Study of Common Gynecological Problem in Postmenopausal Women

STUDY OF COMMON GYNECOLOGICAL PROBLEM IN POSTMENOPAUSAL WOMEN BACKGROUND Menopause is defined as the time of cessation of ovarian function resulting in permanent amenorrhea. Health issue create a significant challenge to public health. Themenopausal experience involves a multifaceted interaction between psychological, sociological and environmental factor, as well as biological changes relating to altered ovarian hormone status or deficiency. OBJECTIVE To studythe pattern of gynecological problems in different age group and incidence of common symptoms and abnormal pap smearand incidence of malignancy. METHODS The study group consist 100 postmenopausal women who attend OPD or were admitted in Rajendra Institute of Medical Sciences, Ranchi during the period July 2011- October 2012. It is observational study of different gynecological symptoms, other gynecological problems and age of menopause. RESULTS Our study showed that the average age menopause was 46 years.30 % patient presented with genital prolapse and 30 % patient with vaginal bleeding, 24 % had genital malignancy.8 % patients had urinary symptoms of which 37 % had urinary incontinence. only 6 % patients had vasomotor symptoms. Incidence of abnormal pap smear were 18 %. About 43.7 % had carcinoma cervix and 33 % had endometrial carcinoma. C0NCLUSION Alarge proportionof postmenopausal women suffered from menopausal symptoms. Thus government should provide health services to menopausal women. There is urgent need to develop dedicated geriatric units and to encourage women to receive routine gynecological check-ups in the early postmenopausal period that will enable early diagnosis and treatment. A regular pap smear screening with appropriate follow up can reduce cervical cancer incidence and mortality.