Publication:

Clinico-pathological study of vaginitis in peri and post-menopausal women

Background Menopause is universal phenomena which has adverse effect on health of women. The vaginal cytology by maturation value is an inexpensive mean to evaluate hormonal influence in women. Objective was to diagnose atrophic by vaginal pH and vaginal maturation value in peri and post-menopausal women symptomatic as well as asymptomatic.

Methods This study conducted on 100 peri and post-menopausal women who attended in Department of Obstetrics & Gynaecology, Kamla Raja Hospital, and G.R. Medical College Gwalior from August 2015 to August 2016. They were divided into three groups: Group A (Cases) - subjects having VMV 64 and Group C (Controls) - Asymptomatic subjects with VMV > 64.

Results The detection rate of vaginitis in total 100 peri and post-menopausal women in this study was 36% while detection rate in symptomatic peri and postmenopausal women was 36/65 i.e., 55.38%. To our surprise 13/35 (37.14%) had VMV < 64 (mild estrogen deficiency) in control group (asymptomatic postmenopausal women). They became true cases as VMV was taken as gold standard for diagnosis of vaginitis. It means that detection rate of vaginitis in asymptomatic peri and post-menopausal women were 37.14%.

Conclusions There is a lack of awareness of symptoms and signs among both in population and physicians for early detection of vaginitis.