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Menopause Missing From Most Women's Medical Records, Study Finds

The documentation gap could slow research into sex-specific disease risks by making it hard to tell menopause effects apart from normal ageing.

Overview

  • A University of Colorado analysis of NIH 'All of Us' data reported on October 12 found that only about 14% of women who said they were menopausal had that status recorded in their electronic health records.
  • Researchers compared survey answers to EHR entries for nearly 396,000 women and identified roughly 193,000 self‑reported menopause cases but only about 28,000 matching diagnoses in medical records.
  • The study attributes the shortfall to clinicians not routinely asking or recording menopausal status and to the lack of standardized EHR fields where that status can be logged.
  • Missing menopause timing makes it hard for researchers to separate hormonal effects from normal ageing, which complicates study of midlife risks such as the rise in cardiovascular disease after menopause.
  • As an immediate step, authors and coverage advise patients to raise menopausal status with clinicians and request documentation while longer‑term fixes such as EHR standards or policy changes remain unaddressed.