The incidence of urogynecological problems in postmenopausal women and its correlation with serum estradiol levels

Abstract

Background: Menopause is an irreversible bio psychological phenomenon associated with the process of ageing in women along with which there is a steady decline of the various functions, including a drop in serum estradiol levels, where in there are an array of changes projected in the form of urogynaecological symptoms.
Aims & Objectives: To determine the prevalence of urogynecological complaints amongst postmenopausal women and their correlation with serum estradiol levels.
Materials & Methods: A cross-sectional hospital based study was carried out amongst 190 postmenopausal women over 18 months at the Department of Obstetrics & Gynaecology, JSS Hospital, Mysuru. All patient data which were related to the incidence of urogynaecological symptoms were recorded & its correlation with serum estradiol levels was carried out. Results: The most common symptoms recorded was 188 (98.95%) hot flushes and187 (98.42%) vaginal dryness. The mean serum estradiol levels among postmenopausal women was found to be 20.28 pg/ml and significant. The mean estradiol levels amongst most common urinary symptoms was found to be not significant with p-value:0.7852 but vaginal symptoms had a significant p value: 0.022.
Conclusion: Menopause is an age related irreversible process which cannot be stopped at any stage. We found a direct relationship wherein a drop in estradiol levels increased the symptoms, however it is possible to address the associated symptoms of menopause which may improve the quality of life of an individual on social, economic as well as psychological aspect. Therefore, we recommend timely assessment, early detection and timely management of the condition.