DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20174694
Published: 2017-10-28

Spectrum of gynecological disorders in geriatric women: a tertiary care centre study

Baseerat Kaur, Shashi Gupta, Sudesh Kumar, Shivali Sharma, Manvi Verma

Abstract


Background: Older women constitute the fastest growing segment of Indian population. Postmenopausal phase is important and primary care physicians should be aware of common gynaecologic concerns and the potential impact of these on the function and quality of life of older women.

Methods: A Prospective cross-sectional study was conducted over a period of one year on 100 postmenopausal women aged 65 years or above, who attended OPD or were hospitalised between November 2015 and October 2016.

Results: Literacy rate was 30%. Study population was drawn equally from rural and urban population. Genital tract malignancy was the major gynecological disorder (32%), the commonest being the carcinoma cervix. Next in order was carcinoma ovary and carcinoma endometrium. This was followed by pelvic organ prolapse (26%) and urogenital infections (17%). POP was grade 3 in 85% patients.

Conclusions: Pelvic organ prolapse, genital tract malignancies and urogenital infections were the major gynecological problems faced by older women. Moreover, postmenopausal bleeding was a possible underlying cause of malignancy, of which carcinoma cervix tops the list, emphasizing the need for a screening programme in Indian women. There is urgent need to develop dedicated geriatric units and to encourage women to receive routine gynecological check-ups in the early post menopausal period that will enable early diagnosis and treatment.


Keywords


Geriatric gynecology, Genital malignancy, Pelvic organ prolapsed (POP)

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References


Fritz MA, Speroff L. Menopause and the Perimenopausal Transition. In: Clinical Gynaecologic Endocrinology and Infertility. 8th ed. Philadelphia, PA: Wolters Kluwer (India) Pvt Ltd, New Delhi.

New Delhi: Census of India. censusindia.gov.in. C2001. Available at http://www.censusindia.gov.in/Census_Data_2001/India_at_glance/broad.aspx, accessed April 5, 2011.

Situation Analysis of The Elderly in India. Central Statistics Office, Ministry of Statistics & Programme Implementation. Government of India. c2011 - [cited 2011 June]. Available at http://mospi.nic.in/mospi_new/upload/elderly_in_india.pdf, accessed on April5, 2011.

Baden WF, Walker TA. Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol. 1972;15:1048-54.

Kriplani A, Banerjee K. An overview of age of onset of menopause in northern India. Maturitas. 2005;52:199-204.

Jamal A, Siegel R, Ward E, Murray T, Xu J, Smigal C, et al. Cancer statistics, 2006. CA Cancer J Clin 2006;56:106-30.

Beck RP. Pelvic relaxational prolapse. In: Kase NG, Weingold AB, editors. Principles and practice of clinical gynaecology. New York: Wiley & sons;1983:677-85.

Oslen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501-6.

Rizk DE, Fahim MA. Ageing of the female pelvic floor: towards treatment a la carte of the “geripause”. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:455-8.

Magon N, Kalra B, Malik S, Chauhan M. Stress urinary incontinence: what, when, why, and then what? J Midlife Health. 2011:2(2):57-64.