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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  ORIGINAL ARTICLE
A Study of the Age of Menopause and Menopausal Symptoms among Women in a Rural Area of Tamil Nadu, India
G Ganitha, PB Premalatha, Iyanar Kannan
[Year:2017] [Month:July-December] [Volume:5 ] [Number:2] [Pages:73] [Pages No:87-91] [No of Hits : 569]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1113 | FREE

ABSTRACT

Aim: The aim of this study is to determine the age and symptoms of menopause, and attitude and perception of postmenopausal women toward menopause in a rural area of Tamil Nadu.

Materials and methods: This is a cross-sectional observational study of 500 women in a rural area of Tamil Nadu. Women aged 40 to 55 years who had attained natural menopause and had cessation of menses for at least 1 year were included in the study. Women who had attained surgical menopause or menopause secondary to medical illness were excluded from the study. A self-structured questionnaire was used to collect information.

Results: The mean age of attaining menopause was 45.75 ± 3.83 years; 87% women were symptomatic with at least one symptom. Majority of women (78.2%) had psychosomatic symptoms followed by vasomotor symptoms (55.8%); 68.4% women welcomed menopause with positive attitude; 19.4% women were indifferent and 12.2% women had negative attitude toward menopause. About 24% women felt that the symptoms of menopause were distressing; 23.2% women availed some form of treatment for their symptoms.

Conclusion: Many women are affected by menopausal symptoms. Some women are affected severely by these symptoms. Lack of awareness, economic factors, sociocultural factors, myths, and inaccessibility to health services can negatively affect the attitude of women toward menopause.

Clinical significance: Menopause is an important transitional phase of life in all women. The waning ovarian hormone level causes several symptoms, some of which can be distressing to some women. Age and symptoms of menopause are influenced by several factors. Attitude and perception of women toward menopause reflect the awareness and health care accessibility in the community. Creating awareness of menopausal symptoms can improve utilization of health services and the quality of life of postmenopausal women.

How to cite this article: Ganitha G, Premalatha PB, Kannan I. A Study of the Age of Menopause and Menopausal Symptoms among Women in a Rural Area of Tamil Nadu, India. J South Asian Feder Menopause Soc 2017;5(2):87-91.

Keywords: Menopausal symptoms, Menopause, Postmenopausal women, Psychosomatic symptoms, Vasomotor symptoms.

Source of support: Nil

Conflict of interest: None

Date of received: 22 July 2017

Date of acceptance: 9 August 2017

Date of publication: December 2017

 
2.  Review Article
Management of Postmenopausal Vaginal atrophy: Review of Literature
Preeti Yadav, Meena Dayal
[Year:2017] [Month:January-June] [Volume:5 ] [Number:1] [Pages:70] [Pages No:51-57] [No of Hits : 509]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1105 | FREE

ABSTRACT

Aim: As there is dilemma for treatment of postmenopausal vaginal atrophy, effort has been made to review the literature for the same.

Background: About half of all postmenopausal women will experience symptoms related to urogenital atrophy. Vaginal atrophy becomes clinically apparent 4 to 5 years after menopause, and subjective complaints as well as objective changes are present in 25 to 50% of all postmenopausal women.

Review results: Measures could be taken for not only treatment but also prevention of atrophy before symptoms become troublesome, but establishment of this prevention principle globally would require a formal cost-effective analysis and further research.

Conclusion: Treatment with local estrogen is simple, safe, and can transform a woman’s quality of life.

Clinical significance: Women experiencing sexual and urinary symptoms as a consequence of vaginal atrophy should be diagnosed and treated without delay in order to avoid a cascade of events which do not resolve spontaneously.

Keywords: Local estrogen, Postmenopausal, Vaginal atrophy.

How to cite this article: Yadav P, Dayal M. Management of Postmenopausal Vaginal atrophy: Review of Literature. J South Asian Feder Menopause Soc 2017;5(1):51-57.

Source of support: Nil

Conflict of interest: None

Date of submission: 15 February 2017

Date of acceptance: 28 March 2017

Date of publication: June 2017

 
3.  Research Article
Menopausal Problems among Postmenopausal Women
Salini Lisa Cyriac, Lekha Viswanath, Anju T Philip
[Year:2016] [Month:July-December] [Volume:4 ] [Number:2] [Pages:39] [Pages No:88-92] [No of Hits : 833]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1092 | FREE

ABSTRACT

Introduction: Menopause is a universal occurrence in every women and the severity of menopausal problems is increasing day by day.

Aim: The purpose of the study is to identify the menopausal problems among postmenopausal women and find association between menopausal problems and selected variables.

Materials and methods: Research design adopted for the study was descriptive survey design. Probability one-stage cluster sampling technique was carried out to select 108 postmenopausal women. After getting consent from the participants, data pertaining to individual characteristics and menopause-related information among postmenopausal women was collected using a semi-structure interview.

