{
  "dataset_name": "The HRT Index Menopause Statistics Evidence Ledger",
  "dataset_version": "1.0",
  "published": "2026-08-01",
  "last_verified": "2026-08-01",
  "canonical_url": "https://thehrtindex.com/research/menopause-statistics/",
  "method_summary": "Claim-level extraction and normalization from official health-agency sources, peer-reviewed original research, an international guideline, and transparent arithmetic.",
  "record_count": 108,
  "fields": [
    "record_id",
    "topic",
    "metric",
    "estimate",
    "unit",
    "lower_ci",
    "upper_ci",
    "study_count",
    "sample_size",
    "population",
    "denominator",
    "geography",
    "menopause_stage",
    "study_design",
    "value_type",
    "calculation",
    "data_period",
    "source_title",
    "source_publisher",
    "source_year",
    "source_url",
    "material_limitation",
    "safe_quote",
    "common_misquote",
    "verified_on",
    "dataset_version",
    "publish_status"
  ],
  "records": [
    {
      "record_id": "SYM-joint-muscular-discomfort",
      "topic": "symptom prevalence",
      "metric": "Joint and muscular discomfort",
      "estimate": "65.43",
      "unit": "percent",
      "lower_ci": "62.51",
      "upper_ci": "68.29",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of joint and muscular discomfort at 65.43% among middle-aged women.",
      "common_misquote": "65.43% of all women everywhere experience joint and muscular discomfort.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-physical-mental-exhaustion",
      "topic": "symptom prevalence",
      "metric": "Physical and mental exhaustion",
      "estimate": "64.13",
      "unit": "percent",
      "lower_ci": "60.93",
      "upper_ci": "67.27",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of physical and mental exhaustion at 64.13% among middle-aged women.",
      "common_misquote": "64.13% of all women everywhere experience physical and mental exhaustion.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-poor-memory",
      "topic": "symptom prevalence",
      "metric": "Poor memory",
      "estimate": "54.44",
      "unit": "percent",
      "lower_ci": "48.87",
      "upper_ci": "59.95",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of poor memory at 54.44% among middle-aged women.",
      "common_misquote": "54.44% of all women everywhere experience poor memory.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-irritability",
      "topic": "symptom prevalence",
      "metric": "Irritability",
      "estimate": "54.37",
      "unit": "percent",
      "lower_ci": "50.80",
      "upper_ci": "57.92",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of irritability at 54.37% among middle-aged women.",
      "common_misquote": "54.37% of all women everywhere experience irritability.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-hot-flashes",
      "topic": "symptom prevalence",
      "metric": "Hot flashes",
      "estimate": "52.65",
      "unit": "percent",
      "lower_ci": "50.24",
      "upper_ci": "55.06",
      "study_count": 265,
      "sample_size": 349608,
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of hot flashes at 52.65% among middle-aged women.",
      "common_misquote": "52.65% of all women everywhere experience hot flashes.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-sleep-problems",
      "topic": "symptom prevalence",
      "metric": "Sleep problems",
      "estimate": "51.89",
      "unit": "percent",
      "lower_ci": "49.55",
      "upper_ci": "54.22",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of sleep problems at 51.89% among middle-aged women.",
      "common_misquote": "51.89% of all women everywhere experience sleep problems.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-anxiety",
      "topic": "symptom prevalence",
      "metric": "Anxiety",
      "estimate": "50.53",
      "unit": "percent",
      "lower_ci": "46.65",
      "upper_ci": "54.40",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of anxiety at 50.53% among middle-aged women.",
      "common_misquote": "50.53% of all women everywhere experience anxiety.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-mood-swings",
      "topic": "symptom prevalence",
      "metric": "Mood swings",
      "estimate": "49.03",
      "unit": "percent",
      "lower_ci": "43.65",
      "upper_ci": "54.43",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of mood swings at 49.03% among middle-aged women.",
      "common_misquote": "49.03% of all women everywhere experience mood swings.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-skin-appearance",
      "topic": "symptom prevalence",
      "metric": "Changes in skin appearance, texture, or tone",
      "estimate": "46.48",
      "unit": "percent",
      "lower_ci": "36.21",
      "upper_ci": "56.89",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of changes in skin appearance, texture, or tone at 46.48% among middle-aged women.",
      "common_misquote": "46.48% of all women everywhere experience changes in skin appearance, texture, or tone.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-drying-skin",
      "topic": "symptom prevalence",
      "metric": "Drying skin",
      "estimate": "46.03",
      "unit": "percent",
      "lower_ci": "38.81",
      "upper_ci": "53.34",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of drying skin at 46.03% among middle-aged women.",
      "common_misquote": "46.03% of all women everywhere experience drying skin.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-sexual-problems",
      "topic": "symptom prevalence",
      "metric": "Sexual problems",
      "estimate": "45.45",
      "unit": "percent",
      "lower_ci": "41.89",
      "upper_ci": "49.04",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of sexual problems at 45.45% among middle-aged women.",
      "common_misquote": "45.45% of all women everywhere experience sexual problems.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-difficulty-concentrating",
      "topic": "symptom prevalence",
      "metric": "Difficulty concentrating",
      "estimate": "44.85",
      "unit": "percent",
      "lower_ci": "37.71",
      "upper_ci": "52.09",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of difficulty concentrating at 44.85% among middle-aged women.",
      "common_misquote": "44.85% of all women everywhere experience difficulty concentrating.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-headaches",
      "topic": "symptom prevalence",
      "metric": "Headaches",
      "estimate": "43.91",
      "unit": "percent",
      "lower_ci": "40.64",
      "upper_ci": "47.21",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of headaches at 43.91% among middle-aged women.",
      "common_misquote": "43.91% of all women everywhere experience headaches.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-depression",
      "topic": "symptom prevalence",
      "metric": "Depression",
      "estimate": "43.34",
      "unit": "percent",
      "lower_ci": "40.29",
      "upper_ci": "46.42",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of depression at 43.34% among middle-aged women.",
      "common_misquote": "43.34% of all women everywhere experience depression.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-heart-discomfort",
      "topic": "symptom prevalence",
      "metric": "Heart discomfort",
      "estimate": "42.12",
      "unit": "percent",
      "lower_ci": "38.85",
      "upper_ci": "45.42",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of heart discomfort at 42.12% among middle-aged women.",
      "common_misquote": "42.12% of all women everywhere experience heart discomfort.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-vaginal-dryness",
      "topic": "symptom prevalence",
      "metric": "Vaginal dryness",
      "estimate": "37.34",
      "unit": "percent",
      "lower_ci": "34.30",
      "upper_ci": "40.44",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of vaginal dryness at 37.34% among middle-aged women.",
      "common_misquote": "37.34% of all women everywhere experience vaginal dryness.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-urinary-problems",
      "topic": "symptom prevalence",
      "metric": "Urinary problems",
      "estimate": "34.49",
      "unit": "percent",
      "lower_ci": "31.70",
      "upper_ci": "37.34",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of urinary problems at 34.49% among middle-aged women.",
      "common_misquote": "34.49% of all women everywhere experience urinary problems.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-increased-facial-hair",
      "topic": "symptom prevalence",
      "metric": "Increased facial hair",
      "estimate": "27.19",
      "unit": "percent",
      "lower_ci": "21.09",
      "upper_ci": "33.74",
      "study_count": "",
      "sample_size": "",
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of increased facial hair at 27.19% among middle-aged women.",
      "common_misquote": "27.19% of all women everywhere experience increased facial hair.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "SYM-formication",
      "topic": "symptom prevalence",
      "metric": "Formication",
      "estimate": "20.50",
      "unit": "percent",
      "lower_ci": "13.44",
      "upper_ci": "28.60",
      "study_count": 16,
      "sample_size": 52195,
      "population": "Middle-aged women represented in symptom-specific studies included in the meta-analysis",
      "denominator": "Symptom-specific pooled study population; exact denominator varies by symptom",
      "geography": "Global",
      "menopause_stage": "Mixed or not consistently reported",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Extreme between-study heterogeneity; evidence certainty rated very low; instruments and populations varied.",
      "safe_quote": "A 2024 meta-analysis estimated pooled prevalence of formication at 20.50% among middle-aged women.",
      "common_misquote": "20.50% of all women everywhere experience formication.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-ABOVE50",
