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Page.2
ObjectivesObjectives
To provide :
Current insights in women’s thoughts and
feelings about menopause and HRT: Their views Their perceptions Their concerns Their fears Their beliefs Their experiences Their needs
Today
Page.4
Research design & methodologyResearch design & methodology
Asia Pacific Europe
Women’s age 45-60 45-60
Sample size 1000 4201
Time March 2006 January 2005
Countries China, Hong Kong, Taiwan,Malaysia,
Thailand
Netherlands, UK Belgium, Spain ,
Germany, France, Switzerland,
Interview Face to face Telephone
Page.5
Survey on Menopause in ASIA PACIFIC
AGE
GROUP
MALAYSIA CHINA HONG KONG
TAIWAN THAILAND
45 – 49 105 90 30 45 45
50 – 55 135 150 50 75 75
56 – 60 60 60 20 30 30
TOTAL 300 300 100 150 150
Total Number of Respondents = 1000
Sample
Page.6
Questionnaire designQuestionnaire design
Demographic profile
Attitudes, Interests and Opinions regarding to:
Menopause Breast Sexual well-being
Survey on Menopause in ASIA PACIFIC
Page.8
Q17. Feeling about the menopause
7% 39% 28% 23% 3%Total
(N=1000)
Affects me a lot Affects me somewhatDoes not affect me that much Does not affect me at allDon't know
46%
Almost half the Asian menopausal women are affected by menopause symptoms
Page.9
51% 51% 48% 49% 43%
11% 9% 8% 7% 11%
38% 40% 44% 44% 42%
4%
0%
20%
40%
60%
80%
100%
Sleeplessness Irritability Moodswings/mood
changes
Headaches ormigraines
Reduced sexdrive
Yes, mild Yes, severe No Don't want to share
Total (N=1000)Total (N=1000)
% of women
Q15 Currently experiencing or have experienced any symptoms in the past 5 years?
Base: All respondents
Symptoms experienced are in general mildSleeplessness most mentioned
Page.10
Reasons to seek treatment in Asia
42
37
35
32
25
20
17
13
9
12
0 10 20 30 40 50 60 70
Sleeplessness
Hot flushes
Headaches/ migraine
Mood swings
Irritability
Depression
Reduced sex drive
Vaginal pain
Involuntary loss of urine
Don't know/ all the same
% women
Page.11
Reasons to seek treatment in Europe
54557810
141517
2159
0 10 20 30 40 50 60
Hot flushes
Sleeplessness
Mood swings
Irritability
Depression
Headaches/ migraine
Vaginal pain
Reduced sex drive
Involuntary loss of urine
Operation
Menstruation problems
Other
Base: women who sought treatment for menopausal
symptomsn=2721
% women
Page.12
31
8
35
22
19
5
55
42
0 10 20 30 40 50 60
HRT
Natural or herbal
Anti-depressants
None of these
Ever used
Current use
% women
Usage of treatmentsUsage of treatments inin EuropeEurope
Page.13
37
2
45
7
32
1
59
19
0 10 20 30 40 50 60
HRT
Natural or herbal
Anti-depressants
None of these
Ever used
Current use
% women
Usage of treatmentsUsage of treatments inin AsianAsian
Page.14
HRT usage in Asia by country/regionsHRT usage in Asia by country/regions
2.1
11
30.6
25
15.3
0.9
69.3
12
6.3
0
5
10
15
20
25
30
35
China Malaysia Taiwan Thailand Hongkong
ever used
current use
% o
f w
om
en
Page.15
General feeling about HRTGeneral feeling about HRT
Negative
Positive
Don't know 48%
Negative
43%
9%
Page.16
45%
32%
27%
24%
9%
0% 10% 20% 30% 40% 50%
Increased risk of breast cancer
Weight gain
Will not alleviate symptoms
Info about increased risk of heartdisease
Breast problems
% of women
Largest hurdles preventing the use of HRTLargest hurdles preventing the use of HRT
Page.17
Largest hurdles preventing the use of HRTLargest hurdles preventing the use of HRT
25%
8%17% 17%
38%25%
6% 6%
24%
41%
12%8%
17%
25%
19%
25%13%
13%
47%6%
41% 12%
18%
0%
20%
40%
60%
80%
Others, spontaneous
First, spontaneous
Hong Kong (N=12)Hong Kong (N=12) Thailand (N=16)Thailand (N=16) Malaysia (N=17)Malaysia (N=17)
% of women
Page.18
Few women have ever considered HRT.Far more would be confident to use upon the doctor’s advise
Q35. Confidence to use HRT with doctor’s advice
Q36. Ever considered treatment for menopausal symptoms
6%
31%
19%
5%
3%
41%
47%
63%
34%
32%
42%
26%
11%
14%
34%
36%
25%
9%
9%
7%
21%
11%
17%
21%
5%
10%12%
4%
2%
Malaysia(N=162)
Thailand(N=116)
Hong Kong(N=72)
Taiwan(N=107)
China(N=128)
Total (N=585)
Agree strongly Agree slightly
Disagree slighty Disagree strongly
Don't know
25%
14%
24%
11%
23%
54%
71%
76%
81%
56%
66%
21%
14%
8%
21%
14%20%
Malaysia(N=98)
Thailand(N=14)
Hong Kong(N=63)
Taiwan(N=75)
China (N=71)
Total (N=321)
YES NO Don't know
Page.20
Self breast examinationSelf breast examination
30%17%
83%70%
0%
20%
40%
60%
80%
100%
Asia (N=1000) Europe(N=4201)
% o
f w
om
en
YES NO
Page.21
50% 45%
55%50%
0%
20%
40%
60%
80%
100%
Asia (N=1000) Europe (N=4201)
% o
f w
om
en
YES NO
Worries about getting breast cancerWorries about getting breast cancer
Page.22
Perceived risk factor for developing breast cancer ((EuropeEurope))
7
8561
271917
1614
11
99
5
0 10 20 30 40 50 60 70 80 90 100
Hereditary factors
HRT
Increased breast density
Natural hormone levels
Removal of ovaries
Birth of first child at older age
Weight gain before menopause
Brittle bones
Late menopause
First menstruation before the age of 12
