciplinary network of medical experts and providers of alternative/complementary medicine. As HM specialist teams are scarce in Europe, they are also responsible for structuring and optimizing processes in primary care (general gynaecologists and GPs) and secondary care (HM specialists). Activities for accreditation of the subspecialty Women’s Health are encouraged.

Hypertension and age at onset of natural menopause in Korean postmenopausal women: Results from the Korea National Health and Nutrition Examination Survey (2008–2013)

ObjectivesMenopause is a natural phenomenon of aging, although the timing and management of menopause can significantly affect a woman’s quality of life. It is therefore important to identify measures to ensure a healthy menopause. We set out to investigate the association between hypertension and early menopause in Korean women. Study designThis cross-sectional study was based on 2008–2013 data from the Korea National Health and Nutrition Examination Survey (KNHANES). Of the 53,829 participants surveyed, 13,584 women were selected. We analyzed the contents of the health interview, health examination, and nutrition survey. Main outcome measureThe main outcome was defined based on hazard ratios (HR) to identify the effects of hypertension on age at onset of menopause. ResultsAmong postmenopausal women (n=6650), the mean age at onset of menopause was 50.4 years. Premenopausal hypertension was statistically significantly associated with age at menopause, oral contraceptive usage, household income, education level, occupation, marital status and smoking and drinking habits. With lower age at diagnosis of hypertension, HRs for menopause tended to be higher, and hypertension diagnosed before age 40 years conferred a statistically significantly higher HR (Model 1, HR=2.32, 95% CI=1.87–2.88; Model 2, HR=2.31, 95% CI=1.86–2.86; Model 3, HR=2.23, 95% CI=1.80–2.77; Model 4, HR=2.00, 95% CI=1.52–2.63). ConclusionPremature menopause is strongly associated with lifestyle factors, in combination with incomplete management of chronic diseases. Our findings support the hypothesis that younger age at diagnosis of hypertension is associated with younger age at onset of menopause in Korean women.

Health in middle-aged and elderly women: a conceptual framework for ‘healthy menopause’

Introduction: Middle-aged and elderly women constitute a large and growing proportion of the population, in high as well as middle and low income countries. Women's health throughout and after menopause can greatly impact the crucial economic, social, and societal roles that women play globally.

Effect of Valerian and Lemon Balm Combined Capsules, On Postmenopausal Sleep Disorder, a Triple Blind Randomized Placebo Control Clinical Trial

Sleep disorder in menopause women, affect their quality of life and must mange by safe methods. Objectives To determine effect of Valerian/Lemon balm combined capsules on Sleep Disorder. Methods In this triple blind randomized control clinical trial, 100 volunteer healthy menopause women with aged 50-60 years, who complained of sleep disorders, were selected randomly in clinics of West of Tehran (50 in each group). After filling in informed consent, intervention group received two combined capsules of 160 Mg Valerian and 80 Mg Lemon Balm in a day and control group received 50 Mg Starch as placebo capsules two times in a day for one month. Pittsburg Sleep Quality Index (PSQI) had been used. All ethical points were considered. Results The average age of the experimental group was 52.5 ± 7.8 and 53.7 ± 3.5 in the control group with a menopausal onset age of 47.6± 4.1 and 49.1 ± 3/9 respectively. Equality ofdemographic characteristics and PSQI before intervention had been checked in two groups. 36% of the experimental group and 8% of the placebo group showed an improvement in the quality of their sleep and sleep scores have decreased 5 points. (P = 0.0001). There was significant difference in PSQI between groups (p > 0.05) Conclusion Findings support use of Valerian and Lemon balm combined capsules in the clinical management of sleep disorder in menopause. No side effects had been seen during study and one month later. It is suggested to continue this study with more duration.

Lipoxin A4 and Neutrophil/Lymphocyte Ratio: A Possible Indicator in Achieved Systemic Risk Factors for Periodontitis.

BackgroundThe aim of this study was to evaluate the serum lipoxin A4 (LXA4) and neutrophil/lymphocyte (Ne/Ly) ratio in individuals with achieved systemic risk factors for periodontitis.Material/MethodsOne hundred and eighty volunteers (69 male, 111 female) who were categorized as systemically healthy control, diabetes, hyperlipidemia, obese and menopause were recruited for this cross-sectional study. Sociodemographic characteristics and oral health behaviors were recorded via questionnaire. Clinical periodontal parameters, including plaque index (PI), gingival index (GI), probing pocket depth (PD), clinical attachment level (CAL), sulcus bleeding index (SBI) and decayed, missing, and filled teeth index (DMFT), were assessed. Systemic parameters and LXA4 levels were evaluated in serum samples.ResultsClinical periodontal parameters and DMFT were higher in subjects with achieved systemic risk factors than in healthy subjects. The systemically healthy with periodontitis group had higher serum LXA4 levels than the systemically healthy with non-periodontitis group (P<0.05). The Ne/Ly ratio was higher in the hyperlipidemic group with periodontitis than in the hyperlipidemic group with non-periodontitis (P<0.05). In the control group, serum LXA4 levels were positively correlated with the PD, CAL and SBI.ConclusionsIn the presence of periodontitis, an increase in LXA4 levels and the Ne/Ly ratio in hyperlipidemic patients could contribute to the hypothesis that these parameters could be an indicator in periodontitis and its systemic risk factors.

Serum Fetuin-A, A New Potential Biomarker for Diagnosis of IHD in Menopausal Women.

Background: The role of inflammation in atherogenesis would suggest, a great deal of work looking for inflammatory markers that are risk factors for IHD. The most extensively examined markers are fibrinogen, C-reactive protein, IL-6, homocysteine, and fetuin-A. Objective: The present study is focusing on role of biomarker fetuin-A in the diagnosis of IHD in menopausal female. Methodology: This study involved 76 menopause women suffering of IHD (42 patients with AMI and 34 with angina) and 20 healthy menopause women as control. Patients were divided into subgroups according to the presence of DM and hypertension. Serum Fetuin-A level is estimated in each group. Results: There is significant reduction in serum fetuin-A levels in menopausal women with IHD. Diabetes mellitus and hypertension associated with significant decrease in serum fetuin-A levels in menopausal women with IHD. Conclusion: Serum fetuin-A can be used as biomarker for diagnosis of angina and AMI in menopausal women. Both DM and hypertension have detrimental effect on serum fetuin-A levels.

2357 – Menopausal symptoms correlated factors in 45–60 years old women, tehran, 2011

Women through menopause experience symptoms such as psychological, which may impair the overall quality of life and could prevent by complementary therapy. To determine effect of massage and aromatherapy massage on Postmenopausal psychological symptoms. In this Randomized Clinical Trial, 90 healthy volunteer menopause women, whom attended main referral gynecology hospital of Tehran University of Medical Sciences were involved in two Intervention and control groups (Year 2011) Aromatherapy massage received 30-min aromatherapy massage sessions with aroma oil, twice a week for four weeks, massage group, received same treatment with plane oil, and control group received no intervention. Tools have two main parts; 1) Personal characteristics, 2) Psychological symptoms scale, as obtained through psychological sub scale of Menopause Rating Scale, which was measured before intervention and at the end of interventions. There were significant difference between participants’ pre-application and post-application psychological score in two intervention's groups (p < 0.001), whereas the score in the control group did not differ significantly. Also there were higher significant effect in aromatherapy massage (p < 0.001). Results demonstrated that both aromatherapy massage and massage therapy were effective in reducing psychological symptoms during menopause, but the effect of aromatherapy massage was higher than massage therapy. This study was supported by Tehran University of Medical Sciences (Vice Chancellor for Research), Year 2011–2012.