      "topic": "original symptom synthesis",
      "metric": "Symptom estimates above 50%",
      "estimate": "7",
      "unit": "of 19 symptom estimates",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "Count point estimates > 50.00",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "Seven of the 19 pooled symptom point estimates exceeded 50%.",
      "common_misquote": "Seven of every 19 women experience a symptom above 50%.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-ABOVE40",
      "topic": "original symptom synthesis",
      "metric": "Symptom estimates above 40%",
      "estimate": "15",
      "unit": "of 19 symptom estimates",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "Count point estimates > 40.00",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "Fifteen of the 19 pooled symptom point estimates exceeded 40%.",
      "common_misquote": "Fifteen symptoms occur in the same 40% of women.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-MEDIAN",
      "topic": "original symptom synthesis",
      "metric": "Median of 19 symptom estimates",
      "estimate": "46.03",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "Median of the 19 published point estimates",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "The median of the 19 pooled symptom point estimates was 46.03%.",
      "common_misquote": "46.03% of women experience any menopause symptom.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-MEAN",
      "topic": "original symptom synthesis",
      "metric": "Unweighted mean of 19 symptom estimates",
      "estimate": "46.01",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "Sum of the 19 point estimates divided by 19",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "The unweighted mean of the 19 pooled symptom point estimates was 46.01%.",
      "common_misquote": "The overall menopause symptom rate is 46.01%.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-SPREAD",
      "topic": "original symptom synthesis",
      "metric": "Highest-to-lowest symptom-estimate spread",
      "estimate": "44.93",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "65.43 − 20.50",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "The highest and lowest pooled symptom estimates differed by 44.93 percentage points.",
      "common_misquote": "Individual women experience a 44.93-point change.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-HOTRANK",
      "topic": "original symptom synthesis",
      "metric": "Rank of hot flashes",
      "estimate": "5",
      "unit": "of 19 symptoms",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "Sort point estimates descending",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "Hot flashes ranked fifth among the 19 pooled symptom estimates.",
      "common_misquote": "Hot flashes are the fifth most common symptom for every population.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-WIDESTCI",
      "topic": "original symptom synthesis",
      "metric": "Widest reported confidence interval",
      "estimate": "20.68",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "56.89 − 36.21",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "The reported confidence interval for changes in skin appearance was 20.68 percentage points wide, the widest among the 19 estimates.",
      "common_misquote": "This interval width proves the symptom is measured inaccurately.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-SYM-NARROWESTCI",
      "topic": "original symptom synthesis",
      "metric": "Narrowest reported confidence interval",
      "estimate": "4.67",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "The 19 source-reported symptom point estimates",
      "denominator": "19 symptom categories, treated as an unweighted set",
      "geography": "Global source synthesis",
      "menopause_stage": "Mixed",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "54.22 − 49.55",
      "data_period": "Source studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Describes the distribution of symptom-level estimates, not people and not prevalence of any symptom.",
      "safe_quote": "The reported confidence interval for sleep problems was 4.67 percentage points wide, the narrowest among the 19 estimates.",
      "common_misquote": "A narrow pooled confidence interval eliminates between-study heterogeneity.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-hot-flashes-premenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Hot flashes",
      "estimate": "31.31",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Premenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Premenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled premenopause estimate for hot flashes was 31.31%.",
      "common_misquote": "Hot flashes follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-hot-flashes-perimenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Hot flashes",
      "estimate": "56.52",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Perimenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Perimenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled perimenopause estimate for hot flashes was 56.52%.",
      "common_misquote": "Hot flashes follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-hot-flashes-postmenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Hot flashes",
      "estimate": "56.74",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Postmenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Postmenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled postmenopause estimate for hot flashes was 56.74%.",
      "common_misquote": "Hot flashes follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-hot-flashes-post-minus-pre",
      "topic": "original stage synthesis",
      "metric": "Hot flashes: postmenopause minus premenopause",
      "estimate": "25.43",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "56.74 − 31.31",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for hot flashes was 25.43 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Hot flashes changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-hot-flashes-pre-to-peri",
      "topic": "original stage synthesis",
      "metric": "Hot flashes: premenopause to perimenopause difference",
      "estimate": "25.21",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "56.52 − 31.31",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled perimenopause estimate for hot flashes was 25.21 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Hot flashes changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-hot-flashes-peri-to-post",
      "topic": "original stage synthesis",
      "metric": "Hot flashes: perimenopause to postmenopause difference",
      "estimate": "0.22",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "56.74 − 56.52",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for hot flashes was 0.22 percentage points higher than the pooled perimenopause estimate.",
      "common_misquote": "Hot flashes changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-hot-flashes-pre-peri-share",
      "topic": "original stage synthesis",
      "metric": "Hot flashes: share of full pre-to-post difference located in pre-to-peri step",
      "estimate": "99.1",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "(56.52 − 31.31) ÷ (56.74 − 31.31) × 100",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "For hot flashes, 99.1% of the arithmetic difference between the pooled premenopause and postmenopause estimates lay between the premenopause and perimenopause estimates.",
      "common_misquote": "Hot flashes changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-vaginal-dryness-premenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Vaginal dryness",
      "estimate": "21.16",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Premenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Premenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled premenopause estimate for vaginal dryness was 21.16%.",
      "common_misquote": "Vaginal dryness follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-vaginal-dryness-perimenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Vaginal dryness",
      "estimate": "36.07",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Perimenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Perimenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled perimenopause estimate for vaginal dryness was 36.07%.",
      "common_misquote": "Vaginal dryness follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-vaginal-dryness-postmenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Vaginal dryness",
      "estimate": "44.81",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Postmenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Postmenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled postmenopause estimate for vaginal dryness was 44.81%.",
      "common_misquote": "Vaginal dryness follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-vaginal-dryness-post-minus-pre",
      "topic": "original stage synthesis",
      "metric": "Vaginal dryness: postmenopause minus premenopause",
      "estimate": "23.65",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "44.81 − 21.16",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for vaginal dryness was 23.65 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Vaginal dryness changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-vaginal-dryness-pre-to-peri",
      "topic": "original stage synthesis",
      "metric": "Vaginal dryness: premenopause to perimenopause difference",
      "estimate": "14.91",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "36.07 − 21.16",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled perimenopause estimate for vaginal dryness was 14.91 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Vaginal dryness changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-vaginal-dryness-peri-to-post",
      "topic": "original stage synthesis",
