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Johanna Perlmutter, MD, MPH
Beth Israel Hospital Boston, Mass

JAMA. 1995;274(16):1265.

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In Reply.

—This book was read through the eyes of a gynecologist who is knowledgeable about the menopause. By definition, the menopause is a distinct entity that is based on the cessation of menses. There is no question about this. Women in the United States are very vocal about their symptoms and tend to associate any malady, disorder, or complaint that they have with this stage of their life. All of these problems are not necessarily related to menopause. In contrast, women in Japan have traditionally answered questions politely and according to their assumption of what you want to hear and not what they are experiencing. Dr Lock acknowledges that in the text of her book. To get a clear picture of the specifics of what these women are experiencing is difficult. If one modifies a questionnaire to account for cultural differences, it is no longer the same instrument. Moreover, . . . [Full Text PDF of this Article]

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