• Saima Hamid
  • Fatma Rashid Al-Ghufli
  • Hanan Ali Raeesi
  • Khawla Mohammed Al-Dhufairi
  • Noura Salem Al-Dhaheri
  • Fatma Al-Maskari
  • Iain Blair
  • Syed Mahboob Shah


Background: Hormone replacement therapy (HRT) is an effective treatment for menopausal symptoms like vasomotor symptoms, sleep disturbances, mood alteration, depression, urinary tract infection, vaginal atrophy and increased health risks for osteoporosis, cardiovascular diseases and loss of cognitive function. This study was conducted to determine knowledge, attitude and practice toward menopause among women in UAE. Methods: A clinic-based cross-sectional study was carried out among women of age 40 and above. Study subjects were recruited from four Primary Health Care centres in Al Ain city. The participants were administered a questionnaire in Arabic and English, which included 33 items; socio-demographic variables, and questions related to knowledge, attitude and practices regarding menopause and HRT. Results: Out of 177 study subjected selected, 150 (85%) completed the survey. Almost half of the participants (51%) had already experienced menopause. A substantial number of women had poor know knowledge about menopause (67%) and HRT (73%). Sixty percent of women had positive attitude towards menopause. Of the fifty three percent of women with symptoms, 35% of them did not use anything to relieve their symptoms. Knowledge about menopause varied significantly (p<0.05) with the level of education and nationality. The association between reported symptoms and attitude towards menopause and HRT was found to be statistically significant. Women with reported symptoms that were bothersome had positive attitude towards HRT uptake. Conclusion: The study indicated that there is poor knowledge about menopause and HRT among the participants. Level of knowledge was associated with the level of education. There was a positive attitude towards menopause, with women suffering the most from menopausal symptoms showing positive attitude towards HRT.Keywords: HRT, Menopause, UAE


Lund KJ. Menopause and the menopausal transition. Med Clin North Am 2008;92(5):1253–71.

Peeyananjarassri K, Cheewadhanaraks S, Hubbard M, Zoa Manga R, Manocha R, Eden J. Menopausal symptoms in a hospital-based sample of women in southern Thailand. Climacteric 2006;9(1):23–9.

Boulet MJ, Oddens BJ, Lehert P, Vemer HM, Visser A. Climacteric and menopause in seven South-east Asian countries. Maturitas 1994;19(3):157–76.

Fuh JL, Wang SJ, Lu SR, Juang KD, Chiu LM. The Kinmen women-health investigation (KIWI): a menopausal study of a population aged 40–54. Maturitas 2001;39(2):117–24.

Lu J, Liu J, Eden J. The experience of menopausal symptoms by Arabic women in Sydney. Climacteric 2007;10(1):72–9.

Syed Alwi SA, Lee PY, Awi I, Mallik PS, Md Haizal MN. The menopausal experience among indigenous women of Sarawak, Malaysia. Climacteric 2009;12(6):548–56.

Mahadeen AI, Halabi JO, Callister LC. Menopause: a qualitative study of Jordanian women's perceptions. Int Nurs Rev 2008;55(4):427–33.

Lutz W, Sanderson W, Scherbov S, (2004). The end of world population growth. In: Lutz, W,. Sanderson, W.C., and Scherbow, S. (eds.) The end of world population growth in the 21st century: new challenges for human capital formation and sustainable development. London: Earthscan; 17–84

Tao M, Teng Y, Shao H, Wu P, Mills EJ. Knowledge, perceptions and information about hormone therapy (HT) among menopausal women: a systematic review and meta-synthesis. PloS one 2011;6(9):e24661.

Bluming AZ. Hormone replacement therapy. Geriatrics 2004;59(11):35–7.

Cummings SR, Kelsey JL, Nevitt MC, O'Dowd KJ. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 1985;7:178–208.

Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet 2002;359(9319):1761–7.

Griffiths F. Women's control and choice regarding HRT. Soc Sci Med 1999;49(4):469–81.

Bener A, Rizk DE, Shaheen H, Micallef R, Osman N, Dunn E. Measurement-specific quality-of-life satisfaction during the menopause in an Arabian Gulf country. Climacteric 2000;3(1):43–9.

Purdie DW. Broken bones--a gynaecological problem. Br J Obstet Gynaecol 1988;95(8):737–9

Patrelli TS, Gizzo S, Franchi L, Berretta R, Pedrazzi G, Volpi L, et al. A prospective, case-control study on the lipid profile and the cardiovascular risk of menopausal women on oestrogen plus progestogen therapy in a northern Italy province. Arch Gynecol Obstet 2013;288(1):91–7.

Ioannou GN, Boyko EJ. Effects of menopause and hormone replacement therapy on the associations of hyperuricemia with mortality. Atherosclerosis 2013;226(1):220–7.

Barrett-Conner E. Hormone replacement therapy - clinical review. BMJ 1998;317(7156):457–61.

Canonico M, Plu-Bureau G, Lowe GD, Scarabin PY. Hormone replacement therapy and risk of venous thromboembolism in postmenopausal women: systematic review and meta-analysis. BMJ 2008;336(7655):1227–31.

Schneider HP. Cross-national study of women's use of hormone replacement therapy (HRT) in Europe. Int J Fertil Womens Med 1997;42:365.

Jassim GA, Al-Shboul QM. Knowledge of Bahraini women about the menopause and hormone therapy: implications for health-care policy. Climacteric 2009;12(1):38–48.

Clinkingbeard C, Minton BA, Davis J, McDermott K. Women's knowledge about menopause, hormone replacement therapy (HRT), and interactions with healthcare providers: an exploratory study. J Womens Health Gend Based Med 1999;8(8):1097–102.

Lewin KJ, Sinclair HK, Bond C. Women’s knowledge of and attitudes towards hormone replacement therapy. Fam Pract 2003;20(2):112–9.

Malik HS. Knowledge and attitude towards menopause and hormone replacement therapy (HRT) among postmenopausal women. J Pak Med Assoc 2008;58(4):164–7.

Sinclair HK, Bond CM, Taylor RJ. Hormone replacement therapy: a study of women's knowledge and attitudes. Brit J Gen Pract 1993;43(374):365–70.

Nilsen ST, Pedersen AT, Moen MH, Milsom I, Mattsson LA, Iversen OE, et al. Knowledge, attitudes and management strategies in Scandinavia concerning hormone replacement therapy: a comparison between gynecologists in Denmark, Norway and Sweden. Maturitas 2001;39(1):83–90.

Rizk DE, Bener A, Ezimokhai M, Hassan MY, Micallef R. The age and symptomatology of natural menopause among United Arab Emirates women. Maturitas 1998;29(3):197–202.

Donati S, Cotichini R, Mosconi P, Satolli R, Colombo C, Liberati A, et al. Menopause: knowledge, attitude and practice among Italian women. Maturitas 2009;63(3):246–52.

Ayers B, Forshaw M, Hunter MS. The impact of attitudes towards the menopause on women's symptom experience: A systematic review. Maturitas 2010;65(1):28–36.

Melby MK, Lock M, Kaufert P. Culture and symptom reporting at menopause. Hum Reprod Update 2005;11(5):495–512.

Loutfy I, Abdel Aziz F, Dabbous NI, Hassan MH. Women's perception and experience of menopause: a community-based study in Alexandria, Egypt. East Mediterr Health J 2006;12:93–106.