      "metric": "Vaginal dryness: perimenopause to postmenopause difference",
      "estimate": "8.74",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "44.81 − 36.07",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for vaginal dryness was 8.74 percentage points higher than the pooled perimenopause estimate.",
      "common_misquote": "Vaginal dryness changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-vaginal-dryness-pre-peri-share",
      "topic": "original stage synthesis",
      "metric": "Vaginal dryness: share of full pre-to-post difference located in pre-to-peri step",
      "estimate": "63.0",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "(36.07 − 21.16) ÷ (44.81 − 21.16) × 100",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "For vaginal dryness, 63.0% of the arithmetic difference between the pooled premenopause and postmenopause estimates lay between the premenopause and perimenopause estimates.",
      "common_misquote": "Vaginal dryness changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-sexual-problems-premenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Sexual problems",
      "estimate": "35.24",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Premenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Premenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled premenopause estimate for sexual problems was 35.24%.",
      "common_misquote": "Sexual problems follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-sexual-problems-perimenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Sexual problems",
      "estimate": "48.82",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Perimenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Perimenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled perimenopause estimate for sexual problems was 48.82%.",
      "common_misquote": "Sexual problems follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-sexual-problems-postmenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Sexual problems",
      "estimate": "53.97",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Postmenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Postmenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled postmenopause estimate for sexual problems was 53.97%.",
      "common_misquote": "Sexual problems follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-sexual-problems-post-minus-pre",
      "topic": "original stage synthesis",
      "metric": "Sexual problems: postmenopause minus premenopause",
      "estimate": "18.73",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "53.97 − 35.24",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for sexual problems was 18.73 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Sexual problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-sexual-problems-pre-to-peri",
      "topic": "original stage synthesis",
      "metric": "Sexual problems: premenopause to perimenopause difference",
      "estimate": "13.58",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "48.82 − 35.24",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled perimenopause estimate for sexual problems was 13.58 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Sexual problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-sexual-problems-peri-to-post",
      "topic": "original stage synthesis",
      "metric": "Sexual problems: perimenopause to postmenopause difference",
      "estimate": "5.15",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "53.97 − 48.82",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for sexual problems was 5.15 percentage points higher than the pooled perimenopause estimate.",
      "common_misquote": "Sexual problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-sexual-problems-pre-peri-share",
      "topic": "original stage synthesis",
      "metric": "Sexual problems: share of full pre-to-post difference located in pre-to-peri step",
      "estimate": "72.5",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "(48.82 − 35.24) ÷ (53.97 − 35.24) × 100",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "For sexual problems, 72.5% of the arithmetic difference between the pooled premenopause and postmenopause estimates lay between the premenopause and perimenopause estimates.",
      "common_misquote": "Sexual problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-urinary-problems-premenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Urinary problems",
      "estimate": "22.21",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Premenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Premenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled premenopause estimate for urinary problems was 22.21%.",
      "common_misquote": "Urinary problems follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-urinary-problems-perimenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Urinary problems",
      "estimate": "33.29",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Perimenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Perimenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled perimenopause estimate for urinary problems was 33.29%.",
      "common_misquote": "Urinary problems follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-urinary-problems-postmenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Urinary problems",
      "estimate": "40.27",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Postmenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Postmenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled postmenopause estimate for urinary problems was 40.27%.",
      "common_misquote": "Urinary problems follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-urinary-problems-post-minus-pre",
      "topic": "original stage synthesis",
      "metric": "Urinary problems: postmenopause minus premenopause",
      "estimate": "18.06",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "40.27 − 22.21",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for urinary problems was 18.06 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Urinary problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-urinary-problems-pre-to-peri",
      "topic": "original stage synthesis",
      "metric": "Urinary problems: premenopause to perimenopause difference",
      "estimate": "11.08",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "33.29 − 22.21",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled perimenopause estimate for urinary problems was 11.08 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Urinary problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-urinary-problems-peri-to-post",
      "topic": "original stage synthesis",
      "metric": "Urinary problems: perimenopause to postmenopause difference",
      "estimate": "6.98",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "40.27 − 33.29",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for urinary problems was 6.98 percentage points higher than the pooled perimenopause estimate.",
      "common_misquote": "Urinary problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-urinary-problems-pre-peri-share",
      "topic": "original stage synthesis",
      "metric": "Urinary problems: share of full pre-to-post difference located in pre-to-peri step",
      "estimate": "61.4",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "(33.29 − 22.21) ÷ (40.27 − 22.21) × 100",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "For urinary problems, 61.4% of the arithmetic difference between the pooled premenopause and postmenopause estimates lay between the premenopause and perimenopause estimates.",
      "common_misquote": "Urinary problems changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-depression-premenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Depression",
      "estimate": "36.27",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Premenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Premenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled premenopause estimate for depression was 36.27%.",
      "common_misquote": "Depression follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-depression-perimenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Depression",
      "estimate": "47.30",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Perimenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Perimenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled perimenopause estimate for depression was 47.30%.",
      "common_misquote": "Depression follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "STAGE-depression-postmenopause",
      "topic": "symptom prevalence by menopause stage",
      "metric": "Depression",
      "estimate": "47.62",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Postmenopause study groups represented in the meta-analysis",
      "denominator": "Stage-specific pooled study population; exact denominator varies",
      "geography": "Global",
      "menopause_stage": "Postmenopause",
      "study_design": "Systematic review and meta-analysis",
      "value_type": "Pooled prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Cross-sectional pooled comparison; stage definitions and instruments varied; does not trace individual progression.",
      "safe_quote": "The pooled postmenopause estimate for depression was 47.62%.",
      "common_misquote": "Depression follows this exact trajectory within every individual.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-depression-post-minus-pre",
      "topic": "original stage synthesis",
      "metric": "Depression: postmenopause minus premenopause",
      "estimate": "11.35",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "47.62 − 36.27",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for depression was 11.35 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Depression changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-depression-pre-to-peri",
      "topic": "original stage synthesis",
      "metric": "Depression: premenopause to perimenopause difference",
