{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:01:30Z","timestamp":1784700090529,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study investigated the current clinical status, structural barriers, and perceived outcomes of menopausal care provided by gynecologists in Japan, with a specific focus on the management of menopausal disorders among working women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A web\u2010based survey was conducted among 919 gynecologists in December 2025. Participants were categorized by weekly menopausal patient volume (none\/minimal, 1\u201319, or \u2265\u200920 patients\/week). A mixed\u2010methods approach was employed, including adjusted multivariable logistic regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most gynecologists (89.4%) encountered patients with decreased work performance, and 29.8% reported managing patients who had resigned owing to menopausal symptoms. Meanwhile, 82.4% of respondents perceived improvements in work performance following treatment. Adjusted multivariable analyses confirmed weekly patient volume as an independent predictor of occupational outcomes and willingness to continue menopausal care. While nearly all gynecologists prescribed hormone replacement therapy and Kampo (Japanese herbal) medicine, the variety of additional treatments increased significantly with patient volume. Furthermore, 66.4% of gynecologists reported that their residency training in menopausal disorders was insufficient. Consultations for menopausal disorders required significantly more time than those for dysmenorrhea, regardless of patient volume. Qualitative analysis identified inadequate reimbursement as the most frequently cited systemic concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Gynecologists frequently encounter menopause\u2010related work performance impairment but perceive treatment as beneficial. After adjustment for physician characteristics, higher patient volume remained an independent predictor of severe occupational consequences and willingness to continue menopausal care. Addressing time\u2010intensive consultations, insufficient reimbursement, and limited postgraduate education is essential to support working women with menopausal symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70399","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T01:05:33Z","timestamp":1783386333000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gynecologists' Perspectives on Menopausal Care and Work\u2010Related Outcomes in Japan: A Nationwide Cross\u2010Sectional Survey"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4086-7130","authenticated-orcid":false,"given":"Mariko","family":"Ogawa","sequence":"first","affiliation":[{"name":"Fukushima Medical Center for Children and Women Fukushima Medical University  Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riyo","family":"Kinouchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Biomedical Sciences Tokushima University  Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Fukushima Medical University School of Medicine  Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miho","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroya","family":"Okano","sequence":"additional","affiliation":[{"name":"Iidabashi Ladies Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Takamatsu","sequence":"additional","affiliation":[{"name":"Tsukubamirai Endo Ladies Clinic  Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1014-5687","authenticated-orcid":false,"given":"Takeshi","family":"Iwasa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Biomedical Sciences Tokushima University  Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.15185\/izawol.87.v3"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2022.2158729"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002645"},{"key":"e_1_2_13_5_1","unstructured":"Ministry of Economy Trade and Industry \u201cEstimated Economic Losses Due to Women's Health Issues and the Necessity of Health Management \u201d2024 https:\/\/www.meti.go.jp\/policy\/mono_info_service\/healthcare\/downloadfiles\/jyosei_keizaisonshitsu.pdf."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2023.04.012"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2016.06.004"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036235611"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.15950"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2023.107889"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010295"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002415"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2021.06.006"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2025.108646"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqad087"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2024.107983"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002028"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198\u2010025\u201001764\u20109"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2013.10.020"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001088"},{"key":"e_1_2_13_21_1","unstructured":"Department of Health Disability and Ageing \u201cMedicare Benefits Schedule\u2014Item 695 Menopause and Perimenopause Health Assessment \u201d2025 https:\/\/www9.health.gov.au\/mbs\/fullDisplay.cfm?type=item&q=695&qt=item."},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2018.08.033"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2017.1304906"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010021\u201006637\u20104"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.70399","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.70399","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.70399","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:04:30Z","timestamp":1784696670000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.70399"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/jog.70399"],"URL":"https:\/\/doi.org\/10.1111\/jog.70399","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-04-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70399"}}