Health issues of menopausal women in North India

Mahajan, Narinder; Aggarwal, Meenu; Bagga, Amrita

doi:10.4103/0976-7800.104467

Cited by 76 publications

(80 citation statements)

References 18 publications

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“…Mahajan N, et al in Shimla, Himachal Pradesh in their study reported that the prevalence of hypertension was 23% which is comparable to the present study. 9 In the present study increased sugar level was found in 23% of rural women and 29.5% of urban women. Nusrat N, et al in Hyderabad Sindh, Pakistan reported that the prevalence of diabetes was 24.9% which is comparable to the findings of rural area in the present study.…”

Section: Discussionmentioning

confidence: 67%

“…8 The relationship of menopausal age with the risk factors for such medical conditions makes age at menopause an important epidemiological issue. 9 Among the post-menopausal symptoms, the most frequently reported ones were vasomotor symptoms (60.9%), followed by sleep related symptoms (40.1%) and anxiety (35.4%). 10 The epithelium of the bladder and urethra also undergo atrophic changes.…”

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confidence: 99%

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A comparative study of morbidity pattern among rural and urban postmenopausal women of Allahabad, Uttar Pradesh, India

Goyal¹,

Mishra

Dwivedi

2017

Int J Res Med Sci

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Background: Menopause is an inevitable reproductive phase during midlife when various physical and mental changes may impair the quality of life of women. Middle-aged women may experience a wide range of physical and psychological symptoms. Decrease in the production of estrogen leads to the premenopausal symptoms of hot flushes, insomnia and mood changes, as well as post-menopausal osteoporosis and vaginal atrophy, leading to decrease in quality of life.Methods: Community based cross-sectional study. Door to door survey was conducted among women who had attained menopause for more than 1 year, in rural and urban area of Allahabad. Multistage random sampling was done. 400 postmenopausal women, 200 each from rural and urban area were selected. A pre-tested structured questionnaire was used for data collection.Results: Majority were in the age group of 50-60 years followed by 60-70 years. Majority of women were having a parity of 3. Vasomotor symptoms were experienced by 34.5% and 39.5% rural and urban women respectively. Out of total post-menopausal women who reported genitourinary complaints, the most commonly reported complaint was stress incontinence i.e. 10.5% and 8.5% respectively in rural and urban communities followed by increased urinary frequency i.e. 9% and 7.5% respectively in rural and urban areas. Vaginal dryness was reported by 2.5% of rural women and 6% of urban women. Vaginal discharge was reported by 7% of rural and 4% of urban women. Uterine Prolapse was reported by 6% of rural women and 3.5% of urban women.Conclusions: The study shows that postmenopausal women in India suffer from various vasomotor, physical as well as psychiatric problems related to menopausal hormonal changes with varied frequencies. There is a need to address their problem and establish health care centers for them. Postmenopausal women should be sensitized for availing the health facilities for their health problems by information education and communication (IEC) and behaviour change communication (BCC). Family support should be ensured by creating awareness in community. Awareness regarding menopause and problems among women related to it need to be improved. Health workers, ASHA, Aanganwadi workers can help women to understand about the menopausal symptoms, if they are given adequate training.

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Section: Discussionmentioning

confidence: 67%

mentioning

confidence: 99%

A comparative study of morbidity pattern among rural and urban postmenopausal women of Allahabad, Uttar Pradesh, India

Goyal¹,

Mishra

Dwivedi

2017

Int J Res Med Sci

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“…Dysfunctional uterine bleeding is among the most common causes of admissions to the Gynecology Outpatient Clinic and observed in approximately 20% of the women in reproductive age [8]. Causes such as endometrial polyp, endometrial hyperplasia, myoma uteri, and endometrial cancer (EC) should certainly be excluded beside systemic, iatrogenic, and hormonal causes in patients who present with dysfunctional uterine bleeding [8].…”

Section: Discussionmentioning

confidence: 99%

“…Causes such as endometrial polyp, endometrial hyperplasia, myoma uteri, and endometrial cancer (EC) should certainly be excluded beside systemic, iatrogenic, and hormonal causes in patients who present with dysfunctional uterine bleeding [8]. The main goal of endometrial sampling is to exclude EC [9], and endometrial sampling performed with the aim of controlling bleeding is controversial [10].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases

İnal¹,

İnal²,

Küçükosmanoğlu³

et al. 2017

Eurasian J Med

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Objective: This study aimed to investigate the relationship between indications and histopathological results in patients undergoing endometrial sampling.Materials and Methods: Data of 4,247 patients undergoing endometrial sampling due to non-obstetric gynecological causes between January 2010 and October 2016 were retrospectively evaluated using the archives of the Gynecology and Obstetrics Clinic of Konya Training and Research Hospital. Results:The mean age of patients was 46.8 ± 8.22 years; the most common indication was menometrorrhagia/menorrhagia (70.66%), and the least common indication was cervical polyp (1.34%). The most common histopathological result was proliferative-secretory endometrium (63.62%); simple hyperplasia with atypia (0.56%) was determined to be the least common result. Endometrial cancer was observed more frequently in the post-menopausal bleeding and increased endometrial thickness group (23.11%). Of patients in whom biopsy was performed, 52.18% had undergone hysterectomy, as a result of which proliferative-secretory endometrium was most commonly (59.52%) and simple hyperplasia with atypia least commonly found as the histopathological diagnosis.Conclusion: Although sampling should be performed following endometrial evaluation in patients with postmenopausal bleeding or increased endometrial thickness, according to the results of our study, routine endometrial biopsy should not be preferred in the other indications. Bulgular: Olguların yaş ortalaması 46,8+8,22 olup en sık endikasyon menometroraji-menoraji (%70,66) iken en az servikal polip (%1,34) idi. Endometriyal biyopsi sonucu proliferatif-sekretuar endometriyum (%63,62) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi. Endometriyum kanseri postmenaposal kanama ya da endometriyal kalınlık grubunda daha fazla oranda gözlendi (%23,11). Biyopsi yapılan olguların %52,18%'ne histerektomi ameliyatı yapılmıştı. Histerektomi sonucu proliferatif-sekretuar endometriyum (%59,52) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi.Sonuç: Postmenapozal kanama ya da endometrial kalınlık artışı olan olgularda endometriyal değerlendirmeyi takiben örnekleme yapılması uygunken, çalışmamız sonuçlarına göre diğer endikasyonlarda rutin olarak endometrial biyopsi tercih edilmemelidir.Anahtar Kelimeler: Endometriyal örnekleme, endometriyum kanseri, histerektomi, histopatolojik inceleme Eurasian

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“…It accounts for more than 70% of all gynaecological consultations in the peri-and postmenopausal age group. 4 In the present study, 180 numbers of perimenopausal women presenting with abnormal uterine bleeding were analysed. Most number of patients (63.89%) was 40-45 years of age group.…”

Section: Discussionmentioning

confidence: 99%

Histopathological pattern of endometrium in abnormal uterine bleeding of perimenopausal women

Talukdar

Goswami

Mahela

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Health issues of menopausal women in North India

Cited by 76 publications

References 18 publications

A comparative study of morbidity pattern among rural and urban postmenopausal women of Allahabad, Uttar Pradesh, India

A comparative study of morbidity pattern among rural and urban postmenopausal women of Allahabad, Uttar Pradesh, India

Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases

Histopathological pattern of endometrium in abnormal uterine bleeding of perimenopausal women

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