      "estimate": "11.03",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "47.30 − 36.27",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled perimenopause estimate for depression was 11.03 percentage points higher than the pooled premenopause estimate.",
      "common_misquote": "Depression changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-depression-peri-to-post",
      "topic": "original stage synthesis",
      "metric": "Depression: perimenopause to postmenopause difference",
      "estimate": "0.32",
      "unit": "percentage points",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "47.62 − 47.30",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "The pooled postmenopause estimate for depression was 0.32 percentage points higher than the pooled perimenopause estimate.",
      "common_misquote": "Depression changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-STAGE-depression-pre-peri-share",
      "topic": "original stage synthesis",
      "metric": "Depression: share of full pre-to-post difference located in pre-to-peri step",
      "estimate": "97.2",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Stage-specific pooled point estimates",
      "denominator": "Three pooled stage estimates for one symptom",
      "geography": "Global source synthesis",
      "menopause_stage": "Cross-stage comparison",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "(47.30 − 36.27) ÷ (47.62 − 36.27) × 100",
      "data_period": "Studies published January 2000 through March 2023",
      "source_title": "Mapping global prevalence of menopausal symptoms among middle-aged women: a systematic review and meta-analysis",
      "source_publisher": "BMC Public Health",
      "source_year": "2024",
      "source_url": "https://link.springer.com/article/10.1186/s12889-024-19280-5",
      "material_limitation": "Arithmetic comparison across pooled study groups; cannot establish onset, progression, timing, plateau, or individual course.",
      "safe_quote": "For depression, 97.2% of the arithmetic difference between the pooled premenopause and postmenopause estimates lay between the premenopause and perimenopause estimates.",
      "common_misquote": "Depression changes this way within the same women over time.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "AGE-WHO-RANGE",
      "topic": "age and definition",
      "metric": "Usual global age range for natural menopause",
      "estimate": "45–55",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women experiencing natural menopause",
      "denominator": "WHO general global statement",
      "geography": "Worldwide",
      "menopause_stage": "Not applicable",
      "study_design": "Official health-agency fact",
      "value_type": "Range",
      "calculation": "Source-reported",
      "data_period": "Fact sheet updated October 16, 2024",
      "source_title": "Menopause",
      "source_publisher": "World Health Organization",
      "source_year": "2024",
      "source_url": "https://www.who.int/news-room/fact-sheets/detail/menopause",
      "material_limitation": "A broad range, not a distribution or an exact age for an individual.",
      "safe_quote": "Most women experience natural menopause between ages 45 and 55.",
      "common_misquote": "Every woman reaches menopause between exactly 45 and 55.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "AGE-NIH-AVERAGE",
      "topic": "age and definition",
      "metric": "Average age at menopause stated by NIH",
      "estimate": "51",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "NIH summary statement",
      "geography": "United States",
      "menopause_stage": "Not applicable",
      "study_design": "Official health-agency fact",
      "value_type": "Rounded average",
      "calculation": "Source-reported",
      "data_period": "NIH fact sheet available in 2024",
      "source_title": "NIH Fact Sheets on Women’s Health Research",
      "source_publisher": "NIH Office of Research on Women’s Health",
      "source_year": "2024",
      "source_url": "https://orwh.od.nih.gov/sites/orwh/files/docs/NIH%20Fact%20Sheets%20on%20Womens%20Health%20Research_050924_508c.pdf",
      "material_limitation": "Rounded summary, not a cohort-specific distribution.",
      "safe_quote": "NIH states that the average age of menopause is 51.",
      "common_misquote": "Menopause occurs at exactly age 51.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "AGE-CDC-USUAL",
      "topic": "age and definition",
      "metric": "Usual U.S. age at menopause stated by CDC",
      "estimate": "around 52",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "CDC summary statement",
      "geography": "United States",
      "menopause_stage": "Not applicable",
      "study_design": "Official health-agency fact",
      "value_type": "Rounded approximation",
      "calculation": "Source-reported",
      "data_period": "Page updated November 14, 2024",
      "source_title": "Menopause, Women’s Health, and Work",
      "source_publisher": "Centers for Disease Control and Prevention",
      "source_year": "2024",
      "source_url": "https://www.cdc.gov/womens-health/features/menopause-womens-health-and-work.html",
      "material_limitation": "Approximation, not an exact individual age.",
      "safe_quote": "CDC states that menopause usually occurs around age 52 in the United States.",
      "common_misquote": "Every U.S. woman reaches menopause at 52.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "AGE-SWAN-MEDIAN",
      "topic": "age and definition",
      "metric": "Median age at natural final menstrual period in SWAN",
      "estimate": "52.54",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "1483",
      "population": "SWAN participants with an observed natural final menstrual period",
      "denominator": "1,483 observed natural FMPs",
      "geography": "United States, multiethnic SWAN cohort",
      "menopause_stage": "Not applicable",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Observed cohort median",
      "calculation": "Source-reported",
      "data_period": "SWAN longitudinal follow-up reported in 2013",
      "source_title": "Factors related to age at natural menopause: longitudinal analyses from SWAN",
      "source_publisher": "American Journal of Epidemiology",
      "source_year": "2013",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/23788671/",
      "material_limitation": "Cohort-specific median; not a universal national average.",
      "safe_quote": "Among 1,483 SWAN participants with an observed natural final menstrual period, the median age was 52.54 years.",
      "common_misquote": "The exact U.S. menopause age is 52.54.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DEF-MENOPAUSE-12MONTHS",
      "topic": "age and definition",
      "metric": "Clinical recognition of natural menopause",
      "estimate": "12",
      "unit": "consecutive months without menstruation",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "People experiencing natural menopause",
      "denominator": "WHO definition",
      "geography": "Worldwide",
      "menopause_stage": "Not applicable",
      "study_design": "Official health-agency definition",
      "value_type": "Definition",
      "calculation": "Source-reported",
      "data_period": "Fact sheet updated October 16, 2024",
      "source_title": "Menopause",
      "source_publisher": "World Health Organization",
      "source_year": "2024",
      "source_url": "https://www.who.int/news-room/fact-sheets/detail/menopause",
      "material_limitation": "Applies when no other physiological or pathological cause or clinical intervention explains the absence.",
      "safe_quote": "Natural menopause is recognized after 12 consecutive months without menstruation when no other cause or clinical intervention explains it.",
      "common_misquote": "Any 12-month absence of menstruation proves natural menopause.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "COUNT-NIH-MORE1M",
      "topic": "annual U.S. count and provenance",
      "metric": "U.S. women experiencing menopause each year",
      "estimate": ">1,000,000",
      "unit": "women per year",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Official health-agency fact",
      "value_type": "Official broad statement",
      "calculation": "Source-reported",
      "data_period": "Source page or publication as cited",
      "source_title": "NIH Fact Sheets on Women’s Health Research",
      "source_publisher": "NIH ORWH",
      "source_year": "2024",
      "source_url": "https://orwh.od.nih.gov/sites/orwh/files/docs/NIH%20Fact%20Sheets%20on%20Womens%20Health%20Research_050924_508c.pdf",
      "material_limitation": "Broad official wording; not presented as an exact surveillance count.",
      "safe_quote": "NIH states that more than 1 million U.S. women experience menopause each year.",
      "common_misquote": "Exactly 1.3 million U.S. women reach menopause each year.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "COUNT-SWHR-6000",
      "topic": "annual U.S. count and provenance",
      "metric": "Repeated U.S. daily menopause count",
      "estimate": "6,000",
      "unit": "women per day",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Publisher/advocacy page",
      "value_type": "Repeated estimate",
      "calculation": "Source-reported",
      "data_period": "Source page or publication as cited",
      "source_title": "Menopause",
      "source_publisher": "Society for Women’s Health Research",
      "source_year": "2026",
      "source_url": "https://swhr.org/health_focus_area/menopause/",
      "material_limitation": "The audit did not locate an original national incidence method that produced this exact count.",
      "safe_quote": "SWHR currently states that approximately 6,000 U.S. women enter menopause each day.",
      "common_misquote": "6,000 per day is a verified official national incidence count.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "qualified"
    },
    {
      "record_id": "COUNT-SWHR-1.3M",
      "topic": "annual U.S. count and provenance",
