A Hospital Based Prospective Observational Assessment of Gynecological Disorders among Geriatric Women

Description

Abstract (English)

Abstract
Aim: The present study was conducted to assess gynecological disorders among geriatric
women
Material & methods: The present prospective, observational study was conducted in the
Department of Obstetrics and Gynaecology, PMCH, Patna, Bihar, over a period of one year
which comprised of 200 women aged >65 years old. All subjects were enrolled after they
agreed to participate in the study after signing written informed consent. Ethical clearance was
obtained from institutional review and the Ethics Committee.
Results: Out of 200 patients, 85% belonged to age group 65-74 years. The study population
was 60% from rural and 40% urban areas. Only 30% of the patients were literate. Geriatric
women had higher number of pregnancies. Their mean age at menopause was 49.11±4.40 years
and mean duration of menopause was 21.14±5.85 years. Something coming out of vagina
(SCOV, 25%) and Postmenopausal bleeding (PMB, 32%) were the two major presenting
complaints. Amongst the co-morbidities, Hypertension was the single most common followed
by Anaemia, Diabetes mellitus, Thyroid disorders, Heart diseases. The most common
gynaecological disorder was genital tract malignancies (34%), followed by POP (25%) and
urogenital infections (16%). Of those with genital malignancies, 32 had carcinoma cervix, 18
had carcinoma ovary, 14 had carcinoma endometrium, and 2 had carcinoma vulva.
Conclusion: Pelvic organ prolapse and genital malignancy are the major gynaecological causes
of hospital admissions in the patients above 60 years. Post-menopausal bleeding is the
commonest complaint. Ovarian and endometrial cancer was showing a rising trend in this age
group. Though cervical cancer were the second most common malignancy in this group, most
of these patients presented at advanced stage and hence were inoperable