Prevalence of Atrophic Vaginitis in Post- Menopausal Women of Northern India and Role of Vaginal Maturation Value in Its Diagnosis
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Background: Menopause is a universal phenomenon and atrophic vaginitis is an unavoidable consequence of menopause due to estrogen deficiency. Atrophic vaginitis is inflammation of vagina due to thinning and shrinking of tissue as well as decrease lubrication. Estrogen deficiency leads to less vagina cell proliferation and differentiation. Methods: 100 post-menopausal women attending gynecology OPD. KGMU, Lucknow were included in the study. Apart from detailed history and examination, vaginal maturation value (VMV) assessment was done. Results: In women with atrophic symptoms, mean age and duration of menopause was significantly higher than women without these symptoms and no significant correlation was found among BMI, parity and atrophic vaginitis. Difference of mean VMV between symptomatic and asymptomatic women was statistically significant. Even on VMV examination, 7(13.7%) asymptomatic women also had mild atrophic vaginitis having VMV<64. Discussion: In the present study; according to symptomatology, prevalence of atrophic vaginitis was 49% but after VMV estimation, it increased to 56% which is really a concern. As there is lack of awareness of symptoms of atrophic vaginitis among postmenopausal women, VMV can diagnosed atrophic vaginitis prior to appearance of symptoms. Conclusions: In our study, prevalence of atrophic vaginitis was 56% which was higher than previous studies as because in our country, women are very shy in discussing these problems. VMV is very simple, quick, practical, office method and can be done along with regular follow up of pap smears.
Authors and Affiliations
Uruj Jahan, Yashodhara Pradeep, Nuzhat Hussain
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