Africa, except for a few areas, such as South Africa or the African Mediterranean countries, is usually missing from international medical forums or conferences that discuss menopause-related issues. For many of us, Africa is still an enigma although one may speculate that the problems surrounding the climacterium are similar to those elsewhere in the world. A study from the city of Enugu, Nigeria, sheds some light on knowledge of postmenopausal hormone therapy (PHT) in women who attended a local university hospital gynecology clinic . In short, the knowledge and perception of PHT among women of South-East Nigeria were found to be poor and related to the level of education. A total of 432 women were randomly selected for the survey, out of which 168 (39%) had knowledge of PHT and only 48 (11%) had taken it in the past. Currently, none was using PHT despite experiencing menopausal symptoms. The majority of women perceived climacteric symptoms as part of the aging process.
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
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