Assessment of Vaginal Vault Parameters in Stratified Age Groups and Its Social Relevance in a South Indian Population

Suresh, Kuku Mariam; James, Nidhin; Rodríguez, Mario; Jose, Christeena

doi:10.18410/jebmh/2018/626

Cited by 1 publication

(3 citation statements)

References 14 publications

(14 reference statements)

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“…[7][8][9][10] Studies with designs similar to our study have found that vaginal mucosa and vaginal wall thickness decreases with menopause. 11,15 However, it should be kept in mind that women with in menopausal age may have higher rates for chronic diseases and higher BMI and diabetes rates may lead to inaccurate results or inadequate evaluation for measurement of TVT and TMT because of increase subcutaneous adipose tissue.…”

Section: Specificitymentioning

confidence: 99%

“…10 Subsequently, certain publications have used vaginal wall and vaginal mucosal thickness to predict vaginal atrophy. 11,12 This study aimed to evaluate the use of transabdominal ultrasound and to determine the cutoff values for both transvaginal and transmucosal thickness for predicting VVA which is the most common symptom of GSM, without the requirement for vaginal examination that may cause pain.…”

Section: Introductionmentioning

confidence: 99%

“…10 Subsequently, certain publications have used vaginal wall and vaginal mucosal thickness to predict vaginal atrophy. 11,12…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transabdominal ultrasonography: A non-invasive method for diagnosing vaginal atrophy

Kanmaz¹,

İnan

Beyan³

et al. 2020

Post Reprod Health

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Objective Genitourinary syndrome of menopause is a definition of all symptoms caused by hypoestrogenemia in menopausal age and one of the most common symptoms is vaginal atrophy. The diagnosis methods which are used for vaginal atrophy may be painful. A novel method total vaginal thickness and total mucosal thickness measuring could be determine vaginal atrophy. Material and methods This is a prospective case–control study involving 60 women in each group of 120 patients. One of the groups is comprised postmenopausal, histopathologically diagnosed vaginal atrophic women and the other group comprised 24–35 aged women who were no symptoms of vaginal atrophy and vaginal swab samples are not compatible with vaginal atrophy. All women who participated in the study underwent transabdominal ultrasound and total vaginal thickness and total mucosal thickness were measured. Results Total vaginal thickness and total mucosal thickness were found lower in the postmenopausal group compared to premenopausal women ( p = 0.005 and p = 0.07, respectively). The cutoff value was determined as 8.55 mm for total vaginal thickness and 1.52 mm for total mucosal thickness, and the diagnostic power of these values is a specificity of 88.89% (95% confidence interval: 51.75–99.72%) and a ppv of 92.86% (95% confidence interval: 66.53–98.84%) for total vaginal thickness and a specificity of 80.95% (95% confidence interval: 58.09–94.55%) and a ppv of 89.47% (95% confidence interval: 71.10–96.71%) for total mucosal thickness. Conclusion Vaginal atrophy is a painful symptom for menopausal women and the diagnostic methods may be invasive and painful too. Total vaginal thickness and total mucosal thickness measuring with transabdominal ultrasound could be an alternative method for diagnosis and treat vaginal atrophy easily.

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