Results: The mean age at menopause was 49 years and 46.2% had attained menopause between 45 and 50 years of age and the age of menopause ranged between 43 and 57 years. Among the 108 participants, all of them faced with vasomotor problems like hot flashes and night sweat. Other common symptoms were muscle and joint pain (92.7%), headache (88%), loss of interest in most things (87.9%), feeling dizzy or faint (86.1%), and loss of interest in sex (84.3%) respectively. It was found that all of them experienced vasomotor symptoms, and among the vasomotor dimensions, majority of them (51.9%) experienced mild vasomotor symptoms.

Conclusion: The study results show that as all the menopausal women experience menopausal problems, there is a need to address the menopausal problems and measures for its prevention and management.

Keywords: Health promotion behaviors, Menopausal problems, Menopause, Postmenopausal women.

How to cite this article: Cyriac SL, Viswanath L, Philip AT. Menopausal Problems among Postmenopausal Women. J South Asian Feder Menopause Soc 2016;4(2):88-92.

Source of support: Nil

Conflict of interest: None

Date of submission: 07 April 2016

Date of acceptance: 29 May 2016

Date of publication: July 2016

 
4.  Case Report
A Case of Giant Cervical Fibroid Polyp Prolapsed outside Introitus in Menopausal Women: Presenting as Diagnostic Dilemma
Priya Sharma, Neelam Swaroop, Kalpana Kumari, Arun Nagrath
[Year:2016] [Month:January-June] [Volume:4 ] [Number:1] [Pages:36] [Pages No:47-49] [No of Hits : 638]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1084 | FREE

ABSTRACT

Cervical fibroid polyps are great masqueraders and can frequently cause diagnostic dilemmas. Due to their rarity, especially in menopausal women, the management can be quite challenging. Here we report a case of giant cervical fibroid polyp prolapsed outside introitus in menopausal women: presenting as diagnostic dilemma. Hospitalization, thorough evaluation, and excluding other differential diagnosis along with meticulous surgery under appropriate anesthesia led to the successful management.

Keywords: Menopause, Polypectomy, Prolapsed cervical fibroid.

How to cite this article: Sharma P, Swaroop N, Kumari K, Nagrath A. A Case of Giant Cervical Fibroid Polyp Prolapsed Outside Introitus in Menopausal Women: Presenting as Diagnostic Dilemma. J South Asian Feder Menopause Soc 2016;4(1):47-49.

Source of support: Nil Conflict of interest: None

Date of submission: 09 August 2015

Date of acceptance: 19 December 2015

Date of publication: January 2016

 
5.  Case Reports
Large Cystic Degeneration of Subserosal Fibroid and Diagnostic Dilemma
Nihar Ranjan Bhoi, Chintamani Mohanta, Sudha Agrawal, Amulya Kumar Panda
[Year:2015] [Month:July-December] [Volume:3 ] [Number:2] [Pages:31] [Pages No:60-63] [No of Hits : 1530]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1074 | FREE

Abstract

Introduction: Leiomyoma of the uterus is the most common tumor arising from uterine smooth muscle. The size varies from microscopic to giant. We report an unusual case of a large myoma with cystic degeneration mimicking an ovarian tumor.

Presentation of case: A 49-year-old nulliparous woman presented with a history of dull aching lower abdominal pain and gradual swelling of abdomen for a period of approximately 6 months. She had no history of serious illness or surgical procedures and no family history of malignancies. Clinical examination revealed a cystic mass spreading all the quadrants of abdomen and no shifting dullness could be elicitated. Sonography examination showed a large mass that filled the abdomen. A provisional diagnosis of a benign ovarian tumor was made. The patient underwent laparotomy, an enlarged, complex and predominantly cystic tumor arising from the posterior wall of uterus with bilateral normal tubes and ovaries. Total hysterectomy and bilateral salpingo-oophorectomy was done. The histology revealed a leiomyoma with cystic degeneration.

Discussion: Cystic degeneration of large fibroid mimics ovarian tumor both clinically and ultrasonographically.

Conclusion: Pedunculated leiomyomas should be considered in the differential diagnosis of a multilocular and predominantly cystic adnexal mass.

Keywords: Adnexal mass, Cystic degeneration, Elastography, Giant myoma, Uterine leiomyoma.

How to cite this article: Bhoi NR, Mohanta C, Agrawal S, Panda AK. Large Cystic Degeneration of Subserosal Fibroid and Diagnostic Dilemma. J South Asian Feder Menopause Soc 2015;3(2):60-63.

