It has been reported that nearly 3/4 of perimenopausal women suffer from hot flashes, night sweats and other symptoms, which can last from moderate to severe for 10 years or more and seriously affect the quality of life . Meanwhile, menopausal symptoms without medical intervention are also associated with high medical expenses and reduced work efficiency . MHT has played roles in various diseases caused by ovarian failure, and contributed to relieve vasomotor symptoms, prevent osteoporosis and cardiovascular disease, improve urogenital tract atrophy. In China, the incidence of menopausal symptoms reached up to 60–70% , and only 13.6-29.98% of women knew about MHT . Our survey found that the cognition rate of MHT among medical institution staff was only 37%, MHT could relieve pausimenia symptoms, but only 37.8%-44.3% were awareness of this, which indicating that the understanding and knowledge of menopause in medical institution staff were insufficient. Differences of cognition rate existed in people with different professionals, the cognition rate of doctors on MHT was higher than that of nurses and medical technicians.
The utilization rate of MHT in developed countries has reached 18%-50% ,A survey among German obstetricians and gynecologists published in 2012 revealed that up to 97% of them would use MHT themselves or give MHT to their partners . A survey in Italy revealed hormone therapy was used by 37% postmenopausal women doctors and 39% male doctors' wives, and 64% postmenopausal women doctors and 58% male doctors' wives were under the hormone therapy. Taking the acceptance and utilization of MHT into account, Chinese women is far from that of advanced countries, such as Europe and the United States. According to the data of Tianjin,the utilization rate of MHT was less than 9.62% . This phenomenon reflected that health care knowledge of Chinese perimenopausal women was exparte, unstandardized, and weak . In our survey, it was also found that the utilization rate of MHT in medical institutions was only 15.0%, and 84.6% of them used MHT for less than 3 years, in their consideration, medication was not required after the symptoms have subsided, and a number of them showed worry about drug side effects. 84.6% of those without MHT believed that the problems related to menopause were not diseases and medication was unnecessary. this conclusion kept consistent with the fact that other studies revealed, that perimenopausal women urgently need to acquire perimenopausal knowledge with a particularly strong demand for health care. The cognition rate of MHT among medical institution staff was 37% and the using rate was only 15.0%, but 44% of them, especially doctors, would like to recommend MHT to others.
In conclusion, the knowledge of MHT in medical institution personnel have been confirmed insufficient and the awareness of health care was very weak. It is urgently required that systematic and standardized training should be conducted for medical institution staff. Administrative staff as a nonmedical background group, had higher utilization rate and recommendation rate of MHT than that of nurses, suggested general population trust the opinions of the professionals, and would like to spread professional points. The training of MHT knowledge in medical institutions should be strengthen, only in this way can we improve the cognition and utilization rate of MHT, promote the application widely.