Knowledge of menopause-associated symptoms and non-hormonal strategies: an Italian survey on social media platforms

OBJECTIVE: we aimed to provide data collected in women who were active on social media platforms about menopause-associated symptoms and their impact, as well as resources, preferences and needs, with a specific focus on non-hormonal strategies. STUDY DESIGN: a cross-sectional observational study conducted via an anonymous online survey involving patient associations (namely vulvodynia, endometriosis, premature menopause, and natural menopause) in Italy. MAIN OUTCOMES MEASURES: selected items of a comprehensive questionnaire co-developed by a multidisciplinary team of experts in gynaecology, psychology, and representatives from patient advocacy groups. RESULTS: a sample of 473 Italian postmenopausal women (median age: 56 yrs; range 31-76 yrs), including 231 (48.8%) subjects with chronic conditions (48 with a past history of vulvodynia, 21 of endometriosis, and 15 of oncological diseases) completed the survey. There was a good understanding of the typical menopausal symptoms (90.3% hot flushes, 83.7% vaginal dryness). Weight gain was very commonly attributed to menopause (86.9%) as the most challenging symptom (59.4%). A negative view of menopause was reported by 30.6%, with an impact on relationships (26.4%), social life, and work (9.5% for both). The majority (96.8%) identified lifestyle changes as an effective non-pharmacological intervention for managing menopausal symptoms. Additionally, 26.2% reported that the use of nutraceuticals under medical advice could be effective. Psychological support was positively experienced by 19% and considered beneficial by 56.8%, in spite of direct experience. CONCLUSIONS: Providing evidence-based education on menopause is mandatory to foster individualised care. Primary prevention with lifestyle modification and some non-pharmacological interventions seems well-received.