      "metric": "Repeated U.S. annual menopause count",
      "estimate": "1,300,000",
      "unit": "women per year",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Publisher/advocacy fact sheet",
      "value_type": "Repeated estimate",
      "calculation": "Source-reported",
      "data_period": "Source page or publication as cited",
      "source_title": "Women’s Health Disparities: Menopause",
      "source_publisher": "Society for Women’s Health Research",
      "source_year": "2025",
      "source_url": "https://swhr.org/wp-content/uploads/2025/02/SWHR-WHEI-Menopause-Factsheet-2025Feb.pdf",
      "material_limitation": "Cited through StatPearls; the chain was not resolved to an original national incidence calculation.",
      "safe_quote": "SWHR’s 2025 fact sheet states that 1.3 million U.S. women enter menopause each year.",
      "common_misquote": "1.3 million is a current official surveillance count.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "qualified"
    },
    {
      "record_id": "DER-COUNT-6000-ANNUAL",
      "topic": "annual U.S. count and provenance",
      "metric": "Annual equivalent of 6,000 per day",
      "estimate": "2,190,000",
      "unit": "women per year",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "6,000 × 365",
      "data_period": "Source page or publication as cited",
      "source_title": "Menopause",
      "source_publisher": "Society for Women’s Health Research",
      "source_year": "2026",
      "source_url": "https://swhr.org/health_focus_area/menopause/",
      "material_limitation": "Arithmetic conversion of a repeated source claim; does not validate the source claim.",
      "safe_quote": "Six thousand per day is arithmetically equivalent to 2.19 million per year.",
      "common_misquote": "2.19 million is an independently verified menopause-incidence count.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "qualified"
    },
    {
      "record_id": "DER-COUNT-1.3M-DAILY",
      "topic": "annual U.S. count and provenance",
      "metric": "Daily equivalent of 1.3 million per year",
      "estimate": "3,562",
      "unit": "women per day",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "1,300,000 ÷ 365, rounded to nearest whole person",
      "data_period": "Source page or publication as cited",
      "source_title": "Women’s Health Disparities: Menopause",
      "source_publisher": "Society for Women’s Health Research",
      "source_year": "2025",
      "source_url": "https://swhr.org/wp-content/uploads/2025/02/SWHR-WHEI-Menopause-Factsheet-2025Feb.pdf",
      "material_limitation": "Arithmetic conversion of a repeated source claim; does not validate the source claim.",
      "safe_quote": "A count of 1.3 million per year is arithmetically equivalent to about 3,562 per day.",
      "common_misquote": "3,562 per day is a verified national incidence count.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "qualified"
    },
    {
      "record_id": "DER-COUNT-GAP",
      "topic": "annual U.S. count and provenance",
      "metric": "Gap between 6,000-per-day annual equivalent and 1.3 million",
      "estimate": "890,000",
      "unit": "women per year",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "(6,000 × 365) − 1,300,000",
      "data_period": "Source page or publication as cited",
      "source_title": "Multiple publisher pages",
      "source_publisher": "The HRT Index Editorial Team",
      "source_year": "2026",
      "source_url": "https://swhr.org/health_focus_area/menopause/",
      "material_limitation": "Compares two incompatible published formulations; does not establish the true annual count.",
      "safe_quote": "The two repeated figures differ by 890,000 women per year.",
      "common_misquote": "The true U.S. count is 890,000.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DER-COUNT-RELATIVE",
      "topic": "annual U.S. count and provenance",
      "metric": "Relative difference between the two repeated annualized figures",
      "estimate": "68.5",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. women",
      "denominator": "Varies by source claim",
      "geography": "United States",
      "menopause_stage": "Natural menopause, source wording",
      "study_design": "Derived arithmetic",
      "value_type": "Original calculation",
      "calculation": "[(2,190,000 − 1,300,000) ÷ 1,300,000] × 100",
      "data_period": "Source page or publication as cited",
      "source_title": "Multiple publisher pages",
      "source_publisher": "The HRT Index Editorial Team",
      "source_year": "2026",
      "source_url": "https://swhr.org/health_focus_area/menopause/",
      "material_limitation": "Compares two source claims, neither of which was validated as an exact national incidence count.",
      "safe_quote": "The 6,000-per-day formulation implies an annual count 68.5% higher than 1.3 million.",
      "common_misquote": "Actual U.S. menopause incidence is 68.5% higher than an official estimate.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "GLOBAL-WHO-50PLUS-2021",
      "topic": "global demography",
      "metric": "Women aged 50 and older as a share of women and girls globally",
      "estimate": "26",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women or women and girls, as defined by the source",
      "denominator": "Source-specific global population",
      "geography": "Worldwide",
      "menopause_stage": "Age proxy or source-defined",
      "study_design": "Official health-agency demographic fact",
      "value_type": "Observed age-based demographic summary",
      "calculation": "Source-reported",
      "data_period": "2021",
      "source_title": "Menopause",
      "source_publisher": "World Health Organization",
      "source_year": "2024",
      "source_url": "https://www.who.int/news-room/fact-sheets/detail/menopause",
      "material_limitation": "Age 50 and older is not directly measured menopause status.",
      "safe_quote": "In 2021, women aged 50 and older represented 26% of women and girls globally.",
      "common_misquote": "In 2021, 26% of women worldwide were menopausal.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "GLOBAL-WHO-50PLUS-2011",
      "topic": "global demography",
      "metric": "Women aged 50 and older as a share of women and girls globally ten years earlier",
      "estimate": "22",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women or women and girls, as defined by the source",
      "denominator": "Source-specific global population",
      "geography": "Worldwide",
      "menopause_stage": "Age proxy or source-defined",
      "study_design": "Official health-agency demographic fact",
      "value_type": "Observed age-based demographic summary",
      "calculation": "Source-reported",
      "data_period": "Approximately 2011",
      "source_title": "Menopause",
      "source_publisher": "World Health Organization",
      "source_year": "2024",
      "source_url": "https://www.who.int/news-room/fact-sheets/detail/menopause",
      "material_limitation": "Age 50 and older is not directly measured menopause status.",
      "safe_quote": "WHO reports that the share was 22% ten years before 2021.",
      "common_misquote": "22% was the measured global menopause prevalence.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "GLOBAL-WHO-LIFE60",
      "topic": "global demography",
      "metric": "Average additional life expectancy at age 60",
      "estimate": "21",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women or women and girls, as defined by the source",
      "denominator": "Source-specific global population",
      "geography": "Worldwide",
      "menopause_stage": "Age proxy or source-defined",
      "study_design": "Official health-agency demographic fact",
      "value_type": "Observed global longevity summary",
      "calculation": "Source-reported",
      "data_period": "2019",
      "source_title": "Menopause",
      "source_publisher": "World Health Organization",
      "source_year": "2024",
      "source_url": "https://www.who.int/news-room/fact-sheets/detail/menopause",
      "material_limitation": "Longevity statistic, not symptom duration or years since menopause.",
      "safe_quote": "WHO states that a woman aged 60 in 2019 could expect to live another 21 years on average.",
      "common_misquote": "Menopause lasts 21 years.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "GLOBAL-HILL-1990",
      "topic": "global demography",
      "metric": "Estimated global postmenopausal population in 1990",
      "estimate": "467,000,000",
      "unit": "women",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women or women and girls, as defined by the source",
      "denominator": "Source-specific global population",
      "geography": "Worldwide",
      "menopause_stage": "Age proxy or source-defined",
      "study_design": "Demographic model/review",
      "value_type": "Historical modeled estimate",
      "calculation": "Source-reported",
      "data_period": "1990",
      "source_title": "The demography of menopause",
      "source_publisher": "Maturitas",
      "source_year": "1996",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/8735350/",
      "material_limitation": "Used age 50 as a proxy for menopause.",
      "safe_quote": "A 1996 demographic paper estimated 467 million postmenopausal women worldwide in 1990 using age 50 as a proxy.",
      "common_misquote": "467 million was a direct global menopause-status census.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "historical"
    },
    {
      "record_id": "GLOBAL-HILL-2030",
      "topic": "global demography",
      "metric": "Projected global menopausal and postmenopausal population by 2030",
      "estimate": "1,200,000,000",
      "unit": "women",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women or women and girls, as defined by the source",
      "denominator": "Source-specific global population",
      "geography": "Worldwide",
      "menopause_stage": "Age proxy or source-defined",
      "study_design": "Demographic model/review",
      "value_type": "Historical projection",
