<![CDATA[Objective: To find out atrophic vaginitis pattern in postmenopausal
women based on clinical appearance and vaginal cytology.
Method: Descriptive retrospective study with hypothesis cohort
to find out clinical appearance and vaginal cytology of atrophic
vaginitis based on distribution of estrogen effect (maturation value/
total maturation index) in post menopausal women in outpatient
clinic of tertiary hospital in Manado, North Sulawesi.
Result: There were 50 subjects met the inclusion criteria. Most
of them are 55 to 59 years old, with length of menopausal period 6
to 20 years, and onset of menopause in 45 to 49 years old. Cytology
study showed that atrophic vaginitis present in 66% patients. Clinical
symptoms are ranging from vaginal dryness (10%), vaginal discharge
(6%), and dyspareunia (20%). From clinical appearance we
found 44% women had atrophic vaginitis based on vaginal secretion,
42% based on macroscopic surface/integrity of vaginal epithelium,
54% based on vaginal rugae and elasticity, and 42% based on
vaginal color. However, 80% of all participants showed vaginal pH
more than 7 and most of them categorized as having atrophic vaginitis.
Conclusion: By using clinical appearance, we found 42% to
54% of menopausal women had atrophic vaginitis, while cytology
study confirmed 66% having it.
[Indones J Obstet Gynecol 2010; 34-2: 92-6]
Keywords: clinical appearance, cytology, menopause, atrophic
vaginitis]]>
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