1Assistant Professor, KMCT Medical College, Kozhikode
2Assistant Professor, Dept. of Obstetrics & Gynecology, Sree Mookambika Institute of Medical Sciences & Research, Kulashekaram
*Corresponding Author: Email: sreelakshmy@yahoo.com
Online published on 14 October, 2017.
To study the health concerns and quality of life in patients with surgical menopause.
The study was conducted on 120 women in the age group 40–50 years who had total abdominal hysterectomy with bilateral salpingo-oophorectomy for benign pathology over a period of 9 months. The patients were followed up for one year after surgery. Their general health quality of life and menopausal symptoms were assessed.
Vasomotor symptoms were the most common affecting 68% of patients. Genitourinary symptoms like dyspareunia, vaginal dryness and urinary incontinence affected about 51% of patients. Back aches and joint pains were present in 33% females. Vasomotor symptoms were more prominent in the early menopausal age group (40-45years) while genitourinary and locomotor symptoms were more common in the late menopausal age group (>45years).
Surgical menopause leads to severe postmenopausal symptoms. Estrogen replacement should be considered in all symptomatic patients. During hysterectomy for benign pathology, ovaries should be removed only if properly indicated.
Surgical menopause, Estrogen, Menopausal symptoms, Hot flashes, Salpingo-oophorectomy
