Early menopause and its determinants

Summary In rural women in Andhra Pradesh, major determinants of early menopause are poor health status, particularly low haemoglobin and protein levels, increased parity, and pathological conditions including infection by bacteria, fungi and viruses. Early menopause leads to increased likelihood of extramarital sexual relations by husbands, resulting in family disharmony. As remedial measures, a greater age difference between prospective spouses, education in sexual hygiene, improvement of health and nutritional status, and limitation of conception are indicated.