STUDY OF GYNAECOLOGICAL PROBLEMS IN POSTMENOPAUSAL WOMEN IN TERTIARY CARE CENTER, GGH, VIJAYAWADA

Abstract

Background
Menopause is not a disease or illness, but it is a natural event in the life of women. menopause is the permanent cessation of menstruation at the end of reproductive life due to loss of ovarian follicular activity. It is a hypo oestrogenic state. It occurs gradually in women and it indicates the transition from reproductive to post reproductive era of women’s life. Population ageing is emerging as a pre-eminent.[1,2]
Objective
1.    To study various gynaecological problems in post- menopausal women
2.    To address the need for gynaecological evaluation even after menopause.
Methods
It was a Prospective and observational study carried out in the Department of Obstetrics and Gynaecology, GGH, Vijayawada. The study population consists of all postmenopausal women attending the gynaecologycal outpatient department and those admitted in the gynaecological ward. The total number of postmenopausal women included in the study was 260 over a period of 6 months from July 2023 to December 2023.
Results
The mean age at menopause was 51 to 55 years. The most common gynaecological problem was postmenopausal bleeding (33.4%), followed by lower abdominal pain (20%), white discharge (16.9%), prolapse (11.5%), fibroid (5.7%), frequent micturition (5.3%), PID (2.3% ),ovarian cyst (4.6%)In our study, with the women with postmenopausal bleeding cervical cancer was the most common malignancy.
Conclusion
The most common gynaecological problem was postmenopausal bleeding (32%) followed by lower abdominal pain (23%)The commonest symptom of underlying malignancy was postmenopausal bleeding and the commonest malignancy in our study in the women with the symptom of postmenopausal bleeding was cervical cervical malignancy 26 cases, endometrial carcinoma 4 cases, ovarian malignancy 11 cases, vulval malignancy 0 cases.