      "calculation": "Source-reported",
      "data_period": "2030 projection",
      "source_title": "The demography of menopause",
      "source_publisher": "Maturitas",
      "source_year": "1996",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/8735350/",
      "material_limitation": "Projection published in 1996 using age 50 as a proxy; not a current observed count.",
      "safe_quote": "A 1996 demographic model projected 1.2 billion menopausal and postmenopausal women by 2030 using age 50 as a proxy.",
      "common_misquote": "There are currently 1.2 billion directly measured menopausal women worldwide.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "historical"
    },
    {
      "record_id": "GLOBAL-HILL-ENTRANTS2030",
      "topic": "global demography",
      "metric": "Projected annual new entrants by 2030",
      "estimate": "47,000,000",
      "unit": "women per year",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women or women and girls, as defined by the source",
      "denominator": "Source-specific global population",
      "geography": "Worldwide",
      "menopause_stage": "Age proxy or source-defined",
      "study_design": "Demographic model/review",
      "value_type": "Historical projection",
      "calculation": "Source-reported",
      "data_period": "2030 projection",
      "source_title": "The demography of menopause",
      "source_publisher": "Maturitas",
      "source_year": "1996",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/8735350/",
      "material_limitation": "Projection published in 1996 using age 50 as a proxy.",
      "safe_quote": "The 1996 model projected 47 million new entrants annually by 2030.",
      "common_misquote": "Current observed global annual menopause incidence is exactly 47 million.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "historical"
    },
    {
      "record_id": "DUR-TOTAL",
      "topic": "vasomotor symptom duration",
      "metric": "Median total duration of frequent vasomotor symptoms",
      "estimate": "7.4",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "1449",
      "population": "1,449 women reporting frequent VMS",
      "denominator": "All participants in total-duration analysis",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Mixed transition stages",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Median duration",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Frequent VMS required symptoms on at least 6 days in the prior 2 weeks; subgroup-specific; annual assessment and censoring may underestimate duration.",
      "safe_quote": "The median total duration of frequent vasomotor symptoms was 7.4 years among 1,449 SWAN participants.",
      "common_misquote": "Hot flashes last 7.4 years on average for all women.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-POSTFMP",
      "topic": "vasomotor symptom duration",
      "metric": "Median persistence of frequent VMS after final menstrual period",
      "estimate": "4.5",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "881",
      "population": "881 frequent-VMS participants with an observable FMP",
      "denominator": "Post-FMP persistence analysis",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Post-FMP",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Median duration",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Frequent VMS required symptoms on at least 6 days in the prior 2 weeks; subgroup-specific; annual assessment and censoring may underestimate duration.",
      "safe_quote": "Among 881 SWAN participants with an observable final menstrual period, frequent VMS persisted for a median of 4.5 years afterward.",
      "common_misquote": "All women have symptoms for 4.5 years after menopause.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-EARLY-TOTAL",
      "topic": "vasomotor symptom duration",
      "metric": "Median total duration when frequent VMS first reported in premenopause or early perimenopause",
      "estimate": ">11.8",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Early-onset frequent-VMS subgroup",
      "denominator": "Participants first reporting frequent VMS in premenopause or early perimenopause",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Premenopause or early perimenopause at first report",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Median duration",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Frequent VMS required symptoms on at least 6 days in the prior 2 weeks; subgroup-specific; annual assessment and censoring may underestimate duration.",
      "safe_quote": "Women first reporting frequent VMS in premenopause or early perimenopause had a median total duration longer than 11.8 years.",
      "common_misquote": "Every woman with early symptoms will have them longer than 11.8 years.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-EARLY-POSTFMP",
      "topic": "vasomotor symptom duration",
      "metric": "Median post-FMP persistence in early-onset frequent-VMS group",
      "estimate": "9.4",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Early-onset frequent-VMS subgroup",
      "denominator": "Participants first reporting frequent VMS in premenopause or early perimenopause",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Post-FMP",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Median duration",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Frequent VMS required symptoms on at least 6 days in the prior 2 weeks; subgroup-specific; annual assessment and censoring may underestimate duration.",
      "safe_quote": "The early-onset frequent-VMS group had median post-FMP persistence of 9.4 years.",
      "common_misquote": "All women have VMS for 9.4 years after menopause.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-POSTONSET",
      "topic": "vasomotor symptom duration",
      "metric": "Median total duration when frequent VMS first reported in postmenopause",
      "estimate": "3.4",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Postmenopausal-onset frequent-VMS subgroup",
      "denominator": "Participants first reporting frequent VMS in postmenopause",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Postmenopause at first report",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Median duration",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Frequent VMS required symptoms on at least 6 days in the prior 2 weeks; subgroup-specific; annual assessment and censoring may underestimate duration.",
      "safe_quote": "Women first reporting frequent VMS in postmenopause had a median total duration of 3.4 years.",
      "common_misquote": "Postmenopausal hot flashes always last 3.4 years.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-GROUP-AFRICAN-AMERICAN",
      "topic": "vasomotor symptom duration by study group",
      "metric": "Unadjusted median total duration: African American participants",
      "estimate": "10.1",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "African American SWAN participants who experienced frequent VMS",
      "denominator": "Frequent-VMS subgroup",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Mixed",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Unadjusted descriptive median",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Unadjusted descriptive subgroup median; does not identify cause or establish innate differences.",
      "safe_quote": "In SWAN’s frequent-VMS sample, the unadjusted median total duration among African American participants was 10.1 years.",
      "common_misquote": "African American women biologically experience exactly 10.1 years of symptoms.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-GROUP-HISPANIC",
      "topic": "vasomotor symptom duration by study group",
      "metric": "Unadjusted median total duration: Hispanic participants",
      "estimate": "8.9",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Hispanic SWAN participants who experienced frequent VMS",
      "denominator": "Frequent-VMS subgroup",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Mixed",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Unadjusted descriptive median",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Unadjusted descriptive subgroup median; does not identify cause or establish innate differences.",
      "safe_quote": "In SWAN’s frequent-VMS sample, the unadjusted median total duration among Hispanic participants was 8.9 years.",
      "common_misquote": "Hispanic women biologically experience exactly 8.9 years of symptoms.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-GROUP-NON-HISPANIC-WHITE",
      "topic": "vasomotor symptom duration by study group",
      "metric": "Unadjusted median total duration: Non-Hispanic White participants",
      "estimate": "6.5",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Non-Hispanic White SWAN participants who experienced frequent VMS",
      "denominator": "Frequent-VMS subgroup",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Mixed",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Unadjusted descriptive median",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Unadjusted descriptive subgroup median; does not identify cause or establish innate differences.",
      "safe_quote": "In SWAN’s frequent-VMS sample, the unadjusted median total duration among Non-Hispanic White participants was 6.5 years.",
      "common_misquote": "Non-Hispanic White women biologically experience exactly 6.5 years of symptoms.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-GROUP-CHINESE",
      "topic": "vasomotor symptom duration by study group",
      "metric": "Unadjusted median total duration: Chinese participants",
      "estimate": "5.4",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Chinese SWAN participants who experienced frequent VMS",
      "denominator": "Frequent-VMS subgroup",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Mixed",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Unadjusted descriptive median",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Unadjusted descriptive subgroup median; does not identify cause or establish innate differences.",