Source of support: Nil

Conflict of interest: None

Date of submission: 19 April 2015

Date of acceptance: 17 June 2015

Date of publication: December 2015

 
6.  ORIGINAL ARTICLE
Clinical Pattern and Spectrum of Endometrial Pathologies in Abnormal Uterine Bleeding in Perimenopausal and Postmenopausal Women: Experience in a Tertiary Care Institute
Kavita Babbar, Sangeeta Jogi, RC Arya
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:33] [Pages No:9-14] [No of Hits : 1152]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1062 | FREE

ABSTRACT

Background Abnormal uterine bleeding (AUB) is defined as any alteration in the pattern or volume of menstrual blood flow. It is the common presenting complaint in gynecology outpatient department (OPD) in all age groups. It is due to the anovulatory cycles which are commonly seen in extremes of age reproductive age groups in adolescent and perimenopausal women. Abnormal uterine bleeding is caused by wide variety of organic or nonorganic causes. Histopathological evaluation of the endometrial samples plays a significant role in the diagnosis of abnormal uterine bleeding.

Aim To assess the clinical picture and endometrial pattern of abnormal uterine bleeding in perimenopausal and postmenopausal age groups.

Materials and methods: The study included analysis of 127 cases of endometrial samples obtained from patients of abnormal uterine bleeding above 40 years of age. The specimens were routinely processed and hematoxylin and eosin (H&E) stained slides were studied. Patients were categorized in two age groups perimenopausal (41–50 years) and postmenopausal (>50 years).

Results The predominant age of presentation in AUB was perimenopausal age group 95 (74.8%). It was seen more frequently in grandmultiparous women. Most common presentation was menorrhagia (62.1%) of cases in the perimenopausal age group, whereas other group presented as postmenopausal bleeding. A total of 127 specimens of endometrium were analyzed. In perimenopausal age group predominant histopathological pattern was proliferative endometrium (34.7%) followed by disordered proliferative (15.8%). Atrophic endometrium (28.3%) was the most frequent finding followed by endometrial hyperplasia (25%) in postmenopausal age group. Two cases (6.2%) of endometrial carcinoma were reported in postmenopausal age group and one case (1%) in perimenopausal age group.

Conclusion Histopathological evaluation with clinical correlation of endometrium is especially indicated in women over the age of 40 years to rule out preneoplastic lesions and malignancies. Careful screening can detect early cancer of endometrium which has excellent prognosis and improve quality of life.

Keywords Abnormal uterine bleeding, Endometrium, Perimenopause.

How to cite this article: Babbar K, Jogi S, Arya RC. Clinical Pattern and Spectrum of Endometrial Pathologies in Abnormal Uterine Bleeding in Perimenopausal and Postmenopausal

Women Experience in a Tertiary Care Institute. J South Asian Feder Menopause Soc 2015;3(1):9-14.

Source of support: Nil

Conflict of interest: None

Date of submission: 8 Feb 2015

Date of acceptance: 29 May 2015

Date of publication: June 2015

 
7.  ORIGINAL ARTICLE
Menopausal Symptoms among Postmenopausal Women of North India: A Cross-sectional Study
Ruchika Garg, Rajani Rawat, Manisha Pathak, GM Lalitha, Renu Rajwanshi
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:33] [Pages No:3-5] [No of Hits : 1142]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1060 | FREE

ABSTRACT

Introduction Menopausal health is a major problem in India because of rising population of postmenopausal women.

Objectives The aim was to determine the mean age of attaining menopause and the prevalence of various menopausal symptoms.

Materials and methods: A cross-sectional study was conducted in SNMC of Agra on 218 postmenopausal women from March 2012 to 2015.

Results The mean age of attaining menopause was 48.26 years. Prevalence of symptoms among ladies were muscle and joint pains (70%), mood swings (65%), low backache (46.7%), hot flush and excessive sweating (45%), change in sexual desire (44%), dryness of vagina (41%), urinary symptoms (35%) and anxiety and irratibility in (11%) females.

Conclusion Thus, study stated that all the women were suffering from one or more number of menopausal symptoms. Women should be made aware of these symptoms, their causes and treatment respectively.

Keywords Menopausal symptoms, Postmenopausal women, Urinary symptom.

How to cite this article: Garg R, Rawat R, Pathak M, Lalitha GM, Rajwanshi R. Menopausal Symptoms among Postmenopausal Women of North India: A Cross-sectional Study. J South Asian Feder Menopause Soc 2015;3(1):3-5.

Source of support: Nil

Conflict of interest: None

Date of submission: 18 Feb 2015

Date of acceptance: 22 Feb 2015

Date of publication: June 2015

 
8.  ORIGINAL ARTICLE
A Comparative Study of Use of Zoledronic Acid and Teriparatide in Postmenopausal Osteoporosis
Meenal Jain, Amit Agarwal, Ruchika Garg
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:33] [Pages No:6-8] [No of Hits : 764]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1061 | FREE

ABSTRACT

Aim To study and compare the effect of zoledronic acid and teriparatide on bone mineral density in postmenopausal women with osteoporosis.

