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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  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 : 563]
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

 
2.  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 : 1093]
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

 
3.  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 : 950]
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

 
4.  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 : 827]
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

 
5.  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 : 614]
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

 
6.  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 : 609]
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

 
7.  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 : 518]
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

 
8.  Original Article
Comparison of Pap Smear and Colposcopy in Detection of Premalignant Lesions of Cervix
Bahar Kohli, Shashi Bala Arya, Jai Kishan Goel, Mridu Sinha, Jayanti Kar, Isha Tapasvi
[Year:2014] [Month:January-June] [Volume:2 ] [Number:1] [Pages:56] [Pages No:5-8] [No of Hits : 3188]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1023 | FREE

ABSTRACT

Objective: Comparison of papanicolaou (pap) smear and colposcopy in detection of premalignant lesions of cervix.

Materials and methods: A prospective clinical study was conducted in a tertiary care referral institute in 100 symptomatic, sexually active women of 20 to 60 years. All women were subjected to pap smear, colposcopy and cervical biopsy to confirm the diagnosis.

Results: Out of 49 positive on pap smear, 24 were true positives and 25 were false positives. Out of 51 negative pap smear findings, 45 were true negatives and 6 were false negatives.
Thirty percent women had positive histopathology and colposcopic findings. Forty percent women had normal colposcopy with negative histopathology whereas 30% had positive colposcopic findings but negative histopathology. Nineteen percent of women with negative cytology were positive on colposcopy and histopathology.

Conclusion: PAP smear had a sensitivity of 80% and a specificity of 64.29% with positive predictive value of 48.98% and negative predictive value of 88.24% while sensitivity and specificity of colposcopy were 100 and 57.14% respectively and positive predictive value and negative predictive value of colposcopy were found to be 50 and 100% respectively.

Keywords: Pap smear, Colposcopy, Premalignant lesions of cervix.

How to cite this article: Kohli B, Arya SB, Goel JK, Sinha M, Kar J, Tapasvi I. Comparison of Pap Smear and Colposcopy in Detection of Premalignant Lesions of Cervix. J South Asian Feder Menopause Soc 2014;2(1):5-8.

Source of support: Nil

Conflict of interest: None

 
9.  Original Article
Assess the Knowledge on Menopausal Self-care among Perimenopausal Women
N Anjaly, Lekha Viswanath, T Anju Philip
[Year:2014] [Month:July-December] [Volume:2 ] [Number:2] [Pages:60] [Pages No:55-58] [No of Hits : 2152]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1041 | FREE

ABSTRACT

Perimenopause which generally begins more than 5 years before the permanent cessation of menses, it is a time of transition characterized by unstable endocrine physiology and highly variable, unpredictable hormone profiles. The purpose of the study is to assess the knowledge on menopausal self-care among perimenopausal women in selected wards of Nayarambalam Panchayath, Ernakulam. Quantitative approach with descriptive survey design is used for the study. Sample consists of 120 perimenopausal women of 35 to 50 years, residing in selected wards of Nayarambalam Panchayath, Ernakulam. The knowledge regarding menopausal self-care is poor among 71% of perimenopausal women, average among 28% of perimenopausal women and 1% of them have good knowledge. Mean knowledge score is 8.04, SD is 5.09 and maximum score is 30. No significant association was found between knowledge and variables like age, educational status, family income and menopausal status. Perimenopausal women have inadequate knowledge on menopausal self-care. Findings of the study highlight the need of educational intervention for improving the knowledge of self-care among perimenopausal women.

Keywords: Knowledge on menopausal self-care, Perimenopausal women, Selected variables.

How to cite this article: Anjaly N, Viswanath L, Philip TA. Assess the Knowledge on Menopausal Self-care among Perimenopausal Women. J South Asian Feder Menopause Soc 2014;2(2):55-58.

Source of support: Nil

Conflict of interest: None

 
10.  Case Report
A Rare Case Report of Microperforate Hymen with Difficulty in Penetration
Vijay Kumar, Kusuma Vijay Kumar, KH Krishnamurthy, Rajesh Kumar
[Year:2014] [Month:July-December] [Volume:2 ] [Number:2] [Pages:60] [Pages No:97-98] [No of Hits : 1896]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10032-1052 | FREE

ABSTRACT

A rare case of 26-year-old women with microperforate hymen reported a difficulty in intercourse. Hymenectomy is the surgical treatment for imperforate hymen and microperforate hymen. A knife or electrocautery can be used to excise hymenal tissue.

Keywords: Microperforate hymen, Pin-hole hymen, Vaginismus, Electrocautery.

How to cite this article: Kumar V, Kumar KV, Krishnamurthy KH, Kumar R. A Rare Case Report of Microperforate Hymen with Difficulty in Penetration. J South Asian Feder Menopause Soc 2014;2(2):97-98.

Source of support: Nil

Conflict of interest: None

 
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