GYNAECOLOGICAL DISORDERS IN ELDERLY FEMALES: A HOSPITAL BASED PREVALENCE STUDY.

Autor: Malik, Anjum, Farhat, Deeba, Khursheed, Saika, Mir, Iqbal Saleem
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 11, p309-314, 6p
Abstrakt: INTRODUCTION: Gynaecological disorders in older women differ from those who are in younger age group. AIMS AND OBJECTIVES: 1) To study the spectrum of gynaecological disorders in women above 60 years of age. 2) To emphasize on the necessity of establishing geriatric units for women to give better quality of life to elderly women. 3) To emphasize on increasing the different screening programmes for early detection and management of different gynaecological disorders in geriatric age group. MATERIALS AND METHODS: This was a prospective hospital based observational study and included 150 patients aged equal to or greater than 60 years. Patient demographics and a detailed history was taken. General physical and systemic examination with emphasis on gynaecological examination was done. RESULTS: A total of 150 randomly selected females aged greater than or equal to 60 years were included in the study. In the study the most common gynaecological disorder found was pelvic organ prolapse (44%) with grade 3 cervical descent being the commonest. The second most common gynaecological disorder was postmenopausal bleeding (30%) with endometrial hyperplasia being the most frequent cause. Other gynaecological disorders found were benign/malignant disorders of genital tract (16%); atrophic vaginitis (13.3%); vulvar lesions / lichen sclerosis (11%); vaginal wall cyst (2.66%); hematometrium (2%). Co-existent urinary disorders were present in 20% of study group. The mean age of menopause in the study was 44 - 47 years (42%) while as 33.3 % had menopause between the age of 48 -51 years. 18% had menopause between 52 - 55years of age and 3 % had menopause between 40 - 43 years of age. CONCLUSION: The spectrum of various gynaecological disorder in elderly women of Kashmir include pelvic organ prolapse, postmenopausal bleeding per vaginum, urinary disorders, benign/malignant disorders of genital tract, atrophic vaginitis, vulvar lesions, vaginal wall cyst and hematometrium. The absence of specific health care facilities for elderly women along with poor health education leads to frequent complications as these patients do not seek advice in early stages. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index