scholarly journals Geriatric gynecology: need and spectrum

2020 ◽  
Vol 9 (6) ◽  
pp. 2556
Author(s):  
Mridula Singh ◽  
Sudha Chourasia
Keyword(s):  
Pelvic Organ Prolapse ◽  
Screening Program ◽  
Early Stage ◽  
Medical Science ◽  
Developed Countries ◽  
Pelvic Organ ◽  
Cross Sectional ◽  
Menopausal Women ◽  
Night Sweats ◽  
Post Menopausal

Background: Geriatric gynaecology deals with gynaecological pathologies essential in post-menopausal women aged 65 years and above. The spectrum of geriatric gynaecological disorders in India differs from those in developed countries as there are no effective screening program for early detection of cancer and the burden of ignorance and taboos. In this study we aim to find the spectrum of gynaecological disorders in geriatric women and establish the need of dedicated geriatric unit.Methods: A cross-sectional comparative study was conducted on menopausal women of age 45 years or above who attended gynecology OPD for general counselling about menopause or treatment of menopausal problems over the period of 6 months duration. All these menopausal women attending OPD during this interval were evaluated on the basis of pretested questionnaire.Results: Out of 234 post-menopausal women who entered the study, 29% women belong to geriatric group. Post-menopausal bleeding due to both malignant and benign causes and pelvic organ prolapse are the major problems in geriatric women whereas somatic complaints like flushing, night sweats are more common in younger menopausal women.Conclusions: Where the medical science has successfully increased the life expectancy, focused approach to geriatric gynecology around us is our responsibility, where female still hesitate to come out. The need for dedicated geriatric gynecology unit in India on urgent basis is emphasized by this study wherein cancers can be screened in early stage and severe lifestyle hampering conditions like pelvic organ prolapse can be treated timely.

scholarly journals Perineal Body Length and Pelvic Organ Prolapse in Menopausal Women

2019 ◽  
pp. 193-195
Author(s):  
Chairun Nisa ◽  
David Lotisna ◽  
Deviana Soraya Riu ◽  
St. Maisuri T Chalid
Keyword(s):  
Pelvic Organ Prolapse ◽  
Body Length ◽  
Pelvic Organ ◽  
Cross Sectional Study ◽  
Perineal Body ◽  
Cross Sectional ◽  
Genital Hiatus ◽  
Vaginal Length ◽  
Menopausal Women ◽  
Total Vaginal Length

Abstract Objective: To determine the correlation between the perineal body length and the pelvic organ prolapse (POP) in menopausal women. Methods: The total vaginal length (TVL), genital hiatus (GH), and perineal body (PB) length as the POP-Q component were measured at 60 menopausal women enrolled in a cross-sectional study. Results: Menopausal women with POP have the shorter perineal body (63.3%; <3 cm) compared with menopausal women without POP (36.7%; ≥3 cm). The mean length of the perineal body in menopausal women who suffer POP 2.81 ± 0.26 cm while in women without POP is 3.23±0.17 cm. POP risk was 25 times in menopausal women with a perineal body length <3 cm compared with longer perineal body (p = 0.01; OR = 25.4; 95% CI 3.1-209.1).Conclusion: Perineal body length is a risk factor for pelvic organ prolapse in menopausal women.Keywords: perineal body, prolapse, pelvic organ prolapsed Abstrak Tujuan: Menentukan korelasi panjang perineal body dengan kejadian prolaps organ panggul (POP) pada perempuan menopause. Metode: Pengukuran komponen POP-Q meliputi total vaginal length (TVL), genital hiatus (GH), dan panjang perineal body (PB) dilakukan pada 60 perempuan menopause yang dilibatkan dalam penelitian potong lintang. Hasil:    Perempuan menopause dengan POP memiliki perineal body yang lebih pendek (63,3%; <3 cm) dibandingkan dengan perempuan menopause tanpa POP (36,7%; ≥3 cm). Panjang rata-rata perineal body pada perempuan menopasue yang menderita POP 2,81 ± 0,26 cm sedangkan pada perempuan tanpa POP adalah 3,23 ± 0,17 cm. Risiko POP 25 kali pada perempuan menopause dengan panjang perineal body <3 cm dibandingkan dengan tubuh perineum yang lebih panjang (p = 0,01; OR = 25,4; 95% CI 3,1-209,1). Kesimpulan: Panjang perineal body merupakan faktor risiko prolaps organ panggul pada perempuan menopause. Kata kunci : perineal body, prolapsed, prolaps organ panggul

scholarly journals Metabolic syndrome in pre and post menopausal women of Bangladesh

2018 ◽  
Vol 17 (1) ◽  
pp. 42-46
Author(s):  
Syed Muhammad Baqui Billah ◽  
Muna Shalima Jahan
Keyword(s):  
Metabolic Syndrome ◽  
Medical Science ◽  
Secondary Analysis ◽  
Density Lipoprotein ◽  
Premenopausal Women ◽  
Hdl Cholesterol ◽  
Cross Sectional ◽  
The Metabolic Syndrome ◽  
Menopausal Women ◽  
Post Menopausal

Objective: To assess the metabolic syndrome (MetS) status in pre and post menopausal women of Bangladesh.Materials and Methods: Secondary analysis from a cross-sectional study on 276 willing females from an urban and a rural area. The socio-epidemiologic factors were studied with anthropometric examination, blood pressure recording and fasting blood for analysis of triglyceride (TG), high density lipoprotein (HDL), fasting blood sugar (FBS) between pre and post menopausal women.Results and Discussion: Only 19.8% premenopausal women had MetS (95% CI=15.7%-24.7%) compared to that of 50% (95% CI=39.9%-60.1%) menopausal (p<0.001). Low HDL cholesterol prevailed in almost 97% respondents in both groups (p=0.12). The menopausal women had higher TG (51.6%, p=0.07), obesity (10.9%, 0=0.004), high FBS (40.6%, p<0.001) and hypertension (HTN, 32.8%, p<0.001) compared to those of (TG 39.3%, obesity 6.1%, high FBS 19.8% and HTN 9.9% respectively) premenopausal women. On logistic regression, HTN (OR=3.8, 95%CI: 1.9-7.7) and high FBS (OR=2.2, 95%CI: 1.1-4.2) produced significantly higher odds of being associated with menopause. Only menopause became significantly associated with MetS (OR=4.3, 95%CI: 23.0-7.9) after adjusted with residence and education of the respondents.Conclusion: MetS is highly prevalent in post menopausal women in Bangladesh. Women approaching menopause should be brought under health education scheme for awareness of MetS while aging.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.42-46

scholarly journals Robot-Assisted Laparoscopic Surgery for Pelvic Organ Prolapse among Peri- and Post-Menopausal Women

2020 ◽  
Vol 26 (3) ◽  
pp. 154
Author(s):  
Ju Hee Kim ◽  
Sa Ra Lee ◽  
Eun Sil Lee ◽  
Sung Hoon Kim ◽  
Hee Dong Chae
Keyword(s):  
Laparoscopic Surgery ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Robot Assisted ◽  
Menopausal Women ◽  
Post Menopausal

scholarly journals Expression of estrogen receptors in the pelvic floor of pre- and post-menopausal women presenting pelvic organ prolapse

2011 ◽  
Vol 49 (3) ◽  
pp. 521-527 ◽  
Author(s):  
Monika Zbucka-Kretowska ◽  
Naama Marcus-Braun ◽  
Cyril Eboue ◽  
Geneviève Abeguile ◽  
Slawomir Wolczynski ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Estrogen Receptors ◽  
Pelvic Organ ◽  
Menopausal Women ◽  
Post Menopausal
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