      "safe_quote": "In SWAN’s frequent-VMS sample, the unadjusted median total duration among Chinese participants was 5.4 years.",
      "common_misquote": "Chinese women biologically experience exactly 5.4 years of symptoms.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "DUR-GROUP-JAPANESE",
      "topic": "vasomotor symptom duration by study group",
      "metric": "Unadjusted median total duration: Japanese participants",
      "estimate": "4.8",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Japanese SWAN participants who experienced frequent VMS",
      "denominator": "Frequent-VMS subgroup",
      "geography": "Mixed U.S. SWAN sites",
      "menopause_stage": "Mixed",
      "study_design": "Longitudinal cohort analysis",
      "value_type": "Unadjusted descriptive median",
      "calculation": "Source-reported",
      "data_period": "SWAN follow-up reported in 2015",
      "source_title": "Duration of menopausal vasomotor symptoms over the menopause transition",
      "source_publisher": "JAMA Internal Medicine",
      "source_year": "2015",
      "source_url": "https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996",
      "material_limitation": "Unadjusted descriptive subgroup median; does not identify cause or establish innate differences.",
      "safe_quote": "In SWAN’s frequent-VMS sample, the unadjusted median total duration among Japanese participants was 4.8 years.",
      "common_misquote": "Japanese women biologically experience exactly 4.8 years of symptoms.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "POI-PREVALENCE-RANGE",
      "topic": "primary ovarian insufficiency",
      "metric": "Non-iatrogenic POI prevalence range",
      "estimate": "1–3.5",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women in populations represented by older and recent POI studies",
      "denominator": "General female populations, source-specific",
      "geography": "International",
      "menopause_stage": "Before age 40",
      "study_design": "International evidence-based guideline",
      "value_type": "Evidence range",
      "calculation": "Source-reported",
      "data_period": "Evidence summarized in 2024 guideline",
      "source_title": "Evidence-based guideline: premature ovarian insufficiency",
      "source_publisher": "Human Reproduction Open",
      "source_year": "2024",
      "source_url": "https://academic.oup.com/hropen/article/2024/4/hoae065/7918369",
      "material_limitation": "Varies by population, ethnicity, definition, and study era; excludes iatrogenic POI in this statement.",
      "safe_quote": "The 2024 international guideline reports non-iatrogenic POI prevalence estimates from approximately 1% in older studies to 3.5% in recent publications.",
      "common_misquote": "POI affects exactly 1% of all women.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "POI-DEFINITION",
      "topic": "primary ovarian insufficiency",
      "metric": "POI age definition",
      "estimate": "<40",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women with loss of ovarian activity",
      "denominator": "Guideline definition",
      "geography": "International",
      "menopause_stage": "Before age 40",
      "study_design": "International evidence-based guideline",
      "value_type": "Definition",
      "calculation": "Source-reported",
      "data_period": "2024 guideline",
      "source_title": "Evidence-based guideline: premature ovarian insufficiency",
      "source_publisher": "Human Reproduction Open",
      "source_year": "2024",
      "source_url": "https://academic.oup.com/hropen/article/2024/4/hoae065/7918369",
      "material_limitation": "Requires clinical and biochemical criteria; prevalence data cannot diagnose an individual.",
      "safe_quote": "Primary ovarian insufficiency is defined as loss of ovarian activity before age 40.",
      "common_misquote": "Any symptom before age 40 proves POI.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "EARLY-MENOPAUSE-DEFINITION",
      "topic": "early menopause",
      "metric": "Early menopause age definition",
      "estimate": "40–44",
      "unit": "years",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women with cessation of ovarian function",
      "denominator": "Guideline definition",
      "geography": "International",
      "menopause_stage": "Early menopause",
      "study_design": "International evidence-based guideline",
      "value_type": "Definition",
      "calculation": "Source-reported",
      "data_period": "2024 guideline",
      "source_title": "Evidence-based guideline: premature ovarian insufficiency",
      "source_publisher": "Human Reproduction Open",
      "source_year": "2024",
      "source_url": "https://academic.oup.com/hropen/article/2024/4/hoae065/7918369",
      "material_limitation": "The guideline defines the age band but does not provide one universal headline prevalence estimate for early menopause.",
      "safe_quote": "The guideline defines early menopause as cessation of ovarian function from age 40 through 44.",
      "common_misquote": "The guideline states that exactly 5% of women have early menopause.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "WORK-ADVERSE",
      "topic": "workplace outcomes",
      "metric": "Employed respondents reporting at least one adverse work outcome",
      "estimate": "13.4",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "4440",
      "population": "Employed survey respondents at four Mayo Clinic sites",
      "denominator": "4,440 employed respondents",
      "geography": "United States, four Mayo Clinic sites",
      "menopause_stage": "Ages 45–60, mixed menopause status",
      "study_design": "Cross-sectional employee survey",
      "value_type": "Observed survey estimate",
      "calculation": "Source-reported",
      "data_period": "Survey conducted March 1 through June 30, 2021",
      "source_title": "Impact of Menopause Symptoms on Women in the Workplace",
      "source_publisher": "Mayo Clinic Proceedings",
      "source_year": "2023",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/37115119/",
      "material_limitation": "16.1% response rate; 93.0% White analytic sample; four-site survey; national cost is an extrapolation.",
      "safe_quote": "Among 4,440 employed respondents at four Mayo Clinic sites, 13.4% reported at least one adverse work outcome attributed to menopause symptoms.",
      "common_misquote": "13.4% of all U.S. working women have an adverse work outcome.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "WORK-MISSED",
      "topic": "workplace outcomes",
      "metric": "Employed respondents reporting missed work",
      "estimate": "10.8",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "4440",
      "population": "Employed survey respondents at four Mayo Clinic sites",
      "denominator": "4,440 employed respondents",
      "geography": "United States, four Mayo Clinic sites",
      "menopause_stage": "Ages 45–60, mixed menopause status",
      "study_design": "Cross-sectional employee survey",
      "value_type": "Observed survey estimate",
      "calculation": "Source-reported",
      "data_period": "Survey conducted March 1 through June 30, 2021",
      "source_title": "Impact of Menopause Symptoms on Women in the Workplace",
      "source_publisher": "Mayo Clinic Proceedings",
      "source_year": "2023",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/37115119/",
      "material_limitation": "16.1% response rate; 93.0% White analytic sample; four-site survey; national cost is an extrapolation.",
      "safe_quote": "Among 4,440 employed respondents, 10.8% reported missing work in the prior 12 months because of menopause symptoms.",
      "common_misquote": "10.8% of all U.S. workers miss work because of menopause.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "WORK-DAYS",
      "topic": "workplace outcomes",
      "metric": "Median missed work among those reporting missed work",
      "estimate": "3",
      "unit": "days",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "480",
      "population": "Employed survey respondents at four Mayo Clinic sites",
      "denominator": "480 respondents reporting missed work",
      "geography": "United States, four Mayo Clinic sites",
      "menopause_stage": "Ages 45–60, mixed menopause status",
      "study_design": "Cross-sectional employee survey",
      "value_type": "Observed survey estimate",
      "calculation": "Source-reported",
      "data_period": "Survey conducted March 1 through June 30, 2021",
      "source_title": "Impact of Menopause Symptoms on Women in the Workplace",
      "source_publisher": "Mayo Clinic Proceedings",
      "source_year": "2023",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/37115119/",
      "material_limitation": "16.1% response rate; 93.0% White analytic sample; four-site survey; national cost is an extrapolation.",
      "safe_quote": "Among respondents who reported missed work, the median was 3 days.",
      "common_misquote": "Every respondent missed 3 days.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "WORK-OR",
      "topic": "workplace outcomes",
      "metric": "Adjusted odds of adverse work outcome, highest versus lowest symptom-severity quartile",
      "estimate": "15.6",
      "unit": "odds ratio",
      "lower_ci": "10.7",
      "upper_ci": "22.7",
      "study_count": "",
      "sample_size": "4440",
      "population": "Employed survey respondents at four Mayo Clinic sites",
      "denominator": "4,440 employed respondents",
      "geography": "United States, four Mayo Clinic sites",
      "menopause_stage": "Ages 45–60, mixed menopause status",
      "study_design": "Cross-sectional employee survey",
      "value_type": "Observed survey estimate",
      "calculation": "Source-reported",
      "data_period": "Survey conducted March 1 through June 30, 2021",
      "source_title": "Impact of Menopause Symptoms on Women in the Workplace",
      "source_publisher": "Mayo Clinic Proceedings",
