Elderly women [Peri and Post-menopausal women] suffer from varied gynecological problems and it is important to screen them early and provide primary care in order to prevent complications and improve quality of life. A prospective study of elderly women [40 years and above] presenting with gynecological problems in the out-patient-department of PIMS Hospital, Walayar in the year 2024 was evaluated. Those women who underwent surgical management for underlying pathology were also evaluated. A total of 3304 women presented with gynecological problems. Women included in the study were aged 40 years and above presenting with problems related to menstruation, such as, painful bleeding during menses, increased bleeding during menses, irregular bleeding following amenorrhea, lump lower abdomen, mass descending per vaginum [UTERINE PROLAPSE] with/without associated urinary problems. A total of 140 gynecological surgeries were done. ie. only 4.23%. Majority of women who underwent surgical management were between the age group of 40-50 years of age. Ie. 56.4% of the total., 20.7% of women were between 50-60 years of age., 15.7% were >60 years of age and 8.7% of women were below 40 years of age. Among 140 gynecological surgeries, the majority of women were diagnosed to have abnormal uterine bleeding disorder [AUB] ie. 31.4% of the total. 26.4% of women presented with fibroid uterus and another 26.4% of women presented with uterine prolapse. A number of 10.7% of women were diagnosed to have autonomists of uterus. There were only 3 cases of carcinoma, one each of endometrium, ovary and cervix [High grade CIN]. Those patients requiring only medical management were managed conservatively and reassured. The responsibility of the gynaecologist in screening peri and post-menopausal women increases as more patients seek treatment to improve the quality of life and decrease morbidity and mortality.
R. Suganthi. Spectrum of Gynecological Disorders and Surgical Outcome in Elderly Women.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.626.629
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.626.629