Waist-hip ratio
Don't know
Page.23
21
24
9
15
16
13
3
7
14
24
50
Increased bone density
Natural hormone levels
Brittle bones
Birth of first child at an older age
Weight gain after menopause
Late menopause
Waist-hip ratio
First menstruation before the age of 12
Removal of ovaries
HRT
Heredital factors
Perceived risk factor for developing breast cancer (AsiaAsia)
% women
Page.24
45%
32%
27%
24%
9%
0% 10% 20% 30% 40% 50%
Increased risk of breast cancer
Weight gain
Will not alleviate symptoms
Info about increased risk of heartdisease
Breast problems
% of women
Largest hurdles preventing the use of HRTLargest hurdles preventing the use of HRT
Page.25
Perceived differences Perceived differences between various kinds of HRTbetween various kinds of HRT (Europe)(Europe)
45
18
14
5
2
2
5
33
1
0 10 20 30 40 50
Number, amount and kind of hormones
Number and kind of side effects or risk factors
Effectiveness in alleviating menopausal symptoms
Way of administrating
Safety of therapies
Bleeding
Effect on breasts
Other
Don't know
% women
99% of women are not aware of differences between HRT’s in relation to breast
99% of women are not aware of differences between HRT’s in relation to breast
Page.26
Perceived differences Perceived differences between various kinds of HRTbetween various kinds of HRT (Asia)(Asia)
6% 39% 22% 27% 24% 19% 18% 23% 18%
Effect on breastsEffective in alleviating symptomsBrand nameNo. and kind of s/eAmount of hormonesNo. and kind of hormonesNo. and kind of risk factorsSafety of the therapiesDon't know
94% of women are not aware of differences between HRTs in relation to breast
Page.28
RReduced sexual functioningeduced sexual functioning
Experience reduced sexual functioning and/or reduced libido
Yes
No
Don't Know71%
25%
4%
Page.29
DDiscomfort during sexiscomfort during sex
Experienced vaginal pain, dryness or discomfort during sex
Yes
No
Don't Know75%
19%
6%
Page.30
On relation with partner: 66%
On femininity 64%
On quality of life 65%
On self esteem 34%
RReduced sexual interest has a negative impacteduced sexual interest has a negative impact
Page.32
Importance of sexual relationship before and after the menopause
Before menopause
19%
19%
15%
10%
12%
28%
55%
57%
55%
60%
51%
54%
19%
22%
19%
29%
23%
9%
3%
10%
1%
5%
2%
9%
1%
1%
7%
4%Total (N=1000)
China (N=300)
Taiwan (N=150)
Hong Kong(N=100)
Thailand (N=150)
Malaysia (N=300)
Now
8%
7%
9%
3%
3%
12%
37%
43%
31%
31%
33%
38%
40%
40%
41%
58%
39%
33%
11%
7%
17%
8%
15% 10%
10%
2%
7%
2%
5%
Very important Important Unimportant Very unimportant Don’t know
Page.33
Base: All respondents
Seek treatment Take medication/drugs
31% 63% 6%Total (N=1000) 24% 69% 7%
Don’t knowYES NO
Willingness of all respondent to seek or take treatment, if Willingness of all respondent to seek or take treatment, if confronted with sexual symptomsconfronted with sexual symptoms
not not
Page.34
Base: All respondents
Take hormone replacement therapy
19% 71% 9%
Don’t knowYES NO
Willingness to take HRT for sexual problemsWillingness to take HRT for sexual problems
Not
Page.36
56
12
1
7
6
1
0 10 20 30 40 50 60
Never discussed
Female friends
Family
Friends
Doctor
Partner
% women
More than half the women don’t discuss problems More than half the women don’t discuss problems with partners, only 6% with their doctorswith partners, only 6% with their doctors
18
Page.37
With improved sexual functioning I would enjoy life moreWith improved sexual functioning I would enjoy life more
Yes
No
Don't know61%34%
5%
Base: All respondents
Page.38
75% women would talk about it if doctors bring it up75% women would talk about it if doctors bring it up
If my doctor would bring up the subject of sexual problems himself, it would trigger me to talk about it
Yes
No
Don't know75%
23%
2%
Page.39
Summary and conclusionsSummary and conclusions
Sleeplessness and hot flushes are most common reason for seeking treatment for Asian women
HRT use is much lower in Asian than in European women
Breast cancer risk (and other perceived AEs) major hurdle for acceptance of hormone treatment
Perceived efficacy differences between HRT options, no awareness in differences in breast (cancer) effects
Page.40
Summary and conclusionsSummary and conclusions
Most women experience reduction in libido / sexual functioning
This affects their femininity, QoL and self esteem
Most women uninformed about treatment options and/or unwilling to seek or take treatment
6% discuss symptoms with their doctor, 75% willing to discuss in doctor initiates
61% would enjoy life more if sexual functioning improved
Page.41
Adequate information, less media driven Adequate information, less media driven scare storiesscare stories
Doctors perceptive of the potential symptoms Doctors perceptive of the potential symptoms (and worries) they may experience - but dare (and worries) they may experience - but dare not discuss pro-activelynot discuss pro-actively
Menopausal womens’ needsMenopausal womens’ needs