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Explore The Impact Of Age Related Vaginal Symptoms on Postmenopausal Women

Ayat Masoud Omar, Shahinda A. Salih SH.A, Nahed M. Saber


Background: Age-related vaginal symptoms are a thinning, drying and inflammation of the vagina due to decrease estrogen in the body. The most postmenopausal women experience these symptoms. The Aim of the Study: to explore the Impact of age-related Vaginal Symptoms in functioning and well-being of Postmenopausal Women. Methods: A descriptive study design was used. This study was conducted at the Outpatient clinics in Mitghamr Hospital, Ministry of Health in Egypt. Purposive sampling of 150 postmenopausal women was used. Data were collected using a structured interview questionnaire and Day to Day Impact of Vaginal aging questionnaire (DIVA).Results: Results showed that the vaginal symptoms had a high disparaging impact on studied postmenopausal women on their daily activities (71.6%), emotional well-being (57.5%), sexual function (61.25) and self-concept (50%). Moreover, the total impact of the day to day life domains was high among women of age group > 50 years, and who was a resident in rural areas with statistically significant difference (p= 0.0001). Conclusion: The current study concluded that the age related vaginal symptoms had a negative impact on the functioning and well-being of postmenopausal women. Recommendations: Routine assessment for age-related vaginal symptoms in postmenopausal women by gynecologists, nurse practitioners, and primary care doctors to help their patient to understand this chronic condition and to provide proper management and intervention.

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Shen J., Song N., Williams C. J., Brown C. J., Yan Z., Xu C., & Forney L. J. Effects of low dose estrogen therapy on the vaginal micro biomes of women with atrophic vaginitis. 2016. Scientific Reports.

Nappi R. E., Cucinella L., Martella S., Rossi M., Tiranini L., & Martini E. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). 2016. Maturitas.

Moral E., Delgado J. L., Carmona F., Caballero B., Guillán C., González P. M. & Nieto C. Genitourinary syndrome of menopause. Prevalence and quality of life in Spanish postmenopausal women. The GENISSE study. 2018. Climacteric.

Riesco E., Tessier S., Pérusse F., Turgeon S., Tremblay A., Weisnagel J. & Mauriège P. Impact of walking on eating behaviors and quality of life of premenopausal and early postmenopausal obese women. 2010. Menopause.

Brotman R.M., Shardell M.D., Gajer P., Fadrosh D., Chang K., Silver M.I. & Gravitt P. E. Association between the vaginal microbiota, menopause status, and signs of vulvovaginal atrophy. 2018. Menopause (New York, N.Y.).

Pandit L., & Ouslander J. G. Postmenopausal vaginal atrophy and atrophic vaginitis.

In American Journal of the Medical Sciences. 2014.

Kim H.-K., Kang S.-Y., Chung,Y.-J., Kim J.-H., & Kim M.-R. The Recent Review of the Genitourinary Syndrome of Menopause. Journal of Menopausal Medicine. 2015.

Mohamed H., Lamadah S., & Zamil L. Quality of life among menopausal women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2015.

Berecki-Gisolf J., Begum N., & Dobson A. J. Symptoms reported by women in midlife: Menopausal transition or aging? 2009. Menopause.

Avis N. E., Colvin A., Bromberger J. T., Hess R., Matthews K. A., Ory M., & Schocken M. Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: Study of Women’s Health Across the Nation. 2009. Menopause.

Parish SJ, Nappi RE, Krychman ML, et al. Impact of vulvovaginal health on postmenopausal women: a review of surveys on symptoms of vulvovaginal atrophy. International Journal of Women’s Health. 2009. 5:437–447

Huang A, Gregorich S, Kuppermann M, Nakagawa S, Van Den Eeden S, Brown J, Stewart A, et. al. Day-to-Day Impact of Vaginal Aging questionnaire: a multidimensional measure of the impact of vaginal symptoms on functioning and well-being in postmenopausal women. Menopause. Feb 2015; 22(2): pp.144-54. Doi: 10.1097/GME.0000000000000281.

El Sabagh E, Abd Allah E. Menopausal symptoms and the quality of life among pre/post-menopausal women from rural area in Zagazig city. Life SciJ. 2012; 9(2): pp. 283.

Nappi RE, Kokot-Kierepa M. Women’s voices in the menopause: results from an international survey on vaginal atrophy. Maturitas. 2010; 67(3): pp. 233–238. [PubMed].

Huang ALuft J., Grady D., Kuppermann M. The Day-to-Day Impact of Urogenital Aging: Perspectives from Racially/Ethnically Diverse Women, J Gen Intern Med. January 2010; 25(1): pp. 45–51 Doi: 10.1007/s11606-009-1135-1.

Hunter H., Nakagawa S. MA, Stephen K., Van Den Eeden, Miriam Kuppermann & Alison J. Huang. Predictors of Impact of Vaginal Symptoms in Postmenopausal Women, Menopause. Jan 2016; 23(1): pp. 40–46. PMC.

Cumming GP, Herald J, Moncur R, Currie H & Lee AJ. Women’s attitudes to hormone replacement therapy, alternative therapy and sexual health: a web-based survey. Menopause Int. 2014; 13(2):79–83. [PubMed].

Mohamed H., Lamada, S., & Zamil, L. Quality of life among menopausal women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2014.

Kalahroudi M., Mahboubeh T., Sadat Z., Saberi F. & Karimian Z. Prevalence and severity of menopausal symptoms and related factors among women 40-60 Years in Kashan, Iran. Nurse Midwifery Stud. 2012; 21(2): pp.88-93.

Chen Y., Lin S., Wei Y., Gao H. & Wu Z. Menopause- specific quality of life satisfaction in community dwelling menopausal women in China. Gynecol Endocrinol. 2011; 23: pp. 166–72.

Chim H., Tan B. H. I., Chia C. A., Chew E. M. D., Yap S. C., & Seang M. S. The prevalence of menopausal symptoms in a community in Singapore. 2012. Maturitas. Doi:


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