Materials and methods: One hundred postmenopausal patients having BMD score ≤ 1 were selected from the outpatient department of gynecology, SN Medical College, Agra. The study was undertaken in collaboration with orthopedician, randomly divided into two groups: group A-Fifty patient given 5 mg Iv zoledronic acid infusion, two such doses were given at 6 months interval, group B-Fifty patient given 20 ìg/day teriparatide by subcutaneous injection for 3 months.
Follow-up at 12 months and BMD score compared.

Observations There was significant increase in BMD in both the groups over a period of 1 year but increase was more significant in teriparatide group (8 to 10%) as compared to 4 to 6% increase in zoledronic acid group. Clinical symptoms improved in both groups with fewer side effects in teriparatide group.

Conclusion Both teriparatide and zoledronic acid are good options for management of postmenopausal osteoporosis with teriparatide having better clinical efficacy and less side effects though it is expensive and requires daily administration.

Keywords Bone mineral density, Postmenopausal osteoporosis, Teriparatide, Zoledronic acid.

How to cite this article: Jain M, Agarwal A, Garg R. A Comparative Study of Use of Zoledronic Acid and Teriparatide in Postmenopausal Osteoporosis. J South Asian Feder Menopause Soc 2015;3(1):6-8.

Source of support: Nil

Conflict of interest: None

Date of submission: 8 Feb 2015

Date of acceptance: 1 May 2015

Date of publication: June 2015

 
9.  CASE REPORT
Cerebral Venous Thrombosis following Oral Contraceptive Pill Use for Menorrhagia: Management Dilemma
Priyanka Mehta, Vasanthalakshmi Gonnabaktula Naga, B Pushpalatha
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:33] [Pages No:27-28] [No of Hits : 759]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1066 | FREE

ABSTRACT

Women on oral hormonal therapy for menorrhagia are at risk of cerebral venous thrombosis (CVT). This condition is characterized by intravascular clotting in the venous system of brain. In this case which is being presented for its rarity, the patient developed CVT following use of low dose estrogen progesterone combination pill; hence, treatment was stopped. Withdrawal of oral contraceptive pill (OCP) was associated with profuse vaginal bleed. Emergency hysterectomy was risky as patient was unstable. Levonorgestrel intrauterine system (LNG-IUS) proved to be a safe effective innovative option in this situation.

Keywords Oral contraceptive pills, Cerebral venous thrombosis, Menorrhagia, Levonorgestrel intrauterine system.

How to cite this article: Mehta P, Naga VG, Pushpalatha B. Cerebral Venous Thrombosis following Oral Contraceptive Pill Use for Menorrhagia: Management Dilemma. J South Asian Feder Menopause Soc 2015;3(1):27-28.

Source of support: Nil

Conflict of interest: None

Date of submission: 12 Feb 2015

Date of acceptance: 20 April 2015

Date of publication: June 2015

 
10.  REVIEW ARTICLE
Vasomotor Symptoms: What is the Impact of Physical Exercise?
Piyusha M Atapattu
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:33] [Pages No:15-19] [No of Hits : 670]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1063 | FREE

ABSTRACT

Vasomotor symptoms (VMS) or hot flushes are the commonest and the most troublesome symptoms during the menopausal transition. Though usually transient, VMS is the leading menopausal symptom presenting for medical attention. Hormone replacement therapy (HRT) is the most effective treatment for VMS, but many women are reluctant to use HRT and wish to pursue alternative therapy.
Physical exercise of different types has been used as a mean of alleviating VMS. The potential for physical exercise to improve VMS can be explained by its effects on the postulated pathophysiologcal mechanisms of VMS. However, individual studies on the influence of physical exercise on VMS show conflicting results, with positive, negative or no effects being reported, and the review of evidence is inconclusive. The many differences in the study designs may be a reason for the varying outcomes of the studies.
Physical exercise, however, have multiple benefits in postmenopausal women, in reducing cardiovascular risk factors, improving bone density and preventing osteoporosis, enhancing muscle mass and has a positive effect on overall health. Regular physical activity should, therefore, be promoted in all postmenopausal women, though they may not derive a significant improvement of VMS.

Keywords Hot flushes, Pathophysiology, Physical activity, Physical exercise, Vasomotor symptoms.

How to cite this article: Atapattu PM. Vasomotor Symptoms: What is the Impact of Physical Exercise? J South Asian Feder Menopause Soc 2015;3(1):15-19.

Source of support: Nil

Conflict of interest: None

Date of submission: 15 Jan 2015

Date of acceptance: 18 Feb 2015

 
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