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Diagnostics of Cognitive Function 

in Women of Menopausal Period 

at Level of Primary Health Care  

 

N. Zhilgeldina & T. Ulykbassova 

 
Department of Ob/Gyn, National 
Research Center for Maternal and Child 
Health, Astana, Kazakhstan 

 

 

 

 

 

 

 

 

Vol. 3, Suppl. (2014)   |   ISSN 2166-7403 (online)    

DOI 10.5195/cajgh.2014.183   |   http://cajgh.pitt.edu 

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ZHILGELDINA 

 

 

This work is licensed under a Creative Commons Attribution 4.0 United States License. 

 

This journal is published by the University Library System of the University of Pittsburgh as part  

of its D-Scribe Digital Publishing Program and is cosponsored by the University of Pittsburgh Press. 

 

Central Asian Journal of Global Health 

Volume 3, Suppl. (2014)  |  ISSN 2166-7403 (online)  |  DOI 10.5195/cajgh.2014.183  |  http://cajgh.pitt.edu 

  

 

Abstract 

Introduction. In the medical community, there is no consensus on whether or not climacteric changes are pathologic and require 

treatment. One of the main problems related to menopause is misperception of menopause; consequently, there is no consensus on 

treatments for psychological dysfunction and cognitive deficits in menopausal women. Timely diagnosis and adequate treatment 

of psychological disorders and cognitive dysfunction are imperative and complicated. The purpose of this study was to evaluate 

physician perceptions of cognitive and psychological deficits in menopausal women in outpatient settings. 

Methods. 215 obstetricians-gynecologists working in out-patient services were surveyed using a multiple choice questionnaire 

assessing perceptions and knowledge of menopausal transition.  

Results. Of total respondents, 42.0% ± 2.5 of physicians found it hard to define menopausal period, and 67.5% ± 3.2 could not 

give a clear definition of hormone replacement therapy. On the question “cognitive function includes…,” 62.5% ± 2.1 of physicians 

selected “memory,” 32.3% ± 1.8 selected attention, 77.5% ± 3.2 selected mood and/or imagination, 37.4% selected intellect, 36.3% 

± 3.1 of respondents selected character traits, and 6.2% ± 1.7 selected speech. Regarding the question “how do you study memory 

status function?” it was estimated that 71.2% ± 2.5 of study participants have studied the memory only on the basis of subjective 

complaints, and none of the respondents (100%) have ever used neuropsychological tests. 

Conclusion. The survey allows us to ascertain that primary medical care services lack the ability to appropriately recognize and 

diagnose cognitive deficits in women of menopausal age. Based on these data, we can assume that proper mental care is not 

provided. Thus, the study indicates a need to create training programs for general practitioners and other specialists (cardiologists, 

neurologists, and endocrinologists) to fulfill this need. Implementation of a standard of care, testing, and treatment of cognitive and 

psychological function, such as the use of neuropsychological tests and questionnaires, in an out-patient setting for menopausal 

women would improve the quality of life during a woman’s transition period. 

Keywords: menopause, cognitive function, psychological function, women’s health 

 

 

 

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