Abstract: Aim: The present study was conducted to assess gynecological disorders among geriatric women.
Material and methods: The present prospective, observational, cross-sectional study was conducted in the Department of Obstetrics And Gynaecology, Mamata Medical College, over a period of one year which comprised of 100 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 100 patients, 80% belonged to age group 65-74 years. The study population was 65% from rural and 35% urban areas. Only 20% 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, 22%) and Postmenopausal bleeding (PMB, 35%) 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.
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