Clinico-pathological study of vaginitis in peri and post-menopausal women
Keywords:Asymptomatic, Symptomatic, Menopause, Peri menopausal women, Post menopausal women
Background: Menopause is universal phenomena which has adverse effect on health of women. The vaginal cytology by maturation value is an inexpensive mean to evaluate hormonal influence in women. Objective was to diagnose atrophic by vaginal pH and vaginal maturation value in peri and post-menopausal women symptomatic as well as asymptomatic.
Methods: This study conducted on 100 peri and post-menopausal women who attended in Department of Obstetrics & Gynaecology, Kamla Raja Hospital, and G.R. Medical College Gwalior from August 2015 to August 2016. They were divided into three groups: Group A (Cases) - subjects having VMV < 64 with or without symptoms, Group B (Suspects) - Symptomatic subjects with VMV > 64 and Group C (Controls) - Asymptomatic subjects with VMV > 64.
Results: The detection rate of vaginitis in total 100 peri and post-menopausal women in this study was 36% while detection rate in symptomatic peri and postmenopausal women was 36/65 i.e., 55.38%. To our surprise 13/35 (37.14%) had VMV < 64 (mild estrogen deficiency) in control group (asymptomatic postmenopausal women). They became true cases as VMV was taken as gold standard for diagnosis of vaginitis. It means that detection rate of vaginitis in asymptomatic peri and post-menopausal women were 37.14%.
Conclusions: There is a lack of awareness of symptoms and signs among both in population and physicians for early detection of vaginitis.
Shaw S. Text book of Gynecology. 10th ed. Netherlands: Elsevier; 2022:56-65.
Berek A, Novak K. Gynecology. 14th ed. USA: Lippincott Williams & Wilkins; 2007:1325.
Medicine plus medical Encyclopedia, Atrophic vaginitis. Available at: http://ww.hlm. nih.gov/ medlineplus/ency/article/000892.htm. Accessed on 20 November 2022.
Bachmann GA, Nervadunsky NS. Diagnosis and treatment of Atrophic vaginitis. Am Acad physic. 2005;3:23-8.
Miesels A. The maturation value. Acta Cytol. 1967;1 1(4):249.
Chichi LM, Putignano G, Guerra V, Schiavelli MP, Cisternino AM, Carriero C. The effect of a soy rich diet on the vaginal epithelium in post menopause: A randomized double blind trial. Maturities. 2003;45(4): 241-6.
Pinak Y, Meltem U, Mithat E, Funda E. Role of vaginal maturation value assessment in prediction of vaginal pH serum FSH, E2 level. Marmara Med J. 2006;19(2): 56-7.
Mashilone CD, Bagratee J. Awareness of an attitude toward menopause and hormone replacement therapy in African community. Int J Gynecol Obstet. 2001;76; 91-3.
Sebastian CL, Fragoso-Diaz N, MacGregor-Gooch A. Martha patricia garduno-hearnandez, katiuska rios-caldeon, hipolito aparicio. vaginal dryness assessment in post menopausal women using pH test strip. Marmara Med J. 2003;45:55-8.
Brizzolara S, Killeen J, Severino R. Vaginal pH and parabasal cells in postmenopausal women. Obstet Gynecol. 1999;94(5 Pt 1):700-3.