Gynaecologic problems in elderly women



As women enter into elderly period, they experience myriads of changes in their physical and mental state.

Women may encounter with severe physical problems during old age due to low literacy rate, lack of awareness of screening programmes and lack of health education, and non-availability of medical facility. Majority of elderly females visit health clinic or hospital when disease is symptomatic. It is also observed that ageing women normally do not seek gynaecological advice as compared to other age groups in Indian culture. One strong basis of restricting themselves to get care from doctor is that overall gynaecological conditions may become less frequent to old women once they are menopausal naturally.



Elderly women must know their body chemistry to live healthy and energetic life. The most commonly observed gynaecologic problems of geriatric women are vulvovaginal inflammation, pelvic organ prolapse, postmenopausal bleeding, and alterations in bladder function. In the context of India, the gamut of gynaecological disorders differs from developed countries because there are no screening programmes for early detection of geriatric issues.

-      Vulvovaginitis is a condition that results in inflammation of the vulva and vagina. Vulvovaginal inflammation may show range of symptoms like itching, discharge, soreness, and pain during urination, pain during intercourse, or minor cases of bleeding or spotting. Vaginitis is very common in elderly age.

-      Pelvic organ prolapse is most common gynaecological disorder in elderly women after 60 years. It can cause incomplete bladder emptying or hydronephrosis and renal failure. Women may grip under pelvic organ prolapse when the pelvic floor becomes weak or damaged and one or more pelvic structures drop from their natural positions into or even outside of the vaginal canal. Several structures can be involved, such as the uterus, bladder, small bowel, rectum or the vagina itself. This medical condition is caused due to damage in the tissues that support the pelvic organs. This damage is caused by suffering of childbirth. Other risk factors include obesity, chronic constipation, lung diseases that result in a chronic cough, and menopause. For the treatment of this disorder, doctors may offer advice that can help prevent the prolapse from becoming worse like losing weight, quitting smoking, and avoiding lifting heavy objects.

-      Postmenopausal bleeding: It is not very serious condition but in some cases, it can cause cancer. The most common causes of having Postmenopausal bleeding are inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) due to lower oestrogen levels, cervical or womb polyps, a thickened womb lining. Therefore it is recommended to see general physicians when women suffer from this disorder.

-      Ovarian cancer: Ovarian cancer is a severe and prevalent ailment that affects elderly women. Women grip under ovarian cancer may complain discomfort and pain, abnormal bowel movements, digestive problems, feelings of being full despite not eating a full meal, nausea, fatigue, pain in the lower back, and pain in the legs. It is very frustrating to older females. Most common treatments for ovarian cancer are surgery and chemotherapy. Radiation therapy may also be used in some cases.




 In final thought, gynaecological worry is quite natural as women age because there are chances of gripping under several disorders if precautions have not been taken. It can be well established that Gynaecologists can immense impact on the health of old women. Women must keep on watching their physical condition and seek medical advice from time to time to avert severe health disorder that may transform into life threatening.

Important note: This article is created harbouring holy attitude and for the awareness of elderly women to understand their medical problems. All medical terms mentioned in this piece of writing are just for educational purposes.

About writer:
International research writer
PG in Psychology


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