      "source_year": "2023",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/37115119/",
      "material_limitation": "16.1% response rate; 93.0% White analytic sample; four-site survey; national cost is an extrapolation.",
      "safe_quote": "Women in the highest symptom-severity quartile had 15.6 times the adjusted odds of an adverse work outcome compared with the lowest quartile.",
      "common_misquote": "Severe symptoms cause exactly 15.6 times more work loss.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "WORK-COST",
      "topic": "workplace outcomes",
      "metric": "Estimated annual U.S. loss from missed work time",
      "estimate": "1.8",
      "unit": "billion U.S. dollars",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "4440",
      "population": "Employed survey respondents at four Mayo Clinic sites",
      "denominator": "4,440 employed respondents",
      "geography": "United States, four Mayo Clinic sites",
      "menopause_stage": "Ages 45–60, mixed menopause status",
      "study_design": "Cross-sectional employee survey",
      "value_type": "National extrapolation",
      "calculation": "Source-reported",
      "data_period": "Survey conducted March 1 through June 30, 2021",
      "source_title": "Impact of Menopause Symptoms on Women in the Workplace",
      "source_publisher": "Mayo Clinic Proceedings",
      "source_year": "2023",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/37115119/",
      "material_limitation": "16.1% response rate; 93.0% White analytic sample; four-site survey; national cost is an extrapolation.",
      "safe_quote": "The 2023 Mayo Clinic study extrapolated approximately $1.8 billion in annual U.S. lost work time associated with menopause symptoms.",
      "common_misquote": "The total U.S. economic cost of menopause is $1.8 billion.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-TREATED-COUNT",
      "topic": "menopause treatment",
      "metric": "Women ages 45–64 treated for menopause",
      "estimate": "2,100,000",
      "unit": "women",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Average annual U.S. population represented by pooled MEPS data",
      "denominator": "All U.S. women ages 45–64",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021, interpreted by authors as 2021 estimate",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "The AARP/NORC analysis estimated 2.1 million U.S. women ages 45–64 were treated for menopause.",
      "common_misquote": "2.1 million is the total number of U.S. women in menopause.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-TREATED-RATE",
      "topic": "menopause treatment",
      "metric": "Treated prevalence among women ages 45–64",
      "estimate": "5.0",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "All U.S. women ages 45–64",
      "denominator": "All U.S. women ages 45–64",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "The analysis estimated that 5.0% of U.S. women ages 45–64 were treated for menopause.",
      "common_misquote": "Only 5% of menopausal women receive treatment.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-SHARE-MENOPAUSE",
      "topic": "menopause treatment",
      "metric": "Estimated share treated among women in menopause",
      "estimate": "20–25",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Women in menopause, report-derived denominator",
      "denominator": "Women in menopause",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "The report estimated that treated women represented roughly 20% to 25% of women in menopause.",
      "common_misquote": "Exactly 20% to 25% of all symptomatic women receive effective treatment.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-HISPANIC",
      "topic": "menopause treatment",
      "metric": "Treated prevalence among Hispanic women ages 45–64",
      "estimate": "2.7",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Hispanic U.S. women ages 45–64",
      "denominator": "Hispanic U.S. women ages 45–64",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "The analysis estimated treated prevalence of 2.7% among Hispanic women ages 45–64.",
      "common_misquote": "2.7% is the prevalence of menopause symptoms among Hispanic women.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-BLACK",
      "topic": "menopause treatment",
      "metric": "Treated prevalence among non-Hispanic Black women ages 45–64",
      "estimate": "2.5",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Non-Hispanic Black U.S. women ages 45–64",
      "denominator": "Non-Hispanic Black U.S. women ages 45–64",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "The analysis estimated treated prevalence of 2.5% among non-Hispanic Black women ages 45–64.",
      "common_misquote": "2.5% is the prevalence of menopause among Black women.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-WHITE",
      "topic": "menopause treatment",
      "metric": "Treated prevalence among non-Hispanic White women ages 45–64",
      "estimate": "6.3",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Non-Hispanic White U.S. women ages 45–64",
      "denominator": "Non-Hispanic White U.S. women ages 45–64",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "The analysis estimated treated prevalence of 6.3% among non-Hispanic White women ages 45–64.",
      "common_misquote": "6.3% is the prevalence of menopause among White women.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-HRT-57-64",
      "topic": "menopause treatment",
      "metric": "HRT prescription among treated women ages 57–64",
      "estimate": "76.3",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Treated women ages 57–64",
      "denominator": "Treated women ages 57–64",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "Among women ages 57–64 identified as treated for menopause, 76.3% had an HRT prescription.",
      "common_misquote": "76.3% of all women ages 57–64 use HRT.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "CARE-HRT-45-56",
      "topic": "menopause treatment",
      "metric": "HRT prescription among treated women ages 45–56",
      "estimate": "56.1",
      "unit": "percent",
      "lower_ci": "",
      "upper_ci": "",
      "study_count": "",
      "sample_size": "",
      "population": "Treated women ages 45–56",
      "denominator": "Treated women ages 45–56",
      "geography": "United States",
      "menopause_stage": "Mixed or report-defined",
      "study_design": "Original analysis of pooled Medical Expenditure Panel Survey data",
      "value_type": "Weighted national estimate",
      "calculation": "Source-reported",
      "data_period": "Average annual 2016–2021",
      "source_title": "Women in Menopause Often Go Untreated",
      "source_publisher": "AARP Public Policy Institute and NORC",
      "source_year": "2025",
      "source_url": "https://www.aarp.org/pri/topics/health/conditions-treatment/menopause-women-untreated/",
      "material_limitation": "Menopause was identified when linked to a reported medical event; untreated or unrecorded menopause is not included; multiple survey years were pooled.",
      "safe_quote": "Among women ages 45–56 identified as treated for menopause, 56.1% had an HRT prescription.",
      "common_misquote": "56.1% of all women ages 45–56 use HRT.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "MHT-1999-2000",
      "topic": "menopausal hormone therapy use",
      "metric": "Current prescription MHT use",
      "estimate": "26.9",
      "unit": "percent",
      "lower_ci": "22.6",
      "upper_ci": "31.7",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. postmenopausal women in NHANES; 13,048 participants across all analyzed survey cycles",
      "denominator": "Nationally representative postmenopausal sample",
      "geography": "United States",
      "menopause_stage": "Postmenopause",
      "study_design": "Serial cross-sectional NHANES analysis",
      "value_type": "Weighted prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "1999–2000",
      "source_title": "Menopausal Hormone Therapy Use Among Postmenopausal Women",
      "source_publisher": "JAMA Health Forum",
      "source_year": "2024",
      "source_url": "https://jamanetwork.com/journals/jama-health-forum/fullarticle/2823976",
      "material_limitation": "Prescription MHT use among postmenopausal women; not treatment prevalence among all women ages 45–64.",
      "safe_quote": "Estimated current prescription MHT use among U.S. postmenopausal women was 26.9% in 1999–2000.",
      "common_misquote": "26.9% of all U.S. women use HRT.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    },
    {
      "record_id": "MHT-2017-2020",
      "topic": "menopausal hormone therapy use",
      "metric": "Current prescription MHT use",
      "estimate": "4.7",
      "unit": "percent",
      "lower_ci": "3.4",
      "upper_ci": "6.5",
      "study_count": "",
      "sample_size": "",
      "population": "U.S. postmenopausal women in NHANES; 13,048 participants across all analyzed survey cycles",
      "denominator": "Nationally representative postmenopausal sample",
      "geography": "United States",
      "menopause_stage": "Postmenopause",
      "study_design": "Serial cross-sectional NHANES analysis",
      "value_type": "Weighted prevalence estimate",
      "calculation": "Source-reported",
      "data_period": "2017–March 2020",
      "source_title": "Menopausal Hormone Therapy Use Among Postmenopausal Women",
      "source_publisher": "JAMA Health Forum",
      "source_year": "2024",
      "source_url": "https://jamanetwork.com/journals/jama-health-forum/fullarticle/2823976",
      "material_limitation": "Prescription MHT use among postmenopausal women; not treatment prevalence among all women ages 45–64.",
      "safe_quote": "Estimated current prescription MHT use among U.S. postmenopausal women was 4.7% in the 2017–March 2020 cycle.",
      "common_misquote": "4.7% of all U.S. women use HRT.",
      "verified_on": "2026-08-01",
      "dataset_version": "1.0",
      "publish_status": "publish"
    }
  ]
}