Gynecological morbidity and co-morbidity in postmenopausal women: A descriptive study
Abstract
Menopause is very crucial phase of woman’s life. There are many health problems that are associated with postmenopausal phase. So this present study was conducted on 215 postmenopausal women with the aim to find out gynecological problems associated with postmenopausal period. This study observed that 70.5% women experienced hot flushes and sweating, 65.5% had insomnia, 37.6% complained of headache. Decreased libido was observed in 80.9% women and 54.4% reported dyspareunia. 78.1% women complained of backache. Joint pain was complained by 52.5% of women. 32% women noted weight loss and 26.5% women complained of weight gain after menopause. Among gynecological problems Genital Prolapse was most common morbidity found in 45.1% of cases followed by Cancer cervix in 12.5%, Fibroid uterus in 9.3%, Senile vaginitis in 5.6%, Ovarian neoplasm in 4.1%, Cancer endometrium 1%, Pyometra in 0.9%, Carcinoma vagina 0.4% and Carcinoma vulva in 0.4% of menopausal women. Genital prolapse was found with PMB in 9.2% cases and with PMB & Vaginal discharge in 10.3% of cases.
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Introduction
Menopause is defined as a permanent cessation of menstruation resulting from the loss of ovarian follicular activity at the end of reproductive life. Natural menopause is recognized to have occurred after 12 consecutive months of amenorrhea for which there is no other obvious pathological or physiological cause.1
World health Organization report on menopause1 defines postmenopause as dating from the final menstrual period, regardless of whether the menopause was spontaneous or induced, although it cannot be determined until after a period of 12 months of amenorrhea has been observed.
Menopause is very crucial phase of woman’s life, this fact has been ignored or hidden for a long time but it is now clearly established that this is a difficult time of life due to frequency of physical and psychological disorders which are associated in about 80% of menopausal women. 2
Conclusion
This present study concludes that major complain was decreased libido, backache, dyspareunia, hot flushes & sweating. Other complains were joint pain, insomnia, headache and depression. Most common gynecological problem found was Genital Prolapse followed by Cancer cervix, Fibroid uterus, vaginitis, Ovarian neoplasm, Cancer endometrium, Pyometra, Carcinoma vagina and Carcinoma vulva of menopausal women. Genital prolapse was found with PMB in 9.2% cases and with PMB & Vaginal discharge in 10.3% of cases.